Care-centered organizations: Part 1: Nursing governance

Area of Science:

• Healthcare Management
• Organizational Behavior in Nursing

Background:

• Healthcare organizations are increasingly adopting care-centered models.
• Effective governance structures are crucial for successful implementation.
• The role of nursing leadership is evolving within these new organizational designs.

Purpose of the Study:

• To describe the foundational thinking and processes for establishing care centers.
• To outline the methodology for developing associated governance structures.
• To examine the transformation of nurse executive roles in a reorganized academic medical center.

Main Methods:

• Qualitative analysis of organizational restructuring.
• Review of strategic planning documents for care center implementation.
• Exploration of governance model development.

Main Results:

• Care centers were established based on specific organizational rationales.
• Defined processes were used to determine appropriate governance structures.
• Nurse executives experienced significant role changes within the new care-centered framework.

Conclusions:

• The transition to care-centered organizations requires deliberate planning and structural adaptation.
• Nursing leadership plays a pivotal role in navigating these organizational changes.
• Understanding the evolution of nurse executive roles is key to successful care-centered models.