Murt Maria F, Krouse Anne M, Baumberger-Henry Mary L, Drayton-Brooks Shirlee M
Widener University School of Nursing, Chester, Pennsylvania.
Nurs Forum. 2019 Oct;54(4):575-581. doi: 10.1111/nuf.12372. Epub 2019 Aug 1.
In an environment in which there is little or no nursing presence on governing boards in healthcare organizations (HCOs), physicians, and nonclinicians take responsibility for keeping the other board members apprised of the quality of patient care, including nursing-generated, patient safety initiatives. Governing boards in HCOs are either not appointing nurses to governing boards or are not appointing nurses in numbers that are commensurate with the size and vital contributions of the profession. As a result, competent nursing professionals with an intimate understanding of quality care and patient safety are not in decision-making roles that may redesign health care and improve patient care. The purpose of this qualitative study was to describe experiences of nurse board members who hold governing board appointments in HCOs, and to describe the facilitators of and barriers to holding governing board appointments, as experienced by those nurse board members. This novel research employed naturalistic inquiry to explore the experiences of 12 nurse board members who held appointments with voting privileges in HCOs. From the interview data emerged four distinct themes: leveraging relationships and networking, valuing the mission of the board, feeling respected for my participation, and committing to board work. Facilitators of and barriers to governing board appointments were suggested. Findings validated the few previous research studies found in the literature and have implications for nursing leadership and governance.
在医疗保健组织（HCOs）的管理委员会中，若护士代表很少或根本没有，医生和非临床人员就要负责让其他委员会成员了解患者护理质量，包括由护士发起的患者安全倡议。HCOs的管理委员会要么不任命护士进入管理委员会，要么任命的护士人数与该职业的规模和重要贡献不相称。因此，对优质护理和患者安全有深入了解的称职护理专业人员没有担任可能重新设计医疗保健并改善患者护理的决策角色。这项定性研究的目的是描述在HCOs管理委员会任职的护士委员会成员的经历，并描述这些护士委员会成员所经历的担任管理委员会任命的促进因素和障碍。这项新颖的研究采用自然主义探究方法，探索了12名在HCOs拥有投票权任命的护士委员会成员的经历。从访谈数据中浮现出四个不同的主题：利用人际关系和建立网络、重视委员会的使命、因参与而感到受尊重以及致力于委员会工作。研究提出了担任管理委员会任命的促进因素和障碍。研究结果验证了文献中为数不多的先前研究，并对护理领导和管理具有启示意义。
