title: Clinical nurse specialists: the second generation.
abstract: The growth of corporate orientation for health care structures, with a focus on bottom-line management, has radically altered the role of nurse executives. With the organization's emphasis on performance, productivity, and results, successful nurse executives are now integrating the management of the delivery of nursing care with the management of complex corporate structures and relationships. The editor of Executive Development discusses the rapidly changing expectations and demands of the contemporary nurse executive's work.
authors.affiliation: Shadyside Hospital, Pittsburgh, Pennsylvania.
authors.forename: G A
authors.initials: GA
authors.lastname: Wolf
mesh_terms: D003363:Cost Control; D003695:Delivery of Health Care / Q000191:economics / Q000592:standards; D006801:Humans; D007587:Job Description; D009720:Nurse Clinicians / Q000193:education / Q000639:trends*; D015279:Organizational Culture; D010559:Personnel Management; D011787:Quality of Health Care; D012380:Role