Organizational Mission, Vision, and Values, and Goals: “The mission, core values, and vision …show more content…
The size and multitude of disease-based institutes infrastructure requires multiple nurse executives and chief nursing officers to work together to form an executive team that leads over 11,000 nurses (Cleveland Clinic Nursing Institute, 1995-2014; Small & Small, 2011). In Pediatric Research, we fall under the Office of Clinical Affairs rather than the Nursing Institute. However, we still function in much the same way. We utilize decentralized administration structure to interpret the patient and family-centered practice model that puts our motto of “Kids First” into action as it crosses sub-specialties. One of the pros of our unit is that it is both functional and specialized, in that it is research and focuses on sub-specialties of pediatric diseases, and one of coordination. While one might think we are in a “professional silo”, we are the experts needed to make advances (Ohio University, n.d.). We have cross-trained so that we are not focused on one disease entity but all of what may affect a child, which improves quality and cost efficiency. One of my coordinator jobs as the research nurse is to put together the study protocol along with a feasibility report that looks at if we have the patient population to support the costs of doing the study. An administrative clinical research team helps to guide us to determine if a project is worthwhile. The team, led by a pediatric physician director, includes a resident, research administrator, and research program managers. One of the cons of this team approach is that it is difficult for the nursing team to make a simple or final decision without physician approval. It may be that in our case nursing management is not confident to make decisions alone or that the physician director functions more as a centralized model. What is on paper and reality are sometimes