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Chief Nursing Officers' Perspectives on Hospital-Based Building or Remodeling Projects

Keys, Yolanda DHA, MSN, RN, NEA-BC, EDAC

JONA: The Journal of Nursing Administration: November 2019 - Volume 49 - Issue 11 - p 556–560
doi: 10.1097/NNA.0000000000000811

OBJECTIVE This descriptive survey explores the experiences of chief nursing officers (CNOs) who have participated in hospital-based building or remodeling projects.

BACKGROUND As a pivotal member of the leadership team for facility projects, CNOs are often charged with contributing to decisions regarding placement of technology connections, selection of design elements to prevent healthcare-associated infections, choice of location for supplies, and management of construction change orders.

METHODS A descriptive survey approach guided telephone interviews with 12 CNOs from across the United States. Credibility was achieved through peer debriefing and member checking. Transferability was demonstrated through detailed description; dependability and confirmability were demonstrated through an audit trail of the data collection and analysis processes.

RESULTS Three main themes were identified, and a list of practice implications was developed.

CONCLUSIONS CNOs can use the recommendations from this study as a starting point for future building or remodeling projects.

Author Affiliation: Professor, College of Nursing and Health Sciences, Texas A&M University-Corpus Christi, Corpus Christi.

The author declares no conflicts of interest.

Funding was provided by the Council on Graduate Education for Administration in Nursing. Additional support (participant incentives) was provided by the Nursing Institute for Healthcare Design.

Correspondence: Dr Keys, Texas A&M University-Corpus Christi, 6300 Ocean Dr, Unit 5805, Corpus Christi, TX 78412 (

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