Strategic positioning for nursing excellence in health systems: insights from chief nursing executives.
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.
Arnold
Lauren
L
Alliance Healthcare Consulting, Philadelphia, Pa 19006, USA. arnold @alliancehcc.com
Drenkard
Karen
K
Ela
Sue
S
Goedken
Jolene
J
Hamilton
Connie
C
Harris
Carla
C
Holecek
Nancy
N
White
Maureen
M
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