Disruptive design, or efforts to improve patient care by thinking outside traditional parameters, can help nurses innovate. The Centering Healthcare Institute hopes to build on approaches created by individuals and small groups of nurses to help bring about broader change in health care. "We have to rethink how care is provided. We just have to do it. There's opportunity for change," institute CEO Sharon Schindler Rising said, who developed a group model of prenatal care.

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