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The St. Alexius Medical Center
Division of Nursing Shared Governance professional practice model is based
on a foundation of de-centralized decision making. The Shared Governance
model is built on a structure that supports the point-of-care provider and
sustains ownership and accountability to improve and provide safe patient
care. The design of this Shared Governance model encourages and facilitates
an interdisciplinary structure which supports behaviors associated with peer
and professional relationships, and the exercise of nursing practice
according to professional standards.
Shared Governance Councils
Nursing Cabinet
Nursing Cabinet coordinates, integrates and monitors the activities of the
Nursing Shared Governance Councils. Cabinet facilitates communication
between councils in a decision making framework. Through it’s auspices and
activities, Cabinet discusses and facilitates decisions affecting the entire
Division of Nursing.
Membership for Nursing Cabinet includes
the Senior Vice President/Chief Nursing Officer, chair persons of the
Nursing Councils (Nursing Care Council, Nursing Leadership Council, Nursing
Education Council, Nursing Quality and Research Council), three at-large
nursing staff who are selected through an application process and the Magnet
Coordinator. The Senior
Vice President/Chief Nursing Officer serves as the Nursing Cabinet Chair.
Nursing Care Council
Nursing Care Council ensures that nursing practice at St. Alexius Medical
Center is consistent with the standards of professional nursing practice to
facilitate continuity of and across the continuum.
Membership for the Nursing Care Council
includes an RN from each Nursing Unit and St. Alexius sponsored clinics,
a Nursing Education Council RN, representatives from Nursing Leadership
Council, Division of Nursing Secretary, and the Senior Vice President/Chief
Nursing Office as an Ad Hoc member. A staff RN serves as the chair for the
Nursing Care Council.
Nursing Leadership Council
Nursing Leadership Council (NLC) exists to assure appropriate support of the
nursing staff within the Division of Nursing at St. Alexius Medical Center.
The key functions of the Nursing Leadership Council include those
responsibilities associated with providing appropriate administrative,
financial, material, system, and human resources required by the Division of
Nursing. The core of the Nursing Leadership Council is to assure
implementation of the nursing practice, quality, and nursing standards
within St. Alexius Medical Center.
Membership consists of the Senior Vice
President/Chief Nursing Officer, Nursing Directors from each nursing area,
with representation from Assistant Directors and Clinical Coordinator Groups
as determined by cluster and Nursing Cabinet, the Education Center Manager,
and the Director of Care Coordination. A Nursing
Director serves as the NLC chair.
Nursing Quality and Research Council
The purpose of the Division of Nursing Quality and Research Council (NQRC)
is to provide a forum to assist the department of nursing in ensuring and
improving the quality of patient care throughout the St. Alexius Medical
Center according to the Standards of Nursing Practice. The NQRC will promote
the incorporation of evidence-based nursing practice and current research
findings into policy and practice changes. The NQRC will foster and advance
nursing research at St. Alexius through nursing education of the research
process and promotion of nursing research projects based on needs identified
through monitoring of quality indicators and specific patient care outcomes.
Membership is composed of the Nursing
Quality Improvement Coordinator, Quality Improvement RN from each nursing
unit, selected leadership (managers, assistant managers, and/or clinical
coordinators). A nursing representative on the Hospital Institutional Review
Board and the Senior Vice President/Chief Nursing Officer serve as ad hoc
members. The Quality Improvement RN is appointed at the unit level. The
Quality Improvement Coordinator serves as the NQRC chair.
Nursing Education Council
Nursing Education Council provides staff development activities including
orientation, inservices, continuing education, and skills validations based
on The Standards of Practice for Nursing Professional Development. The use
of adult learning principles contributes to effective staff development
activities. These activities are based on the processes of assessment,
planning, implementation, and evaluation. A variety of educational
activities are provided to meet the staff’s immediate and future learning
needs to acquire and maintain competence.
Membership includes the RN clinical
educators from each nursing area, designated representatives from nursing
areas which do not have clinical educators, and the Education Center
Manager. The Senior Vice President/Chief Nursing Officer serves as an Ad Hoc
member. All members are entitled serve as chair and have decision-making
privileges on the Nursing Education Council.
Shared Governance Model- Provides a mechanism for effective
communication and collaborative partnerships between nursing staff,
ancillary staff and management.
- Designs and facilitate changes and/or improvements in the practice of nursing as it relates to patient care.
- Enhances nursing professional practice.
- Promotes quality improvement, research and patient safety within St.
Alexius Medical Center.
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