Summary :
The development of the seventh edition occurred at a time of change and uncertainty in health care. This has reverberated within health care organizations and sys- tems, in nursing professional organizations, and in the work life of nurses in leadership and administration. Hospitals and health care organizations are struggling with financial and workforce pressures. Nursing profes- sional organizations, such as the American Organization of Nurse Executives (AONE) [now: American Organization for Nursing Leadership (AONL)] and the Council on Graduate Education for Administration in Nursing (CGEAN) [now: Association for Leadership Science in Nursing (ALSN)], have changed their names, as did the Institute of Medicine [now: the National Academies of Sciences, Engineering, Medicine, Health and Medicine Division] in 2016.

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