New Hanover Health Network Wilmington, North Carolina An Innovative Approach to Establishing Shared Governance Gabriele Pike, RN New Hanover Health Network.

New Hanover Health Network

Wilmington, North Carolina

An Innovative Approach An Innovative Approach to Establishing Shared to Establishing Shared

GovernanceGovernance

Gabriele Pike, RN New Hanover Health Network

October 15, 2004



MissionMissionMissionMission Assure that professional nurses have formal programs

with prescribed authority to influence practice.

Committee StructureCommittee StructureCommittee StructureCommittee Structure Promotes professional involvement and accountability for

quality, cost and productivity and serves as the voice of nursing. Five Nursing Congress Councils make up the Nursing Congress structure.

PhilosophyPhilosophyPhilosophyPhilosophy

The Nursing Congress serves as a facilitating structure for making decisions regarding the practice of nursing across the continuum.



Boardof

Trustees

Core Team

Nursing LeadershipCouncil

NursingFinanceCouncil

OperationsTeam

MedicalExecutiveCommittee

PainManagement

Standing Committees

Core Team

Nursing LeadershipCouncil

PerformanceImprovement &

Outcomes/Research Council

NursingFinanceCouncil

NursingProfessionalDevelopment

Councill

NursingClinical Practice

Council

Patient & FamilyEducation

Council

RegulatoryAdvisory

Committee

OperationsTeam

MedicalExecutiveCommittee

RestraintManagement

Unit Based PracticeCouncils

Nursing Congress

NetworkEducatorsMeeting

Projects & Initiatives

Standing Committees

Nursing StrategicAdvisory Council

Record ReviewTeamLPN Council

Practice Prof. Development

MentorshipProgram

Retention &Recognition

ClnicalInformatics

Council

Patient SafetySteering

Committee



Leadership Leadership CouncilCouncil

Leadership Leadership CouncilCouncil

N u rs ing C o ng re ss O rg an iza tio n S tru c tu re

F in a nce C ou n c il L e a de rsh ip C ou n c il R e sea rch a nd O u tcom esC o u n c il

P ro fess ion a l D e ve lo p m e ntC o u n c il

P ra c tice C o u n c il

To lead the implementation and evaluation of the strategic initiatives for NHHN’s nursing community



Leadership CouncilLeadership CouncilLeadership CouncilLeadership Council

Reporting Council for Nursing Congress Membership

Chair persons of 4 councilsAdministration (CNE)Nursing Manager RepresentativeMagnet ManagerDirectors of Nursing invited on quarterly basis







Professional Development Professional Development CouncilCouncil

To foster the professional growth of the bedside nurse in a non-management model





Staff DevelopmentPay for Certification Bonus ($1200)

Reward and RecognitionNursing Excellence Awards ($500)

Clinical Ladder ProgramClinical Ladder III ($2000)Clinical Ladder IV ($4000)







Research and Outcomes Research and Outcomes CouncilCouncil

Monitor, evaluate, improve processes impacting patient outcomes and nursing practices while supporting nursing research and integrating findings into evidence-based practice.





Fosters and promotes research activity within the nursing community

Holds educational in-services on research initiatives Hosts research day and research fairs







Practice CouncilPractice Council

To assure that the delivery of nursing care to our patients meets current established

standards of nursing practice.



Practice CouncilPractice CouncilPractice CouncilPractice Council

Governs policies and procedures Ensures all policies and procedures are referenced and

utilizes evidenced based practice







Finance CouncilFinance Council

Evaluate economic factors such as resource allocation and consumption as they relate to safety, outcomes, effectiveness, cost and social impact when developing and implementing practice innovations.



Finance CouncilFinance CouncilFinance CouncilFinance Council

Responsible for cost containment Productivity Initiated floating guidelines Developed “Nursing Resource Fund” to supplement

educational opportunities for nurses



Strategic PlanStrategic PlanStrategic PlanStrategic Plan Nursing Congress developed Strategic Plan in 2001 to

drive the outcomes of the councils.

4 Key Elements4 Key Elements4 Key Elements4 Key ElementsMagnet DesignationMagnet Designation

ResearchResearch

Evidenced Based PracticeEvidenced Based Practice

CommunicationCommunication





What was the role of Nursing What was the role of Nursing Congress for Magnet Congress for Magnet

Designation?Designation?


Designation?Designation? CNE discussed Magnet at Congress Meetings and forums

for staff Team of Management and staff visited 3 Magnet Facilities. Team presented report to Congress, and Congress voted

to continue to pursue designation Congress presented to the Board of Trustees to continue

to seek Magnet Designation Councils assigned specific standards, staff RNs assisted

Congress members to “prove” standard in documentation Nursing Congress members were “leaders”, took

information to the staff



Co-Chairs were in “charge” of standards Administrative Champions assisted with process A portion of each Congress meeting was set aside to

discuss evidence gathered and questions about Magnet Evidence was gathered by self or in groups Staff nurses were asked to assist with narratives or write

narrative/ overview of how standard was “proven” with supportive evidence







We did it! We did it!

June 2003June 2003

Nursing Congress celebrated Nursing Congress celebrated its success of becoming the its success of becoming the

7070thth Magnet Designated Magnet Designated HospitalHospital

We did it! We did it!

June 2003June 2003

Nursing Congress celebrated Nursing Congress celebrated its success of becoming the its success of becoming the

7070thth Magnet Designated Magnet Designated HospitalHospital

New Hanover Health Network Wilmington, North Carolina An Innovative Approach to Establishing Shared Governance Gabriele Pike, RN New Hanover Health Network.

Documents

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