Questions: 1. How would you explain the relationships among quality, safety, and costs to the director and staff? How would you demonstrate the importance of nursing care in addressing this issue? What outcome variables would you recommend? 2. Mr. Lowell wants to adopt a caring model at St. Louis Hospital and asks you to find the latest information on patient and family engagement. What does the literature say about patient and family engagement and what would you recommend? How are patient and family concerns related to clinical significance?