title: Nurse executive director effectiveness: a systematic review of the literature.
abstract: OBJECTIVE
  This report systematically reviews studies of nurse executive director effectiveness to identify recurring themes that might inform current practice and future research.
  
  
  BACKGROUND
  Increasing competition in healthcare markets is increasing the demands on nurse executive directors. There is a need to identify factors that contribute to effectiveness in the role so that these can be developed and effectiveness improved.
  
  
  RESULTS
  Reports were identified using electronic databases, an internet search and review of references in all reports initially identified. The methodology of these reports was reviewed and recurring themes were identified.
  
  
  RESULTS
  Ten themes that might be associated with nurse executive director effectiveness emerged from the review.
  
  
  CONCLUSIONS
  The literature relating to nurse executive director effectiveness is limited but there are sufficient recurring themes to inform current practice and to investigate in new research.
authors.affiliation: Independent Nurse Consultant, HK Consulting, Cheshire, UK. hkconsulting@btinternet.com
authors.forename: Helen
authors.initials: H
authors.lastname: Kirk
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003659:Decision Making, Organizational; D005060:Europe; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D017008:Negotiating; D009656:North America; D009718:Nurse Administrators / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015403:Nursing Evaluation Research / Q000458:organization & administration*; D009745:Nursing, Supervisory / Q000458:organization & administration; D011057:Politics; D011209:Power, Psychological; D011361:Professional Competence / Q000592:standards*