求翻译：Nursing at Beth Israel also involves a decentralized (分散的) nursing administration; every floor, every unit is a self-contained organization. There are nurse-managers instead of head nurses; in addition to their medical duties they do all their own hiring and dismissing, employee advising, and they make salary recommend是什么意思？

待解决 悬赏分：1 - 离问题结束还有