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The 2010 Shared Governance Council structure provides a uniform, efficient mechanism for the support of patient care operations, delivery of patient care and professional development of the nursing staff. The councils are designed to provide a formal mechanism for the nursing staff to impact change and advancement in practice, leadership and research. Opportunities are identified which improve the quality of patient care, efficiency of operations and professional growth. Shared governance capitalizes on the nurse’s knowledge of practice and integrates the nurse’s participation in decisions regarding care of patients and their practice.
All councils provide an opportunity for MCH nurses from all areas to meet regularly to discuss patient care. Each council communicates activities and issues relevant to patient care. Key issues and recommendations from councils are reported at the monthly Nursing Leadership Council. The Senior Vice President/ Chief Nursing Officer provides oversight to all councils.
Hospitality Council
- Promotes customer delight, patient, physician and employee satisfaction, MCH Way initiatives and strategic goals that relate to the above.
- Focuses on ways to improve employee morale and satisfaction and well as the satisfaction of physicians, patients and their family members.
- It plays a key role in educating staff about the top predictors of patient/parent satisfaction for each unit and explores ways to increase our patient/parent satisfaction.
Talent Leadership Council
- Promotes and facilitates: (a) recognition and rewards for staff, (b) professional development, (c) certification, and (d) stories for Magnet designation as well as strategic goals that relate to the above.
- Explores measures which will increase our retention and recruitment of staff. This council collaborates closely with TM & E in recognizing employees for exceptional work performance and is responsible for the development and administration of the professional ladder program, Aim for Professional and Educational Excellence (APEX).
- Oversees the development and updates of educational materials and is responsible for disseminating this information out to the nurses and health care staff caring for the patients.
- Council is responsible for producing the newsletter, “Nursing Matters.”
Quality Council
- Focuses on patient care outcomes, error-free care, infection control practices and any strategic goals that relate to the above.
- Directly impacts the quality of care at MCH through implementation of evidence based practices relating to medication safety, reduction in medical errors such as hospital acquired infections, fall injuries, never events and communication hand-off errors.
- The initiatives developed by this council will lead MCH towards the vision of being the “Hospital of choice” and the “Top 10” in the nation.
Finance and Operations Council
- Focuses on nurse-staffing ratios, acuity scales for patient care assignments; unit based self-scheduling guidelines to meet the needs of the unit and patients, FMLA and floating guidelines.
- Catalyst for exploring “creative staffing patterns” as a measure to recruit and retain staff.
IT Council
- Focuses on moving forward with Electronic Medical Record (EMR) preparation and implementation, the standardization of forms and checklists and any strategic goals that relate to the above.
- Equipment acquisition, evaluation is a component of this council with the goal of exploring and securing items that enhance patient safety.
Research Council
- Promotes, supports, facilitates and conducts research studies as well as developing evidence based practice changes that assure quality outcomes and cost-effective care.
- Reviews and approves all nursing research proposals and makes recommendations as appropriate;
- Heightens awareness of research throughout the institution; and, provides consultation to potential researchers on the external IRB process (WIRB) in collaboration with the Miami Children’s Hospital Research Institute.
- Responsible for monitoring and evaluating changes in clinical practice and associated evidence based practice projects (including practice question, evidence appraisal, and translation process).
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