Professional Governance for Nursing The Framework for Accountability Engagement and Excellence 1st Edition by Rachel E Start, Beverly J Hancock, Tim Porter O Grady ISBN 9781284286472 1284286479

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ISBN 10: 1284286479
ISBN 13: 9781284286472
Author: Rachel E Start, Beverly J Hancock, Tim Porter O Grady

Professional Governance for Nursing The Framework for Accountability Engagement and Excellence 1st Edition Table of contents:

CHAPTER 1 Conceptual Foundations for Nursing Professional Governance: Professional Governance, Accountability, and Ownership of Nursing’s Social Contract

Introduction

Nursing Professional Identity

Professional Nursing Governance and the Journey to Equity and Value

Principles Underlying Professions

Professional Self-Governance

Professional Accountabilities

Practice

Professional Governance and Collective Bargaining

Translation of Professional Governance Principles into the Foundations of Nursing Practice

Trust

Accountability

Parity

Inclusivity and Structure

Conclusion

Chapter Questions

References

CHAPTER 2 Principles of Professional Governance in Organizations of Excellence

Introduction

Professional Governance Empowers Nurses

Principle #1: Professionals Are Knowledge Workers with a Realm of Practice Expertise and Authority

Principle #2: Professional Governance Is Decision Making Within the Realm of Knowledge Authority

Principle #3: Professionals Have Both Autonomy Within Their Practice and Control Over Their Practice

Principle #4: Accountability Is Owned by the Professional

Principle #5: Equitable Collateral Relationships Undergird Professional Governance

Principle #6: The Accountabilities of the Clinical Nurse Are Different from the Nurse Manager

Principle #7: Professional Governance Is Different From Participative Decision Making

Principle #8: Organizational Leaders Create an Environment for Professional Governance

Conclusion

Chapter Questions

References

CHAPTER 3 Nursing Leadership Behaviors as Foundational to Professional Governance

Introduction

Positional Versus Role Leadership

Model for Leadership Competencies

Leadership Behaviors, Knowledge, and Skills That Support Professional Accountability

Leadership to Establish Professional Governance Vision and Structures

Leadership Participation to Guide Success

Leadership Skills Needed to Effectively Navigate Governance Structures

Leaders to Disseminate Professional Governance Utility

Leaders to Sustain Professional Governance

Common Governance Leadership Challenges

Leadership Development

Council Chairs and Presidents

Impact of Leadership Development and Future Leadership Roles

Conclusion

Chapter Questions

References

CHAPTER 4 Professional Governance in a Healthcare System and the Role of the Chief Nurse Executive

Introduction

It Starts Here

Why Systems?

What Is a System?

Holding Company or Operating Company?

So How Does That Impact Professional Nurses?

Why Are Networks Important to a System?

Nurses Leading Life at the Intersection of Networks and Systems—CNE as Catalyst

Joining the Ranks of the Integrated

Back to Decision Making

Nurses as Advisers or Decision Makers?

Decision-Making Model

Conclusion

Chapter Questions

References

CHAPTER 5 The Role of the Clinical Care Nurse in Nursing Professional Governance

Introduction

Licensure and Responsibility to the Public That We Serve

A “New” Profession With Historical Hierarchy

Ownership

Oversight of Practice

Individual Nurses Engaging in Professional Organizations to Support Practice

Nursing Professional Governance and the Professional Nurse

Applying Evidence-Based Practice

Interprofessional Partners

The Magic of Making Change

Utilizing Resources

Practice Change Process

Accountability for Autonomous Evidence-Based Practice Through Outcome Measures

Conclusion

Chapter Questions

References

CHAPTER 6 The Role of the Nurse Manager in Professional Governance

Introduction

Culture and Professional Governance

The Manager’s Role in Professional Governance

Shift in Leadership Roles

Developing and Supporting the Council Chair

Role of the Nurse Manager in Council Meetings

Beyond the Meetings

Managers and Leaders as Advocates

Diplomacy Versus Activism

Advocacy’s Effect on Culture

Leading Change on the Unit

Encouraging Tests of Change

Sustaining Engagement and Empowering Change

Tools of Sustainability

Conclusion

Chapter Questions

References

CHAPTER 7 Peer Accountability and Relationships in a Professional Governance Structure

Introduction

Peer Review

Defining Terms

Alignment with Professional Governance Councils

Organizing Peer Review by Domains and Roles

Domains

Guidelines for Nurses in All Roles Organized by Domain

Peer Review for All Nurses

Individual Responsibilities

The Quality and Safety Domain

Incident-Based Peer Review

Organizational Level

Unit/Divisional Level

Prospective Peer Review

Nurse Leaders

Role Actualization Domain

Organizational Level

Unit/Division

Peer Competency Validation

Practice Advancement Domain

The Research or Practice/Evidence-Based Practice Council Provides Leadership for Practice Advancement

Conclusion

Chapter Questions

References

CHAPTER 8 The Functional Framework, Bylaws, and Structural Mandates for Nursing Professional Governance

Introduction

Self-Regulation of a Discipline

The Journey Continues

The Structure of Governance Builds Organization-Wide Autonomy and Accountability

A New Leadership Vision of the Future of Work

Successful Models of Partnership in Health Care

Equity-Based Models in Health Care

Nursing Self-Regulation

Role of the CNE/CNO

Next Step in the Journey

A Call to Action

Conclusion

Chapter Questions

References

CHAPTER 9 Application of Professional Governance Structures Across the Continuum

Introduction

Understanding the Operationalization of Structure in Professional Governance

Industry Trends in Nursing Professional Governance Structures

Assessing, Creating, Standing Up, and Sustaining Professional Governance Structures

