Nurses in Hospital Management

Nurses develop substantial knowledge of the strengths and weaknesses of hospital systems and how they fail. Their ability to create workarounds to broken or dysfunctional systems is legendary in health care. As hospitals focus on increasing safety and reliability, patient centeredness and efficiency, nurses’ knowledge and commitment to their patients and institutions needs to be effectively mobilized. To accomplish this, nurses’ perspectives must be represented at the highest levels of hospital leadership and integrated into hospital decision making. In addition, consistent with process-improvement research that identifies the active involvement of front-line staff as a critical factor in making and sustaining change, processes for engaging nurses and other front-line staff also need to be expanded and institutions needs to be effectively mobilized. To accomplish this, nurses’ perspectives must be represented at the highest levels of hospital leadership and integrated into hospital decision making. In addition, consistent with process-improvement research that identifies the active involvement of front-line staff as a critical factor in making and sustaining change, processes for engaging nurses and other front-line staff also need to be expanded.

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