tegic planning. Huber (2000) claims that the American health care system tends to lack central planning, direction, and control. Establishing a CNO would assist in achieving greater integration.
A second issue of significance revolves around the roles of nurses in organizational change and transition. Huber (2000) believes that an effective response to change involves the elimination of resistance and the creation of a positive attitude towards change. Similarly, Kerfoot (1998) suggests that the traditional "command and control" style of leadership in nursing is no longer appropriate. For nursing today, leading change consists of empowering nurses and other professionals to function creatively and to adopt a proactive attitude toward innovation.
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