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Shared governance

Philosophy

A key element of a professional practice environment is the existence of a leadership structure that fosters team members' participation in planning and decision-making related to clinical practice, education, research and human resources. The nurse—with the responsibility, authority and accountability for professional nursing practice and for the work environment—participates in processes (with the active involvement of management) that promote clinical excellence, interprofessional collaboration and continuous performance improvement. While nursing practice is based on the Baylor Scott & White Health (BSWH) Professional Nursing Practice Model, collaboration with other professionals is imperative to create and sustain a workplace environment that fosters team member development, satisfaction, and the retention and recruitment of highly qualified team members . In our professional practice environment, governance is shared between clinical team members and formal leaders. Council members represent the “whole.” Decisions are made in the best interest of the patient, organization and unit. Council agenda topics address quality, clinical practice and the work environment.

Purpose

The purpose of shared governance at Baylor Scott & White – Grapevine is to:

• Promote a positive work environment
• Advance nursing/clinical practice
• Enhance the patient experience

Goals

The goals of shared governance are to promote:

• High standards of nursing and clinical practice based on evidence
• Team member development and the adoption of best practices
• Evidence-based practices and nursing research
• Team member empowerment and ownership for effective problem resolution and decision-making to continuously improve the quality of care
• A healthy work environment with collaborative, effective communication among disciplines
• Alignment of individual Council goals with nursing strategic goals
• Retention, recruitment and recognition of high-quality professionals

Structural empowerment

• Mobility and better patient outcomes
• Certifications 51% of the nurses have taken an extra step to demonstrate their expertise by becoming ANCC certified by the most respected credentialing center in the world
• BSNs or higher: 92% of the nurses at Baylor Scott & White – Grapevine have earned a Bachelor of Science or higher. Studies have shown that higher the education of the nursing team leads to better outcomes in patient care
• Increasing safety
• Nurses volunteering in community
• Culturally sensitive care
• Baylor Scott & White – Grapevine recognition of nurses