What is Shared Decision-Making? 

A structure that empowers professional direct care nurses to contribute collectively as decision makers regarding the nursing practice environment.  This includes standard of practice, policies and procedures, resource utilization, evidenced-based practice and research, and quality and performance improvement.

The councils are open to all nurses -- from novice to expert -- and welcome all nurses’ involvement and participation.

Coordinating Council

Scope:

To oversee the activity of each council.

To communicate between councils and integrate activities.       

Members:

Co-chairs (2)

Council Co-chairpersons (10)

Program manager, Magnet Recognition (1)

Associate vice president, Patient Care Services (1)

Focus:

·         Develop strategic plan for nursing

·         Delegate initiatives to the appropriate nursing council(s)

·         Coordination of activities between councils

·         Communication between councils, DMC system, individual practitioners, and to DRH

·         Provide guidance and support to the chairs of all councils and review nursing by-laws

Quality & Performance Improvement Council

Scope:

To coordinate performance initiatives that supports the mission, vision, and strategies of DRH. To identify performance measures; make quality and performance improvement recommendations; aggregate, quantify and analyze data.

Members: 

Service-based direct care staff representatives

Quality department, clinical nurse manager

Reps, advanced practice nurse reps, Wayne State University statistician

Focus:

·         Develop, revise and approve the Annual Nursing Quality Improvement Plan

·         Review and evaluate data (NDNQI, Core Measures, IHI, NPSG, unit data, benchmarks, etc.) and incorporate the data to develop action plans in collaboration with service based practice councils

·         Monitor unit based quality improvement activities

·         Oversee the process for timely and accurate data submission/reports

·         Preparation of regulatory survey (e.g., JC, CMS, etc.)

Nurse Practice Council

Scope: 

To ensure nursing practice is evidence-based and there is a comprehensive approach to the planning, delivery, and evaluation of quality patient care.

Members: 

Service-based direct care staff representatives

Clinical manager reps, advanced practice nurse reps

Clinical transformation specialist (chair represents DRH at the DMC Professional Nursing Council)

Focus:

·         Implement the shared decision-making professional practice model

·         Delineate the scope of Nursing practice at DRH

·         Review,  revise, and approve policies, procedures and standards of care (evidence is referenced)

·         Provide input for the revision and approval of clinical documentation standards

·         Doctor Quality and peer review referrals from performance improvement council

Nursing Leadership Council

Scope:

To provide leadership supporting the practice of Nursing at DRH.

To promote a positive nursing environment at DRH that includes effective communication mechanisms, partnerships with other disciplines and other stakeholders.

Members: 

Service based direct care staff representatives

Nursing directors, administrative supervisor, nursing recruitment

Focus:

·         Human resources; recruitment and retention

·         Fiscal and material resources

·         Supportive activities and student placement

·         Staffing and effectiveness: communication

·         Strategic planning

Professional Development and Education Council

Scope:

To promote the professional development of staff and ensure educational programs aimed at ongoing competence and quality of care.

Members: 

Service-based direct care staff representatives

Nursing education, clinical nurse manager

Focus:

·         Magnet standards related to education and professional development (continuing education activities)

·         Assess clinical education needs of staff at all levels and develop strategies

·         Develop, implement, and evaluate ongoing education programs

·         Assess and evaluate the effectiveness of the professional development ladder

·         Net Learning, certification, career ladder

Research and Evidence-Based Nursing Council

Scope:

To promote research and translation of evidence among nurses at all levels.

To incorporate evidence-based nursing practices into quality patient care activities.

Members: 

Service-based direct care staff representatives

Advanced practice nurses, clinical improvement specialist

Clinical nurse manager, nursing director

WSU methodologist, nurse educator, clinical transformation

Focus:

·         Review and approve all nursing research conducted at DRH and provide research support to other councils

·         Maintain a record of all nursing research projects conducted at DRH; publish findings

·         Coordinate nursing participation into appropriate physician research activities

·         Integration of evidence and research into practice

·         Nursing Grand Rounds, Journal Club