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Alignment of the system's chief nursing officer: staff or direct line structure?
Karlene M Kerfoot1, Rosemary Luquire
1Kerfoot & Associates, Milwaukee, Wisconsin 46202, USA. Karlene@iindy.rr.com
Abstract:
The role of the system chief nursing officer nationally and internationally has been traditionally structured as a staff model, a direct line model, or a hybrid that includes parts of each model. The choice of structure should be made after a thorough investigation of what outcomes the system wants this position to accomplish, developing the appropriate structure to achieve these outcomes, and then engaging a chief nursing officer with the skills indicated by the type of structure chosen. This article describes these 3 structures and the support infrastructure necessary for each model.
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