Orthopaedic Nursing. 16(1):49–50, JAN 1997 Issn Print: Model.IssnPrint Publication Date: 1997/01/01 Print Leadership — The Courage to Care Karlene Kerfoot; + Author Information Karlene Kerfoot, PhD, RN, CNAA, FAAN, is Executive Vice President of Patient Care, Chief Nursing Officer, and Chief Quality Officer at St. Luke's Episcopal Hospital in Houston, Texas. Checking for direct PDF access through Ovid Abstract To Attain Excellence in Leadership: Care more than others think is wise. Risk more than others think is safe. Dream more than others think is practical. Expect more than others think is possible.