The notion of stewardship, drawn from the literature of management and organization in the United States, may offer a useful window into this broader understanding of governance. Stewardship depends on a willingness to be accountable for results without using control as the means to reach them. This demands a choice for service with partnership and empowerment as basic governance strategies. St...

A century ago, stewards were responsible for managing estates or for keeping order at public events. Today, the Earth is one global estate, and improved stewardship is vital for maintaining social order and for preserving life on Earth. In this paper, we describe Earth Stewardship, a social–ecological framework for sustaining life in a rapidly changing world. The paper defines the components of...

Overuse of antibiotic agents has garnered national attention. Unnecessary use of antibiotics can cause serious side effectsdeven death due to antibiotic-resistant bacteriadand a host of public health concerns. The Centers for Disease Control and Prevention (CDC) reports that approximately half of all prescriptions for antibiotic agents written in the United States are either unnecessary or used...

T heologian John Shea, STD, writing several years ago about CHA's Mission-Centered Leadership Competency Model, said that in health ministry the first step from faith to practicality—that is, concrete action on behalf of mission—is values. "Faith convictions and narratives are expressed in the full-blown religious language of the Catholic tradition, for example, God, Christ, sin, redemption, ch...

It is clear that the widespread and injudicious use of antimicrobials has greatly increased the presence of MDROs that threaten the health of all. There is worldwide acknowledgement that this threat is growing, and that prudent use of antimicrobials combined with infection prevention can prevent harm and improve patient safety. Antimicrobial stewardship programs must harness the talents of all ...