 Ayako Okuyama Cordula Wagner Hilaris SRLAyako Okuyama Cordula WagnerAyako Okuyama Department of Total Health Promotion Science Graduate School of Medicine, Osaka University 1-7 Yamadaoka, Suita, Osaka, 565-0871, Japan Tel: 81-6-6879-2555 E-mail: email protectedAyako Okuyama is working in the Department of Total Health Promotion Science,Graduate School of Medicine at Osaka University.Assertiveness; Interdisciplinary communication; Quality of health care;Nursing Practice;Nursing science; Nursing standards;Nursing Innovation;Performance Management;Healthcare; 