Importance of role competencies for Chinese directors of nursing based on the Forces of Magnetism.

Aim: The aim of the present study was to survey directors of nursing (DONs) and chief operating officers (COOs) in the People's Republic of China on the importance of DON role competencies based on the Forces of Magnetism.

Background: The present study describes part of an international collaborative effort to support the attainment of the Chinese Ministry of Health's plan to strengthen and to increase the knowledge and skill levels of nurse administrators.

Methods: A random sample of 300 Chinese DONs and COOs was surveyed in the autumn of 2008.

Meeting a primary care challenge in the United States: chronic illness care.

Leading health care experts in the United States have stated that the greatest primary care challenge today is meeting the complex needs of patients with chronic illness/long-term conditions or impairment.To address this challenge, there is a need for health care system redesign that requires a multidisciplinary team approach, including active participation from professional nurses. In particular, it is essential for advanced practice nurses to provide leadership in health systems design for which they are specifically trained and experienced.