Sheila Gansemer DNP, RN Chief Nurse Executive. Amy Ketchum MS, RN, OCNS-C Clinical Nurse Specialist

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CNO/CNS Partnership to Implement Shared Governance

and Support Professional Nursing Practice

Midwest Orthopedic Specialty Hospital/ Wheaton

Franciscan Healthcare Franklin

Sheila Gansemer DNP, RN Chief Nurse Executive

Amy Ketchum MS, RN, OCNS-C Clinical Nurse Specialist

Laurie Ellsworth BSN, RN Chair- Shared Governance Practice and Development Team Amanda Gast RN, OCN Co-Chair- Shared Governance Practice and Development Team

Wisconsin Association of Clinical Nurse Specialists CNO/CNS/Shared Governance Breakfast

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Background and Significance

~

To Nursing and Shared Governance~

Wheaton Franciscan Healthcare Promise Statement

“To carry out our Mission of providing exceptional and

compassionate health care service…Nothing is more important to

us than your health and well being”

Midwest Orthopedic Specialty Hospital Commitment Statement

“Midwest Orthopedic Specialty Hospital’s vision is to be the

premiere destination for orthopedic care in the Midwest…Patients

are at the center of everything we do and that their positive

experience, clinically and personally, is the result of the collective

activities and interactions they have with every person in our

hospital.”

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Project Overview

Purpose:

• design and implement a Nursing Shared Governance model that supports:

• commitment to patients

• development of professional nursing practice. Setting/ Population:

• WFH-FRK

• 52 bed hospital

• 121 registered nurses

• 2 inpatient units, 6 bed ICU, 15 bed ED, 5 ORs, 4 endoscopy suites, 2 cath labs, an interventional radiology suite and OP care.

• MOSH

• orthopedic specialty hospital

• 61 registered nurses practicing

• 16 bed inpatient unit, 6 ORs, 2 procedure rooms and pre/post-operative care. Procedure:

• 3 step process

• identify key stakeholders,

• design a nursing shared governance model and

• implement shared governance activities that support the tenets of professional practice.

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Project Description

Goal 1: Design a shared governance model that supports

professional nursing practice.

Design Team

Goals:

Represent all areas and roles where nursing is practiced at

WFH-FRK/MOSH

Follow an evidence based process for the design and roll

out of Nursing Shared Governance at WFH-FRK/ MOSH

Steps

Literature Review

Model Design

Structure Recommendations

Education Plan

Roll out

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WFH FRK/MOSH Model for Shared

Governance

Theme: Creativity,

Innovation and

Environment

Patient Centered

Overlapping Relationships

of Operations, Practice and

Quality

Inclusive of the

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Design Team: General

Recommendations for structure

Goal Alignment, creation of the Coordinating Council

Shared Governance Principle:

Ownership

Standardized Charter, revisions where needed to existing

teams

Shared Governance Principle:

Equity

Shared Governance Principle:

Accountability

Communication Plan, dashboards

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Shared Governance described

by the Design Team:

Shared Governance is: a medium through which

nursing care is designed and transformed via

positive, forward thinking and collaborative practice

and development of the professional nurse.

Our Goal is: to empower nurses with the tools they

need to drive Evidence Based Practice changes in all

venues resulting in increased engagement and

positive patient outcomes through collaboration,

development and unity within the discipline of

nursing.

I am looking forward to: the formation of a

cohesive nursing voice that is recognized as a leader

in driving nursing practice.

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We are all a part of Shared

Governance!

This is our way of practicing as a Nursing

Profession going forward

Support Shared Governance and provide

feedback

Use your Shared Governance resources to

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Project Description

Goal 2: Incorporate tenets of professional nursing practice into

activities of Shared Governance.

AORN ANCC Magnet, Accountable Care and

Perioperative Services: the Current Reality

AORN Pre-Conference developed in collaboration with the ANCC Credentialing Knowledge Center (2014)

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Goal 1: Design a shared governance model that supports professional nursing practice.

Goal 2: Incorporate tenets of professional nursing practice into activities of Shared Governance.

Interventions/Outcomes

Triggers Priority Goals

Tenets of a Profession

Trigger 1: No defined structure for professional nursing shared governance.

Trigger 2: Changing healthcare environment requiring adaptation of professional nursing roles and the interdisciplinary team process.

Interventions/Outcomes

Self regulation:

• PDM updates including a portfolio design. • 1st RN chair/co-chair

practice and development team.

Peer Review: Nurse Grand

Rounds

Unique Body of Knowledge:

Use of data to drive improvements in Nurse Sensitive outcomes.

Code of Conduct:

ANA Code of Ethics update chosen as topic for nurses week celebration.

Contract with Society: WFH

FRK/MOSH Nursing Shared Governance model designed with the patient at the center of our work.

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Project Results

Development of Shared Governance Goals

in alignment with WFH/MOSH strategic

goals

Professional nursing activities:

Poster presentations,

Conference participation/presentation,

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Project Results

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Project Results

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Project Results

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Implications for

Nursing Practice

Autonomy

Authority

Accountability

AORN ANCC Magnet, Accountable Care and

Perioperative Services: the Current Reality

AORN Pre-Conference developed in collaboration with the ANCC Credentialing Knowledge Center (2014)

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References

Design/Implementation Bibliography

ANCC Magnet Recognition Program http://nursecredentialing.org/Magnet.aspx

AORN ANCC Magnet, Accountable Care and Perioperative Services: the Current Reality AORN Pre-Conference developed in collaboration with the ANCC Credentialing Knowledge Center (2014)

Bretschneider, J., Glenn-West, R., Green-Smolenski, J. , Richardson, C. Strengthening the

Voice of the Clinical Nurse-The Design and Implementation of a Shared Governance Model

Nursing Administration Quarterly 34(1) (2011) 41–48

Haag-Heitman, B., George, V. ANCC Guide for Establishing Shared Governance: A Starter’s Toolkit (2010)

Hess, R. Slicing and Dicing Shared Governance In and Around the Numbers Nursing Administration Quarterly 35 (3) (2011) 235–241

Houston, S. et al Decisional Involvement in Magnet, Magnet-Aspiring, and Non-Magnet

Hospitals Journal of Nursing Administration 42 (12) (2012) 586-591

Porter-O'Grady, T. Reframing Knowledge Work: Shared Governance in the Post digital Age Creative Nursing 18. 4 (2012): 152-159.

Ruch, S. Primary Nursing: A Call for Clarity, Empowerment, and Accountability Creative Nursing 18. 4 (2012): 175-176.

Wessel, S. Impact of Unit Practice Councils on Culture and Outcomes Creative Nursing 18. 4 (2012): 187-192.

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Contact Information

Sheila Gansemer DNP, RN

Vice President Patient Care Services/CNO

Wheaton Franciscan Healthcare - Franklin

Midwest Orthopedic Specialty Hospital

(414) 325-4589

Sheila.Gansemer@wfhc.org

Amy Ketchum MS, RN, OCNS-C

Clinical Nurse Specialist

Midwest Orthopedic Specialty Hospital

(414) 325-4831

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