Dr Monette Barrento-Brombuela
Chief Nursing Officer of Los Baños Doctors Hospital and Medical Center- Metro Pacific Health
Abstract Title: Strengthening Nursing Leadership Through Educational Alignment: A JCI-Aligned Approach to Quality and Patient Safety
Biography:
Monette Barrento-Brombuela is the Chief Nursing Officer of Los Banos Doctors Hospital, Los Banos, Laguna, Philippines. She has more than three decades of nursing experience and 19 years of leadership experience as a Chief Nursing Officer in both local and international hospitals, including Joint Commission International (JCI)-accredited institutions. She holds a Doctor of Philosophy (PhD) degree and a Master of Arts in Nursing (MAN) and is a Registered Nurse (RN) and Lean Six Sigma for Healthcare Professional (LSSHP). Her professional expertise includes nursing leadership, accreditation readiness, patient safety, quality improvement, and organizational alignment. She has led multiple hospital-wide initiatives to strengthen clinical governance, workforce development, and continuous quality improvement in diverse healthcare environments.
Research Interest:
Healthcare organizations pursuing international accreditation face increasing demands for leadership accountability, quality governance, and patient safety oversight. However, nursing leadership appointments often occur without structured alignment between academic preparation and the complex competencies required to meet accreditation standards such as those of the Joint Commission International (JCI).
This presentation describes the development and implementation of a JCI-aligned educational framework designed to strengthen nursing leadership capacity and enhance quality and patient safety outcomes. A structured leadership gap analysis was conducted to map role expectations across executive, managerial, and unit-level positions against academic attainment and competency domains required for accreditation readiness. Identified gaps informed the creation of an institutional model integrating graduate education pathways, competency-based promotion criteria, structured mentorship, and succession planning.
The framework positions advanced education as a strategic organizational investment directly linked to compliance, risk reduction, and quality performance. Leadership competency domains were explicitly aligned with JCI standards on patient safety, documentation integrity, interprofessional communication, and continuous quality improvement.
Preliminary outcomes demonstrate improved governance accountability, stronger safety culture engagement, enhanced documentation compliance, and increased nurse leader participation in quality initiatives. By aligning educational advancement with accreditation-driven leadership expectations, institutions can transition from reactive compliance to proactive quality stewardship. This scalable model offers healthcare organizations a replicable strategy for embedding educational alignment into leadership development while advancing global standards of nursing governance, patient safety, and sustainable health system performance.