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Evidence-Based Nursing: Do you know the way to excellence?
Bridget Drafahl MSN, RN-BC
Laura Beyer MSN, RN
Carla Chow BSN, RN, CEN

Nursing Management
July 2012 
Volume 43  Number 7
Pages 15 - 17
  PDF Version Available!

Pella Regional Health Center (PRHC) sought out evidence-based initiatives to improve its quality of care, work environment, and nurse and patient satisfaction. The American Nurses Credentialing Center's Pathway to Excellence Program(R) was one such initiative that demonstrated a commitment to the nursing profession.1 The program standards were the guiding force in promoting cultural change within PRHC, including the -implementation of a shared governance model.The nursing shared governance model at PRHC was created to foster nursing recruitment and retention. With several other rural and metropolitan hospitals within a short driving distance, nurse leaders wanted to establish PRHC as an exceptional setting where nurses could thrive and be valued. In 2005, nurse leaders at PRHC gathered to formulate a new vision for nursing. The model at the time was management driven-nurses forwarded all problems to their managers. RNs were commonly consulted about practice -issues, but weren't equipped or empowered to -resolve them on their own.Initially, a steering committee was formed to -revise the nursing vision and create a new nursing philosophy and professional model of nursing. The vision for nursing practice at PRHC was revised as follows: "To build a cohesive culture of commitment that fosters autonomy, accountability, and educational growth in professional practice."The new nursing shared governance model was developed and included three nursing councils: practice, quality, and professional development. All nursing departments are represented on each council and ad hoc members from other -disciplines are included. The chairperson from each council is a member of the management council (formerly the steering committee). A -nursing forum led by PHRC's CNO was held to educate nursing staff on the concepts of shared governance.In 2007, the three nursing councils created shared governance bylaws to charter the model and form new guidelines of practice. During this time, nursing

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