Abstract
As health systems consolidate, the system chief nurse executive (SCNE) role is emerging as an important and strategic member of the health system leadership team. Based on a survey of incumbent SCNEs conducted by the American Organization of Nurse Executives (AONE), this article discusses the trends in this role including the structure and function in today's health systems. With the assistance of AONE, this group of leaders is creating a community of support and networking. Because of the broad influence of these roles, the SCNEs who serve in these roles are having a major influence on the practice of nursing in our nation's healthcare delivery system and clinical outcomes.