Aims To explore and identify the core elements of the nurse executive role and
the contribution these posts make to health service organisations in terms of
quality and performance.
Background With the ongoing global reform of health services and, in particular,
currently in Australia, this commentary paper explores the available evidence that
explains and describes the role that nursing leaders can and do play at executive
level in enabling quality services in high performing health-care organisations.
Evaluation While the overall literature is limited in relation to the role and
function of nurse executives, there are strong and recurrent themes indicating that
nurses by virtue of their professional background and experience can provide
effective and influential input to executive boards. Executive nurses are well
positioned to influence and lead professional governance, quality improvement,
service transformation and change and shared governance.
Conclusion At a time when the role of nursing executives may be questioned, the
evidence supports the positive impact of highly skilled nursing executives in
contributing to the implementation of effective health services. Successful health
services should be engaging nurse executives who have the high level of expertise,
education, the best leadership and management attributes to bring the art and
science of nursing to produce outcomes for organisations.
Implications for nursing management Nurse executives must remain alert to the
ongoing challenges and potential questioning on the value that nurses can bring
to an executive board. The framework of nursing executive influence and
leadership through professional governance, quality improvement, service
transformation and change and shared governance is one possible approach that
nurse executives may wish to apply to articulate their contribution and value in
remaining at the executive board table.
Aims To explore and identify the core elements of the nurse executive role andthe contribution these posts make to health service organisations in terms ofquality and performance.Background With the ongoing global reform of health services and, in particular,currently in Australia, this commentary paper explores the available evidence thatexplains and describes the role that nursing leaders can and do play at executivelevel in enabling quality services in high performing health-care organisations.Evaluation While the overall literature is limited in relation to the role andfunction of nurse executives, there are strong and recurrent themes indicating thatnurses by virtue of their professional background and experience can provideeffective and influential input to executive boards. Executive nurses are wellpositioned to influence and lead professional governance, quality improvement,service transformation and change and shared governance.Conclusion At a time when the role of nursing executives may be questioned, theevidence supports the positive impact of highly skilled nursing executives incontributing to the implementation of effective health services. Successful healthservices should be engaging nurse executives who have the high level of expertise,education, the best leadership and management attributes to bring the art andscience of nursing to produce outcomes for organisations.Implications for nursing management Nurse executives must remain alert to theongoing challenges and potential questioning on the value that nurses can bringto an executive board. The framework of nursing executive influence andleadership through professional governance, quality improvement, servicetransformation and change and shared governance is one possible approach thatnurse executives may wish to apply to articulate their contribution and value inremaining at the executive board table.
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