Higgins J M, Ponte P R, James J R, Fay M, Madden M J
Clin Nurse Spec. 1994 May;8(3):163-6. doi: 10.1097/00002800-199405000-00014.
The CNS role in a large northeast teaching hospital was the focus of a major organizational change process in response to a tightening fiscal environment. CNSs worked with the nurse executive team to restructure their role from expert consultant to case manager, nurse manager partner, and resource and consultant to the Department of Nursing. Development needs of the CNSs were assessed before and after role revision to evaluate the process and provide evidence of learning and change. The change and learning process evidenced in this article exemplifies the CNSs' ability to adapt and respond to the rapidly changing needs of today's managed care setting.
在一家大型东北教学医院中，中枢神经系统护士（CNS）的角色是一项重大组织变革过程的核心，该变革是为应对日益紧缩的财政环境而进行的。中枢神经系统护士与护士行政团队合作，将其角色从专家顾问重新定位为病例管理者、护士经理的合作伙伴以及护理部的资源和顾问。在角色修订前后对中枢神经系统护士的发展需求进行了评估，以评估这一过程并提供学习和变革的证据。本文所证明的变革和学习过程体现了中枢神经系统护士适应和应对当今管理式医疗环境快速变化需求的能力。
