Related Experiment Video
Updated: Jul 5, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
A Road Map for the Development of a Decisional Authority Framework for Professional Governance Using Accountability
Kirsten Wisner1, Aubree Collins, Tim Porter-O'Grady
1Author Affiliations: Magnet Program Director (Dr Wisner), and Clinical Nurse (Collins), Labor and Delivery, Salinas Valley Health, California; Senior Partner (Dr Porter-O'Grady), Health Systems, TPOG Associates, LLC, Tucson, Arizona and Atlanta, Georgia, and Clinical Professor, Emory University, School of Nursing, Atlanta, Georgia.
None:
Although resources are available to guide structures and processes for professional governance, limited information exists about defining and legitimizing the decisional authority needed to support direct care nurses' ownership of clinical practice as well as the role of nursing leaders. This article presents a road map for creating and implementing clinical nurse, nurse leader, and nurse executive accountability grids with clearly delineated authority to provide a decisional authority framework for professional governance in one organization.
More Related Videos
Related Concept Videos
Accountability and Responsibility of a Nurse II
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
Accountability and Responsibility of a Nurse I
Ethical Dilemmas II
Ethical Dilemmas I
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Standards of Care II
Drug Control Governance: Regulatory Bodies and Their Impact

