title: The CNS role: evolution within a shared governance environment.
abstract: Organizational change has a profound impact on the role of the CNS. Movement in our institution from a centralized structure to a shared governance philosophy redirected the work of the CNS. This article describes the change response spiral that reflects the CNS role evolution and activities required by the CNS to foster the change. Three phases of the response spiral are highlighted: creating a culture, restructuring, and adaptation. CNS activities and experiences associated with the change will be of interest to administrators and CNSs.
authors.forename: S
authors.initials: S
authors.lastname: Houston
authors.forename: S
authors.initials: S
authors.lastname: Green
mesh_terms: D000223:Adaptation, Psychological; D003659:Decision Making, Organizational; D006801:Humans; D007587:Job Description; D009720:Nurse Clinicians / Q000523:psychology; D009738:Nursing Service, Hospital / Q000458:organization & administration*; D015279:Organizational Culture; D009936:Organizational Innovation