Nurses play a vital role in the administration of health care services. However, nurses have not been fully engaged to contribute to boards to establish the way forward and decision-making. Nursing leaders bear the responsibilities for high-level clinical and organizational decision making on matters of safety, costs, meeting stakeholders demands, and quality (Sundean, Polifroni, Libal & McGrath, 2017). Educational, professional, and nursing perspectives determine nurse leaders’ appointments. The nurses on board (NOB) initiative agitates for more inclusion of nursing professionals in leadership positions which is consistent with nurses’ profession obligation of upholding social justice (Sundean, Polifroni, Libal & McGrath, 2017). Nurses appointment in the NOB highlight the interplay of feminism that features social inequalities associated with gendered and patriarchal norms. Existing feminist norms marginalize and discriminate against a particular gender in a female dominated profession. The appointments to board positions need to establish more egalitarian and equitable dynamics to shift the power-based norms and recognize the voice of nurses on crucial decisions (Sundean, Polifroni, Libal & McGrath, 2017). Equal inclusion of NOB in governing health care and decision-making process is imperative in the dynamic nursing profession. Ancient practices of marginalization of nurses contradict the idea of incorporating professionals to transform health care and its delivery.
Advancing nurse engagement in healthcare delivery promotes a healthy working environment with the promise of safety intervention. Engagement is described as “workers inclusion in organizational decision making, interprofessional collaboration, and opportunities for professional development.” Nurses’ engagement in the health systems may range from participation in advisory committees, interdisciplinary and cross-departmental activities, and unit councils to help align institutional priorities with clientele demands. The engagement of nurses is likely to improve service delivery since they make most contact with patients and families. Further advocacy for nurses engagement argue that. “high level of nurses engagements have been linked to a better workforce outcome, including lower staff turnover, lower burnout, and higher reports of job satisfaction.” There is an existing association of nurse engagement, nurse staffing, and advancing patient safety. Therefore, future investments to enhance patients’ safety must advocate for adequate nursing resources and greater engagement of nurses who provide direct care to patients.
Sundean, L., Polifroni, C., Libal, K., & McGrath, J. (2017). Nurses on health care governing boards: An integrative review. – PubMed – NCBI. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/28343712