Qualifications of Executive Nurses for Service on Hospital Boards.


Journal

The Journal of nursing administration
ISSN: 1539-0721
Titre abrégé: J Nurs Adm
Pays: United States
ID NLM: 1263116

Informations de publication

Date de publication:
01 Dec 2021
Historique:
pubmed: 19 11 2021
medline: 15 12 2021
entrez: 18 11 2021
Statut: ppublish

Résumé

The purpose of this qualitative survey was to document executive nurse leaders' perception of their own leadership qualities in the context of the American Hospital Association (AHA) recommended membership requirements for executive hospital board appointment. Hospital boards of trustees are increasingly responsible for the quality of care and its impact on financial performance. High-performing boards are focused on the accountability of chief executive officer for quality metrics. Nurse leaders have valuable insight into key shared governance issues such as quality of care, financial performance, legal requirements, and regulatory oversight. Fifty senior-level nurse executive members polled from the American Organization of Nurse Leaders, the Texas Organization of Nurse Leaders, and the Texas Nurse Practitioners Association completed an online quantitative survey using The Center for Healthcare Governance (CHG) Assessment Tool© of the AHA, which details a list of skills, experience, and personal qualities for executive hospital board placement. Respondents ranked their individual knowledge and skills on a 4-point Likert scale. Participant responses indicated that senior-level nurse executives have significant expertise in the key areas of quality, patient safety and performance, healthcare administration and policy, and business management. Areas ranking lower are those associated with organizational specialties: legal, construction project management, and finance. This information can be used to educate executive hospital boards regarding the qualifications of nurse leaders members. Nursing leaders, professional organizations, and academia can use this information to assess the skills of senior nursing leaders as it relates to potential board appointments.

Sections du résumé

OBJECTIVE OBJECTIVE
The purpose of this qualitative survey was to document executive nurse leaders' perception of their own leadership qualities in the context of the American Hospital Association (AHA) recommended membership requirements for executive hospital board appointment.
BACKGROUND BACKGROUND
Hospital boards of trustees are increasingly responsible for the quality of care and its impact on financial performance. High-performing boards are focused on the accountability of chief executive officer for quality metrics. Nurse leaders have valuable insight into key shared governance issues such as quality of care, financial performance, legal requirements, and regulatory oversight.
METHODS METHODS
Fifty senior-level nurse executive members polled from the American Organization of Nurse Leaders, the Texas Organization of Nurse Leaders, and the Texas Nurse Practitioners Association completed an online quantitative survey using The Center for Healthcare Governance (CHG) Assessment Tool© of the AHA, which details a list of skills, experience, and personal qualities for executive hospital board placement. Respondents ranked their individual knowledge and skills on a 4-point Likert scale.
RESULTS RESULTS
Participant responses indicated that senior-level nurse executives have significant expertise in the key areas of quality, patient safety and performance, healthcare administration and policy, and business management. Areas ranking lower are those associated with organizational specialties: legal, construction project management, and finance.
CONCLUSION CONCLUSIONS
This information can be used to educate executive hospital boards regarding the qualifications of nurse leaders members. Nursing leaders, professional organizations, and academia can use this information to assess the skills of senior nursing leaders as it relates to potential board appointments.

Identifiants

pubmed: 34789688
doi: 10.1097/NNA.0000000000001085
pii: 00005110-202112000-00008
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

626-629

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

Références

Nurses on Boards Coalition. Nurses on Boards Coalition News—January 2021. 2017. https://www.nursesonboardscoalition.org/ . Accessed January 26, 2021.
Nurses on Boards Coalition. Nurses on Boards Coalition News–August 2018. 2017. https://www.nursesonboardscoalition.org/ . Accessed December 28, 2018.
Anning DK, Entin FJ, Totten MK. The guide to good governance for hospital boards. American Hospital Association. December 2009. http://trustees.aha.org/board orientation/09-guide-togood-governance.pdf . Accessed December 1, 2019.
Conway J. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Patient Saf . 2008;34(4):214–220. doi:10.1016.s1553–7250(08)34028–8.
doi: 10.1016.s1553–7250(08)34028–8
Millar R, Mannion R, Freeman T, Davies HT. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Milbank Q . 2013;91(4):738–770. doi:10.1111.1468-0009.12032.
doi: 10.1111.1468-0009.12032
Everhart D, Neff D, Al-Amin M, Nogle J, Weech-Maldonado R. The effects of nurse staffing on hospital financial performance: competitive versus less competitive markets. Health Care Manage Rev . 2013;38(2):146–155. doi:10.1097.HMR.0b013e318257292b.
doi: 10.1097.HMR.0b013e318257292b
Sundean LJ, McGrath JM. A metasynthesis exploring nurses and women on governing boards. J Nurs Adm . 2016;46(9):455–461. doi:10.1097/NNA. 0000000000000375.
doi: 10.1097/NNA. 0000000000000375
Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. Int J Nurs Stud . 2016;59:169–176. doi:101.1016.j.ijnurstu.2016.04.007.
doi: 101.1016.j.ijnurstu.2016.04.007
Florida Center for Nursing. Addressing barriers in leadership for nurses: a toolkit for nurses to shape the future of healthcare through nursing leadership. 2014. https://campaignforaction.org/wp-content/uploads/2016/04/Addressing-Barriers-in-Leadership-for-Nurses-FL.pdf . Accessed April 7, 2019.

Auteurs

Michelle Foxx (M)

Author Affiliations: DNP Graduate Student (Dr Foxx) and Graduate Instructor (Dr Garner), College of Graduate and Professional Studies of Abilene Christian University, Abilene, Texas.

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