Houston S, Green S
Clin Nurse Spec. 1993 Mar;7(2):87-90.
Organizational change has a profound impact on the role of the CNS. Movement in our institution from a centralized structure to a shared governance philosophy redirected the work of the CNS. This article describes the change response spiral that reflects the CNS role evolution and activities required by the CNS to foster the change. Three phases of the response spiral are highlighted: creating a culture, restructuring, and adaptation. CNS activities and experiences associated with the change will be of interest to administrators and CNSs.
组织变革对临床护理专家（CNS）的角色产生了深远影响。我们机构从集中式结构向共同治理理念的转变，重新调整了临床护理专家的工作方向。本文描述了变革响应螺旋，它反映了临床护理专家的角色演变以及临床护理专家为推动变革所需开展的活动。重点介绍了响应螺旋的三个阶段：营造文化、重组和适应。与变革相关的临床护理专家的活动和经验，将引起管理人员和临床护理专家的兴趣。
