Seton Family of Hospitals, 1345 Philomena Street, Suite 402, Austin, TX 78723, USA.
Nurs Clin North Am. 2010 Mar;45(1):11-31. doi: 10.1016/j.cnur.2009.10.004.
The complexity of care, increased cost pressures, nursing shortage, competition for experienced nurses, and focus on "never events" are some of the challenges faced by chief nursing officers (CNOs). The CNO is the executive leader for the largest and most influential group of professionals in most health care organizations. He or she can provide transformational changes that are needed to address issues such as those cited in the opening sentence. For this reason an in-depth literature review was performed to summarize key findings and factors that contribute to the high CNO turnover. The results of this review can be used as the basis for planning strategies to assist new and current CNOs in their development to reverse this turnover trend.
护理工作的复杂性、成本压力的增加、护士短缺、对经验丰富护士的竞争以及对“零差错”的关注，都是首席护理官（CNO）面临的一些挑战。CNO 是大多数医疗机构中最大、最有影响力的专业人员群体的执行领导者。他/她可以提供变革性的改变，以解决开头提到的问题等。出于这个原因，进行了深入的文献回顾，以总结导致 CNO 离职率高的关键发现和因素。该回顾的结果可作为制定策略的基础，以帮助新的和现有的 CNO 发展，扭转这种离职趋势。
