From bedside to boardroom: one woman's journey from nurse to chief operating officer.
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Biomedical subjects
Publications and source records attributed to J Tornabeni.
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The values learned as nurse on the unit--placing a patient's needs first, developing a spirit of teamwork among hospital staff, and maintaining accountability to all parties--are the heart of modern health care and can and should be applied when a nurse moves to the highest levels of hospital management. An administrator who maintains alliances with all parties involved in the function of the hospital will find more cooperation in the face of systemwide change.
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The term "glass ceiling" is an apt metaphor for the challenges executive women face as they advance in health care management. Women who break through this glass ceiling are those who see their opportunities, sense the looming barriers to advancement, choose carefully whether to stay within an environment unfriendly to women or to seek advancement elsewhere, and use their talents as women to bring a focus on outcomes to the organization, as well as empowerment to the people within it.
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Shared governance is one of several strategies promoted by and to nurse executives as critical to retention of professional nurses and important in maintaining quality of care. Thus far, few studies have examined the various financial aspects of this type of decision-making structure. This article identifies a framework for cost analysis and reports the cost-benefit relationship of implementing a shared governance model over a 5-year period.
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