title: The system chief nurse executive: more than the sum of the parts.
abstract: The role of the healthcare system chief nurse executive is complex, daunting, risk-laden, and exciting, and provides unprecedented opportunities to influence the care of patients in a very broad context. Creating a unified vision, mission, and culture is a challenging task that can be personally and professionally rewarding. At first glance, the role can appear impersonal and distant, with little opportunity for meaningful interaction with staff. However, with thoughtful consideration, the system chief nurse executive can establish effective relationships that have far-reaching outcomes.
authors.affiliation: VA New York Harbor Healthcare System, New York, NY 10010, USA. cynthia.caroselli@va.gov
authors.forename: Cynthia
authors.initials: C
authors.lastname: Caroselli
mesh_terms: D016542:Chief Executive Officers, Hospital / Q000458:organization & administration* / Q000523:psychology; D003142:Communication; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D005544:Forecasting; D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D009718:Nurse Administrators / Q000458:organization & administration* / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D015279:Organizational Culture; D009937:Organizational Objectives; D017063:Outcome Assessment, Health Care; D011361:Professional Competence; D011787:Quality of Health Care / Q000458:organization & administration