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The Chief Nursing Officer Shared Leadership Model

Published:October 06, 2022DOI:https://doi.org/10.1016/j.mnl.2022.09.006

      Abstract

      We highlight the design, implementation, benefits, and challenges of an innovative shared nursing leadership model at the chief nursing officer (CNO) level. At St. John's Health, a 48-bed rural hospital in the Mountain West, 3 qualified, experienced clinical nursing directors were recruited to fill the CNO position. During the first 6 months, the CNOs solidified their leadership and communication styles, negotiated salary and benefits, transitioned into strategic thinking, became members of the administrative team, and maintained their specialty clinical directorships. St. John's Health retained strong nursing leadership talent and enhanced staff engagement, resulting in better staff wages and work–life balance, and continues to improve patient experience scores.
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      References

        • Gallagher R.M.
        • Rowell P.A.
        Claiming the future of nursing through nursing-sensitive quality indicators.
        Nurs Adm Q. 2003; 27: 273-284
        • Buerhaus P.I.
        • Skinner L.E.
        • Auerbach D.I.
        • Staiger D.O.
        Four challenges facing the nursing workforce in the United States.
        J Nurs Regul. 2017; 8: 40-46
        • Sriharan A.
        • West K.J.
        • Almost J.
        • Hamza A.
        COVID-19-related occupational burnout and moral distress among nurses: a rapid scoping review.
        Nurs Leadersh. 2021; 34: 7-19
        • American Association of Colleges of Nursing
        2019-2020 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing. Washington, DC: American Association of Colleges of Nursing.
        (Available at:)
        https://www.aacnnursing.org/
        Date: 2021
        Date accessed: May 19, 2022
      1. National Academies of Sciences, Engineering, and Medicine. The Future of Nursing 2020-2030:Charting a Path to Achieve Health Equity. Washington, DC: The National Academies Press; 2021. Available at: https://nap.nationalacademies.org/read/25982/chapter/1. Accessed May 20, 2022.

        • Northouse P.G.
        Leadership: Theory and Practice.
        4th ed. Sage Publications, Thousand Oaks, CA2007
        • Griffith M.B.
        Effective succession planning in nursing: a review of the literature.
        J Nurs Manag. 2012; 20: 900-911
        • Davis C.
        Only 11% of Nurses Plan to Pursue Leadership Roles as a Career Path. HealthLeaders.
        (Available at:)
        • Kocolowski M.D.
        Shared leadership: is it time for a change?.
        Emerg Leadersh Journeys. 2010; 3: 22-32
        • George V.
        • Burke L.J.
        • Rodgers B.
        • et al.
        Developing staff nurse shared leadership behavior in professional nursing practice.
        Nurs Adm Q. 2002; 26: 44-59
        • Rosengren K.
        • Bondas T.
        Supporting “two-getherness”: assumption for nurse managers working in a shared leadership model.
        Intensive Crit Care Nurs. 2010; 26: 288-295
        • Creedle C.
        • Walton A.M.L.
        • McCann M.
        A better balance: sharing the nurse manager role.
        Nurse Leader. 2012; 10: 30-32
        • Jackson S.
        A qualitative evaluation of shared leadership barriers, drivers and recommendations.
        J Manag Med. 2000; 14: 166-178
        • Cummings G.G.
        • Tate K.
        • Lee S.
        • et al.
        Leadership styles and outcome patterns for the nursing workforce and work environment: a systematic review.
        Int J Nurs Stud. 2018; 85: 19-60
        • Dyess S.M.
        • Sherman R.O.
        • Pratt B.A.
        • Chiang-Hanisko L.
        Growing nurse leaders: their perspectives on nursing leadership and today's practice environment.
        Online J Issues Nurs. 2016; 21: 7
        • Steege L.M.
        • Pinekenstein B.
        • Arsenault Knudsen E.
        • Rainbow J.G.
        Exploring nurse leader fatigue: a mixed methods study.
        J Nurs Manag. 2017; 25: 276-286
        • Machon M.
        • Cundy D.
        • Case H.
        Innovation in nursing leadership: a skill that can be learned.
        Nurs Adm Q. 2019; 43: 267-273
        • Biron A.D.
        • Richer M.-C.
        • Ezer H.
        A conceptual framework contributing to nursing administration and research.
        J Nurs Manag. 2007; 15: 188-196

      Biography

      Susan K. Riesch, PhD, RN, FAAN, is Professor Emerita at the University of Wisconsin-Madison School of Nursing in Madison, Wisconsin. She can be reached at [email protected] . Jennifer Chiappa, MSN, RN, is chief nursing officer, director primary care unit, and director inpatient rehabilitation facility, Naomi Floyd, MSN, RN, is chief nursing officer, director home health, and director case management, and Mary Ponce, MSN, MBA, RN, is chief nursing officer and director critical care services/trauma (emergency department) at St. John's Health in Jackson, Wyoming.