Abstract
The role of the healthcare system chief nurse executive is complex, daunting, risk-laden, and exciting, and provides unprecedented opportunities to influence the care of patients in a very broad context. Creating a unified vision, mission, and culture is a challenging task that can be personally and professionally rewarding. At first glance, the role can appear impersonal and distant, with little opportunity for meaningful interaction with staff. However, with thoughtful consideration, the system chief nurse executive can establish effective relationships that have far-reaching outcomes.