Emory Healthcare

Background and Structure Creation and Assessment

Unit Practice Councils Roles and Voting

Professional Governance Structures That Mobilize Advanced Practice Nurses

Metrics That Show Progress and Impact

Ensuring Structure That Encompasses the Continuum as Well as the System

Considering Collateral Relationships and the Interprofessional Team in the Work of Professional Governance

Administrative Management Structures That Empower Professional Governance Principles

Rochester Regional Health Primary Care and Ambulatory Specialty Institute (RRH PCASI)

Background and Structure Creation and Assessment

Metrics That Show Progress and Impact

Considering Collateral Relationships and the Interprofessional Team in the Work of Professional Governance

Ensuring Structure That Encompasses the Continuum as Well as the System

Conclusion

Chapter Questions

References

CHAPTER 10 The Measurement of the Effectiveness of Nursing Professional Governance

Introduction

Basic Measurement Principles and Assessments

Reliability

Representativeness

Responsiveness

Professional Governance Instruments

The Index of Professional Nursing Governance

Reliability of the IPNG

Representativeness of the IPNG

Responsiveness of the IPNG

Summary of the Psychometric Properties of the IPNG

The Verran Professional Governance Scale

Representativeness of the VPGS

Reliability of the VPGS

Next Steps in Testing of the VPGS

Scale Selection

Conclusion

Chapter Questions

References

CHAPTER 11 Transforming Outcomes―The Impact of Professional Governance

Introduction

History of Healthcare Quality and Practice Oversight of Performance in Nursing

Tracking Impact Through Meaningful Quality Improvement Built on Reliable Correlations

Understanding Quality, Payment, and Accountability Structures in the U.S. Healthcare System

Professional Governance and Other Organizational Structures That Guide Quality and Performance Improvement

Fulfilling the Professional Mandate to Improve Outcomes: The Business Case for Professional Governance

Nursing Demographic Measurement as an Outcome

Patient Health Outcome Impact

Tactics to Track Progress and Impact

NSIs and Tracking Mechanisms: An Exemplar

Nurse Billing: The Future of Nurse Contribution Measurement

Care Coordination and Transition Care Management: Leveraging the Discipline-Specific Strength of Nursing in the Complex Management of Patients and Populations

Nurse-Led Care Coordination Teams

Nurse Care Coordination: An Exemplar of Autonomous Nursing Professional Governance

High-Risk Patient Populations

TCM

Screenings for SDoH Barriers and Increasing Health Equity

Impact on Health Equity and Access to Health Care: An Exemplar

Emerging Trends in Performance Improvement: Tools to Achieve Improved Nursing Practice

Conclusion

Chapter Questions

References

CHAPTER 12 Assuring Sustainability of Professional Governance

Introduction

Outcomes

Nursing Outcomes

Patient and Organizational Outcomes

Professional Practice Models

Alignment with Magnet® Recognition

Sustainable Structures

Structures of Governance

Structure and Language

New Language Leads to New Thinking and Acting

Laying the Foundations of Professional Practice With the Position Charter

Privileging for Practice

The End of Performance Evaluations

Clinical Advancement as a Replacement for Performance Evaluation

The Clinical Advancement Program and the Demonstration of Contribution

Role of the Nurse Manager in Sustaining Nursing Professional Governance

What Professional Workers Need from Managers

Collateral Leader Behaviors That Support Professional Practice

Conclusion

Chapter Questions

References

CHAPTER 13 Fostering Professionalism from the Academy to the Practice Setting

Introduction

Nursing Professional Governance: Academic/Practice Partnerships

Integration of Professional Development and Governance in the Academic Stage

Student Acclimation to Professional Governance and Community

AACN Competencies in Academic Curricula

Professionalizing the Emergent Leadership Role Within Nursing Professional Governance

Leadership Trajectory

Nursing Peer Review

The Novice Nurse

Peer Interviews

Onboarding and Transition to Practice Programs

Preceptors

Residencies, Internships, and Externships

Mentorship Programs

Leadership Measurement Tools

Outcome Measures

Patient Outcome Measures

Nurse Professional Development Measures

The CNO/Transformational Leader in Professional Governance

Mentoring for Positional Leadership Roles Within Professional Governance

Every Nurse to Be a Leader

Conclusion

Chapter Questions

References

CHAPTER 14 Value-Informed Nursing Practice and Leadership in Modern Health Care

Introduction

Implications of Value-Based Health Care for Nurses

The Ethical Imperative of Value-Informed Nursing

The Economic Value of Nursing

The Economic Value of Healthcare Delivery

Value-Informed Nursing

Value-Informed Nursing Practice

Value-Informed Nursing Leadership

Quantifying the Organizational Economic Value of Nursing

How to Make Value-Informed Nursing a Reality

Change in Professional Norms, Attitudes, and Behaviors

Value-Informed Nursing Education

Value-Informed Nursing Innovation

Conclusion

Chapter Questions

References

CHAPTER 15 Beyond the Organization―Governing Our Practice as a Profession in the Greater Nursing Community

Introduction

National Governance Through Professional Organizations

National Association of Indian Nurses of America: The Power of a Unified Voice and Focus

AAACN

Unchartered Territory: Defining the Role of the Ambulatory Nurse and Measuring Contribution

AAACN/CALNOC Collaboration

AONL: Defining Practice Competency

Nurse Executive Competencies

Nurse Manager Competencies

Professional Accountability

Tri-Council for Nursing: Addressing National Issues Through Professional Partnerships

Influence at the National Level

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Tags: Rachel E Start, Beverly J Hancock, Tim Porter O Grady, Professional Governance, Accountability Engagement