'I believe our senior leaders saw that nursing was changing and becoming more operationally minded. They came up with a fantastic title: 'chief nursing optimization officer,' and that's how I got here,' says Betty Jo Rocchio, MS, BSN, CRNA, CENP, chief nursing optimization officer at Mercy in St. Louis. "The Times They Are A-Changin,'" could be an anthem for the nursing profession. As you'll see in this week's feature story, Betty Jo Rocchio is someone who doesn't just keep up with the changes, she's consistently one step ahead. She shares how the role of the nurse executive is changing and what skills and knowledge leaders need to keep pace with the future. Also, in this issue: | 
