New study on nurses' representation on governing boards
Dr. David Keepnews, PhD, RN, JD, FAAN, and I just published a study of "Health Professionals' Representation on Governing Board of Health Care Organizations in New York City" in the Journal of Urban Health, an interprofessional journal sponsored by the New York Academy of Medicine.
The study was based upon the premise that the fiduciary responsibility of governing boards now goes beyond financial health. It includes the quality and safety of health care provided by the organization. But trustees who hold appointments because of their potential to bring in donations to the institution may have little grounding in how to promote the quality and safety of the care provided by their organizations.
We surveyed all hospitals, home care agencies, federally qualified health centers, and a sample of nursing homes in New York City. Physicians served on over 20% over hospital governing boards, while nurses served on less than 6% and no other health professionals appeared to be trustees. Home care agencies and nursing homes fared a bit better, however.
The IOM report challenges nurses and society to ensure that we are represented in leadership positions in health care, including governing boards. This study confirms national data on hospitals showing that nurses are underrepresented on these boards. Our study also included a qualitative component that ascertained the barriers and facilitators to getting such appointments.
The DOI for the paper is (DOI) 10.1007/s11524-012-9772-9. It was published online first and will appear in a future issue of the hard copy of the journal. Here is a link but it's time-limited and you'll probably need to go through your library to access it for free: http://www.springerlink.com/openurl.asp?genre=article&id=doi:10.1007/s11...
Diana J. Mason, PhD, RN, FAAN
|by Diana Mason | December 10, 2012|