An interview with Karlene M. Kerfoot. Interview by Connie R. Curran.

Innovation is the key to achieving higher levels of quality and productivity and reducing turnover. Karlene M. Kerfoot, PhD, RN, CNAA, believes the future of nursing in hospitals is a unit-based shared governance structure. Dr. Kerfoot is a member of the Nursing Economic$ Editorial Board and authors the journal's "Nursing Management Considerations' column. In this interview, she outlines her programs, experiences, and philosophies for attaining her goals.