Berger P, McCaughey-Bassett S, Baron B, Croteau K, Duncan S, Simon D, Sober R
Can J Nurs Adm. 1988 Dec;1(4):21-4.
Issues of decentralization and changes in the structure of the traditional Head Nurse role were motivating factors for the proactive stance taken by the Medical-Surgical Head Nurse Group at The Wellesley Hospital. Increasing frustration with the conventional role and the need for a reflective performance appraisal tool provided further impetus for the development of a revised job description. The three departments of nursing each submitted their perception of the role. A task force was established whose mandate was to review and revise the three separate submissions and combine them into a composite document. This article describes the process from the initial motivating factors to the development of a cohesive Total Head Nurse Group and finally a 'Role Charter for Nursing Unit Administrators.'
权力下放问题以及传统护士长角色结构的变化，是韦尔斯利医院内科-外科护士长团队采取积极立场的推动因素。对传统角色的日益不满以及对反思性绩效评估工具的需求，为修订后的职位描述的制定提供了进一步的动力。护理的三个部门各自提交了对该角色的看法。成立了一个特别工作组，其任务是审查和修订这三份单独的意见书，并将它们合并成一份综合文件。本文描述了从最初的推动因素到形成一个有凝聚力的总护士长团队，最终制定出《护理单元管理人员角色宪章》的过程。
