How do you think that the CNE can ensure accountability of his CNOs to support such change and promote systemness in their own organization as opposed to promoting their own entity’s interests?

1. What is your impression of the new CNE’s plans for a layered change process to integrate patient care and nursing services across the healthcare system?
2. What barriers do you think will challenge the efforts toward system integration?
3. How do you think that the CNE can ensure accountability of his CNOs to support such change and promote systemness in their own organization as opposed to promoting their own entity’s interests?
4. What other metrics or measures would you recommend to assess the success of the integration process?
5. Describe the attributes that you think would be essential for a fully integrated nursing system.
6. To achieve the attributes that you outlined in question 5, what developmental elements would be needed to achieve an integrated nursing system?

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