title: Restructuring the clinical nurse specialist position to a unit-based role.
abstract: Role restructuring can be the key to maximizing efficiency, productivity, and operational effectiveness. The clinical nurse specialist role was restructured from a divisional project focus to a unit-based design to enhance the care of specific patient populations. The authors describe the process used to make this change, the outcomes achieved, and the lessons learned.
authors.affiliation: University of Iowa Hospitals and Clinics, Iowa City, USA.
authors.forename: E
authors.initials: E
authors.lastname: Cram
authors.forename: M
authors.initials: M
authors.lastname: Alpen
authors.forename: M
authors.initials: M
authors.lastname: Burger
authors.forename: L
authors.initials: L
authors.lastname: Cullen
authors.forename: M
authors.initials: M
authors.lastname: Halm
authors.forename: C
authors.initials: C
authors.lastname: Harrington
authors.forename: K
authors.initials: K
authors.lastname: Megivern
authors.forename: C
authors.initials: C
authors.lastname: Penney
authors.forename: K
authors.initials: K
authors.lastname: Stenger
authors.forename: M
authors.initials: M
authors.lastname: Titler
mesh_terms: D017598:Efficiency, Organizational; D006754:Hospital Restructuring; D006757:Hospital Units / Q000458:organization & administration*; D006801:Humans; D007587:Job Description; D009720:Nurse Clinicians / Q000458:organization & administration*; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D016526:Workload