Shelby Melissa, Wermers Rita
Banner MD Anderson Cancer Center, Gilbert, Arizona (Dr Shelby); Arizona State University, Phoenix, Arizona (Dr Wermers).
Nurs Adm Q. 2020 Apr/Jun;44(2):149-158. doi: 10.1097/NAQ.0000000000000413.
This article discusses role emergence from master's-prepared nurse practitioners to Doctor of Nursing Practice (DNP) innovative leaders who utilize Complexity science to impact health care organizations. DNP leaders are in position to disrupt linear traditional leadership and embark on new ideas for improvements in care delivery, organizational system processes, and policies within health care. Complexity science provides the necessary theoretical framework for nurse executives and stakeholders to interact with DNP leaders by engaging in collaborative efforts, cultivating communication from point of service providers to administrators, and coordinating interdisciplinary teams to approach gaps in practice, clinical issues, health care policy, and organizational sustainability. The DNP leader is aware that health care organizations are complex adaptive systems, continuously changing. These require skilled and knowledgeable leaders to support growth within an uncertain environment, and bring evidence to practice while promoting organizational wellness.
本文探讨了从硕士学历的执业护士到护理学实践博士（DNP）创新领导者的角色转变，这些领导者运用复杂性科学来影响医疗保健组织。DNP领导者有能力打破线性的传统领导模式，并提出改善医疗服务提供、组织系统流程和医疗保健政策的新想法。复杂性科学为护士管理人员和利益相关者提供了必要的理论框架，使他们能够通过合作、促进从服务提供者到管理人员的沟通以及协调跨学科团队来应对实践中的差距、临床问题、医疗保健政策和组织可持续性等问题，从而与DNP领导者进行互动。DNP领导者意识到医疗保健组织是复杂的自适应系统，不断变化。这需要有技能和知识的领导者在不确定的环境中支持发展，并在促进组织健康的同时将证据应用于实践。
