some organizations have divided the traditional role into two: one focused on clinical activities and the other on administrative and management functions. Separating the roles not only helps reduce what was previously an overwhelming workload for one person but also enables nurses with strong clinical skills to lead without being responsible for management. Identifying new roles is an important step in developing career pathways
which may improve retention. Lack of clear opportunities for professional advancement can also increase turnover (Hayes et al.
2006). Developing new roles
such as patient liaison or admissions counselor
is an important step toward retaining older nurses while also reducing the workload for staff nurses (RWJF
2006). To date
little is known if such roles have been designed and/or implemented.
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