title: A model combining centralized and decentralized staff development.
abstract: Traditionally, most nursing staff development departments are either decentralized or centralized. This article presents the advantages and disadvantages of each of these organizational systems and describes a model used at the National Institutes of Health that combines elements of both. Strategies to control for the disadvantages are outlined. This organizational structure may enable staff development educators to better meet the educational needs of nurses in today's health care settings.
authors.forename: C
authors.initials: C
authors.lastname: Cummings
authors.forename: R
authors.initials: R
authors.lastname: McCaskey
mesh_terms: D006784:Hospitals, Teaching; D006801:Humans; D008396:Maryland; D008962:Models, Theoretical; D009316:National Institutes of Health (U.S.); D009741:Nursing Staff, Hospital / Q000193:education*; D013192:Staff Development / Q000379:methods*; D014481:United States