title: Strategic positioning for nursing excellence in health systems: insights from chief nursing executives.
abstract: The emergence of health systems as a dominant structure for organizing healthcare has stimulated the development of health system chief nursing executive (CNE) positions. These positions have large spans of control, requiring CNEs to balance a wide range of responsibilities, making them accountable for fiscal management, quality of care, compliance, and contributing to organizational growth. As such the CNE is required to use principles of distributive justice to guide priority setting and decision making. This review addresses important questions about CNE system integration strategies, strategic priorities, and organizational positioning as they attempt to fulfill their ethical responsibilities to patients and the nurses they serve.
authors.affiliation: Alliance Healthcare Consulting, Philadelphia, Pa 19006, USA. arnold @alliancehcc.com
authors.forename: Lauren
authors.initials: L
authors.lastname: Arnold
authors.forename: Karen
authors.initials: K
authors.lastname: Drenkard
authors.forename: Sue
authors.initials: S
authors.lastname: Ela
authors.forename: Jolene
authors.initials: J
authors.lastname: Goedken
authors.forename: Connie
authors.initials: C
authors.lastname: Hamilton
authors.forename: Carla
authors.initials: C
authors.lastname: Harris
authors.forename: Nancy
authors.initials: N
authors.lastname: Holecek
authors.forename: Maureen
authors.initials: M
authors.lastname: White
mesh_terms: D019985:Benchmarking; D003659:Decision Making, Organizational; D019538:Health Care Surveys; D006801:Humans; D009096:Multi-Institutional Systems / Q000458:organization & administration* / Q000592:standards; D009718:Nurse Administrators / Q000941:ethics*; D009738:Nursing Service, Hospital / Q000458:organization & administration* / Q000592:standards; D009937:Organizational Objectives; D012935:Social Justice; D012941:Social Responsibility; D013647:Task Performance and Analysis; D014481:United States