Abstract
Objective: To examine the level of system integration and determine if a relationship exists between the level of nursing development and system integration. Data Source/Study Setting: Primary data was collected from Nurse Administrators in Maryland acute care hospitals in December 1999. Study Design: A survey of Maryland nurse administrators was conducted utilizing three tools. The Perceived Systemness and Integration Measure was used to measure the level of integration within the system or network. The level of professional practice development was measured utilizing a Likert-scale tool designed by the researchers based on the Transformational Model for Professional Practice in Health Care Organizations. A narrative response questionnaire was included to determine mechanisms in place to promote professional practice and clinical integration. Findings: The level of system integration was moderate in all domains: Functional (3.35), Physician-System (2.88), and Clinical (3.14). Significant correlations were found between Transformational Leadership and Culture (.539, p
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