Abstract

Chief nursing officers (CNOs) are described as the primary architects of nursing practice and patient care environments. They are the common voice for nursing in healthcare organizations and require a specific set of executive competencies. 1 The American Organization of Nurse Executives developed a set of CNO competencies that focus on four core areas: communication and relationship management, professionalism, business skills and principles, and knowledge of healthcare environment. 2 CNO effectiveness depends on the kind of relationships they create in their organization between leaders and followers. Developing good followership relationships that build on motivation rather than control is important. A balance of power between leaders and followers creates a culture of trust and openness.

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