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From frustration to function: Standardizing tools and education in nursing governance.

Kendra A Bruce1, Tanya Cohn

  • 1In Boston, MA, Kendra A. Bruce is a Nurse Specialist at Beth Israel Deaconess Medical Center, and Tanya Cohn is an Associate Professor for the School of Nursing at Simmons University.

Nursing Management
|January 23, 2026
PubMed
Summary

Standardizing nursing professional governance (NPG) tools and education improved role clarity and engagement. Ongoing reinforcement is necessary to maintain these improvements in council effectiveness.

Keywords:
council effectivenessnurse engagementnursing professional governanceprofessional governancequality improvementshared governance

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Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Development

Background:

  • Nursing Professional Governance (NPG) is crucial for shared decision-making and Magnet® recognition.
  • Inconsistent tools and fragmented education hinder NPG council effectiveness.

Purpose of the Study:

  • To standardize NPG tools and education within a large academic medical center.
  • To enhance role clarity, engagement, and overall council health.

Main Methods:

  • A quality improvement project utilizing Plan-Do-Study-Act cycles (June 2023-July 2024).
  • Interventions included redesigned charters/agendas, communication slides, a SharePoint site, formal orientation, feedback forms, and a dedicated email inbox.
  • Council health was measured via the Hess Council Health Survey (CHS) at baseline and post-intervention.

Main Results:

  • Baseline identified gaps in education, role clarity, time dedication, and non-member input pathways.
  • Post-intervention showed significant improvements in formal education (40.9% to 57.3%), time strategies (50% to 76.1%), role clarity (63.6% to 83.3%), and non-member input (46.3% to 61.1%).
  • Most gains were sustained above baseline, despite some decline at later follow-up.

Conclusions:

  • Standardized governance tools and structured education positively impacted engagement and role clarity.
  • Sustained improvements require ongoing reinforcement and attention to NPG processes.