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From frustration to function: Standardizing tools and education in nursing governance
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.
Background:
Nursing professional governance (NPG) promotes shared decision-making and is a Magnet® expectation, yet inconsistent tools and fragmented education can decrease council effectiveness.
Purpose:
The purpose of this project was to standardize tools and education to improve role clarity, engagement, and council health across a large academic medical center.
Methods:
This quality improvement project used iterative Plan-Do-Study-Act cycles from June 2023-July 2024. Interventions included redesigned council charters and agendas, slides created for enhanced communication, a centralized SharePoint site, a formal NPG orientation, an electronic feedback form, and a governance-specific email inbox. Council health was measured using the Hess Council Health Survey (CHS) at baseline and two post-intervention time points.
Results:
Baseline CHS results identified gaps in education, role expectations, time-dedication strategies, and pathways for non-member input. Postintervention improvements were observed in: agreement that new members received formal education (40.9% to 57.3%), availability of strategies to dedicate time (50% to 76.1%), clarity of expectations (63.6% to 83.3%), and opportunities for non-member input (46.3% to 61.1%). Although some gains declined at later follow-up, most remained above baseline.
Conclusions:
Standardizing governance tools and providing structured education improved engagement and role clarity; ongoing reinforcement is needed to sustain gains.
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