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Charge nurse


Nursing management consists of the performance of the leadership functions of governance and decision-making within organizations employing nurses. It includes processes common to all management like planning, organizing, staffing, directing and controlling. It is common for registered nurses to seek additional education to earn a Master of Science in Nursing or Doctor of Nursing Practice to prepare for leadership roles within nursing. Management positions increasingly require candidates to hold an advanced degree in nursing.

The chief nurse, in other words the person in charge of nursing in a hospital and the head of the nursing staff, is called nursing officer in UK English, and head nurse or director of nursing in US English, and matron or nursing superintendent in Indian English.

The chief nurse is a registered nurse who supervises the care of all the patients at a health care facility. The chief nurse is the senior nursing management position in an organization and often holds executive titles like chief nursing officer (CNO), chief nurse executive, or vice-president of nursing. They typically report to the CEO or COO.

The chief nurse serves as "the head of the general staff of the hospital" and is obeyed by his/her subordinate nurses. Traditionally, chief nurses were called matrons and wore a dark-blue dress that was usually darker than that of her subordinates, who were also known as sisters, in addition to a white-starched hat. As such, matrons usually "provide strong leadership and act as a link between Board-level nurses and clinical practice." In military hospitals of the United States, matrons were "charged with the responsibility of making twice daily rounds to supervise the [common] nurses' duty performance."

The American Organization of Nurse Executives is a professional association for directors of nursing.

Many large healthcare organizations also have service directors. These directors have oversight of a particular service within the facility or system (surgical services, women's services, emergency services, critical care services, etc.).


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