title: Nursing leadership: championing quality and patient safety in the boardroom.
abstract: OBJECTIVE
  Identify the extent to which hospital boards of trustees, CEOs, and CNOs are engaged in quality and safety at the leadership and governance level and how CNOs can support board engagement in quality and safety.
  
  
  BACKGROUND
  Although research is emerging, still relatively little is known about the impact and interface of hospital boards of trustees, CEOs, and nursing executives related to improving quality and patient safety.
  
  
  METHODS
  73 telephone interviews were conducted with hospital board chairs, CEOs, and CNOs from a convenience sample of 63 U.S. hospitals. The interviews (22 of which were with CNOs) lasted 30 to 45 minutes and were supplemented by a focus group of five nursing executives.
  
  
  RESULTS
  There are significant differences in the perceptions of CNOs versus those of board chairs and CEOs. CNOs reported a greater familiarity of landmark reports on quality and patient safety than board chairs. CEOs and board chairs gave substantially higher ratings to integration of quality planning. Boards have limited comprehension of salient nursing quality issues.
  
  
  CONCLUSIONS
  CNOs have a critical role as boardroom champions of patient safety and quality improvement.
authors.affiliation: Delmarva Foundation of the District of Columbia, Washington, DC, USA.
authors.forename: Margaret Fisk
authors.initials: MF
authors.lastname: Mastal
authors.forename: Maulik
authors.initials: M
authors.lastname: Joshi
authors.forename: Kathryn
authors.initials: K
authors.lastname: Schulke
mesh_terms: D006075:Governing Board; D006739:Hospital Administration; D006801:Humans; D007857:Leadership; D009718:Nurse Administrators; D011785:Quality Assurance, Health Care; D017751:Safety Management; D014481:United States