Inside scoop from our experts: Show how the CNO influences organizationwide change

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, April 7, 2009

This week, a reader asks how to demonstrate in the written documentation that the CNO influences organizationwide change. Read the response from advisor Barbara Hannon, MSN, RN, CPHQ, coordinator for the ANCC Magnet Recognition Program® (MRP) at the University of Iowa Hospitals and Clinics in Iowa City, IA.

Q: How can I demonstrate in the written documentation, under Component I: Transformational leadership, that the CNO influences organizationwide change?

A: The CNO in an MRP organization is uniquely positioned at the executive level to influence decisions throughout the institution. This source of evidence requires demonstration of the scope of the CNO’s influence through the committees, task forces, and boards on which he or she serves.

Evidence can include agendas or rosters of these groups showing CNO participation. Minutes from these groups should show highlighted examples where the CNO proposes or advocates for organizationwide innovations to improve patient care. Organizational capital budget meetings can be used to highlight budget proposals, equipment purchases, and realignment of nursing resources that might streamline care delivery.

Editor’s note: Do you have a question for our experts? If you'd like us to consider your query for publication, please send it to associate editor Cameran Erny at

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