Second, at the national and state levels, the leaders of hospital and nursing associations who share a common interest in improving governance in health care organizations should initiate dialogue about the idea of taking deliberate actions to promote the appointment of more highly qualified nurse leaders to the boards of health care organizations. In many communities around the country, it has become increasingly difficult to identify highly talented and skillful persons who have the competencies needed to be excellent board members and are willing to dedicate the time and effort governance roles presently demand.22 The nursing profession includes a large and increasing number of well-educated and highly talented leaders who have the capability to make significant contributions to board deliberations. Joint advocacy efforts by leading hospital and nursing associations could be very effective in encouraging hospital and health system leaders to carefully consider recruiting outstanding nurse leaders to serve on their governing boards.