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The linkage between nursing care and patient outcomes is widely accepted, yet it is often difficult to achieve an evidence-based allocation of nursing resources that is understood and accepted by all. AONL, ANA and HFMA have teamed up to chart a path forward. This document explores the evolution from conventional, quasi-adversarial nursing/finance relationships to patients-first interprofessional collaboration and sets forth an action plan to improve nursing resource allocation and the value that patients receive.
The role of the system chief nurse executive (CNE) is a sub specialty of nursing leadership and requires its own set of competencies. Guided by the AONL Nurse Executive Competencies’ domains: communication and relationship building, knowledge of the healthcare environment, leadership, and professionalism, business skills the following competencies describe the skills, knowledge, and attributes of nurse leaders in the role of the system chief nurse executive.
[Sponsored] Investing in nurse education and development is critical for hospitals and health systems to successfully transition to value-based care. Nurses are in the position to not only participate in, but lead the transformation of the health care delivery system to one that is focused on team-based, patient-centered care across the continuum. This transformation will require new skills and enhanced knowledge around population health, wellness and data analytics, among other things.
Today's health care environment is complex and creates demands requiring the professional nurse to be an astute critical thinker, confident and competent when caring for patients and families in multiple health care settings.
However, since organizations are faced with increasing demands on resource utilization and simultaneous cost reductions, adequate attention to ensuring a successful transition for the newly licensed nurse may be not be appropriately designed, managed, supported or evaluated.
Executives can use these competencies as a self-assessment tool, useful in the identification of possible areas for growth. Aspiring nurse leaders can use them in planning personal preparation for their careers. Health care organizations may utilize them as a guideline for job descriptions, expectations and evaluations of nurse leaders.
Nurse educators can utilize them as a curriculum guideline for the educational preparation of nurses seeking expertise and knowledge in executive practice.
The care delivery system of the future will be characterized by vast complexity due to use of sophisticated technology, aging of the population with the associated growth in chronic health issues, as well as diversity of patient populations and practice settings.
In September 2011, The American Hospital Association (AHA) convened a roundtable of clinical and health systems experts to examine the future primary care workforce needs of patients, as well as the role hospitals and healthcare systems can play in effectively delivering primary care.