Driving Change from the Middle: An Exploration of the Complementary Roles and Leadership Behaviors of Clinical Nurse Leaders and Engineers in Healthcare Process Improvement

被引：7
作者：
Schell, William J. [1 ]
Kuntz, Sandra W. [2 ]
机构：
[1] Montana State Univ, Bozeman, MT 59717 USA
[2] Montana State Univ, Coll Nursing, Bozeman, MT 59717 USA
来源：
ENGINEERING MANAGEMENT JOURNAL | 2013年 / 25卷 / 04期
基金：
美国医疗保健研究与质量局;
关键词：
Leadership; Healthcare; Change Management; QUALITY IMPROVEMENT; SYSTEMS THINKING; CHALLENGES; PHYSICIANS; FAILURE; FUTURE;
D O I：
10.1080/10429247.2013.11431993
中图分类号：
T [工业技术];
学科分类号：
08 ;
摘要：
The healthcare system presents challenges and opportunities for those looking to drive process improvement. Engineering managers can improve the probability of successfully implementing initiatives by partnering with a clinical nurse leader (CNL), since a key CNL role is designing and implementing changes to improve patient outcomes. Similar to project managers and engineers, CNLs drive change from the middle of the organization by successfully balancing the needs of upper management with frontline demands. Case studies of change efforts in healthcare are used to illustrate behaviors required of successful middle leaders to both lead and serve as "courageous followers" when improving healthcare outcomes.
引用
收藏
页码：33 / 43
页数：11
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