A healthcare landscape characterized by cost pressures, advancing technologies, staffing shortages, and increasing regulation is the norm for nursing leaders. High performance in these environments requires effective operational structures. These structures must respond to change while maintaining operational stability. An approach to assist nursing leaders in systemic analysis of operational structure is presented here. The approach helps leaders to identify structural inadequacies that limit operational performance.
Author affiliation: Department of Engineering Management, Old Dominion University, Norfolk, Va (Dr Keating), and Patient Care Services, Riverside Regional Medical Center, Newport News, Va (Ms Morin).
Address correspondence to: Charles B. Keating, PhD, Department of Engineering Management, Old Dominion University, Kaufman Engineering Hall, Room 129A, Norfolk, VA 23529 (firstname.lastname@example.org).
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