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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.
Nursing Management
|January 23, 2026
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.
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.
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