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Updated: Jun 1, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Enhancing shared governance for interdisciplinary practice.

Cheryl Hoying¹, Susan R Allen

¹Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA. cheryl.hoying@cchmc.org

Nursing Administration Quarterly

|June 10, 2011

Summary

This summary is machine-generated.

Cincinnati Children's merged nursing and allied health shared governance structures to improve interprofessional collaboration and patient care. This enhanced model facilitates discipline-specific practice governance while addressing cross-disciplinary patient issues.

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Last Updated: Jun 1, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Healthcare Management
Organizational Development
Interprofessional Collaboration

Background:

Established parallel shared governance structures for nursing (1989) and allied health (1999).
Limited interdisciplinary interaction and collaboration between the two structures.
Increased interprofessional initiatives starting in 2002 prompted a review of existing structures.

Purpose of the Study:

To evaluate the efficiency and purpose of separate shared governance structures.
To merge nursing and allied health shared governance to better reflect interprofessional practice.
To create a unified governance model that supports both individual discipline practice and collaborative patient care.

Main Methods:

Initiated discussions in 2005 regarding the merger of parallel governance structures.
Undertook a two-year planning process for structural integration.
Launched an enhanced, merged shared governance structure in 2008.

Main Results:

Successfully merged separate nursing and allied health shared governance into a single, enhanced structure.
Established a framework for resolving patient care issues that span multiple disciplines.
The new Patient Care Governance Council incorporates physician and family representation.

Conclusions:

The integrated shared governance model better aligns with the interprofessional nature of modern healthcare delivery.
The enhanced structure supports both autonomous professional practice and effective cross-disciplinary problem-solving.
Involving physicians and family members in governance fosters a more comprehensive approach to patient care.