In today's complex healthcare settings, several challenges such as nursing shortages, decreased workforce, increased patient acuities, and demands, increased regulations that add to nurses' workload, increased job dissatisfaction, and less time spent at the bedside. These challenges are increasing nurses' responsibilities and accountabilities, but do not add power or authority to address needed changes to affect nursing practice. Healthcare executives and leaders realize that quality care is best delivered by staff nurses who are committed to the organization and empowered to practice their...