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Description

INNOVATION
Shared Governance Committees have involved frontline staff in driving change for many years. However, they often involve significant input from leaders, making frontline staff feel like their opinions don't matter as much. Professional Governance Committees emphasize that frontline staff should be the primary drivers of change without significant influence from leaders. Leaders should focus on removing barriers to the frontline staff's vision and ensuring that all changes comply with policies and regulations.

This Ambulatory System has created a unique structure in which the Ambulatory Council (AC) is the overarching structure for nine other councils. These councils meet monthly and practice with a professional governance approach. Each council is composed of a chair, chair-elect, and three or more clinical staff members. They also have a leader sponsor at the meetings to help remove barriers and support, but not to drive the meetings. The increase in engagement is related to the impact that our frontline staff is now seeing in this “extra” work that they are doing

The AC meeting occurs quarterly with chairs, chair-elects, and ambulatory leaders. During these meetings, chairs from each council present their current project, any barriers, and ask for feedback when needed. Leaders are able to be present so that any barrier that hasn’t already been removed is well-heard and likely can be reviewed and discussed. This is a time for collaboration and feedback before a process changes begin

After our recent Magnet Survey, the AC was excited to be recognized as a best practice at our facility. Our projects and achievements are positively impacting the daily work of our staff, patient satisfaction, and patient safety. Staff members are more independent, engaged, and energized, which is contagious. It's inspiring to see their enthusiasm for their work renewed, creating a more vibrant environment. All council members and leaders are eager to see the next projects.

Publication Date

9-27-2024

Keywords

Innovation, Professional Governance, Ambulatory Care, Outpatients

Disciplines

Pediatric Nursing

New Approach to Professional Governance in Ambulatory

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