Nursing Shared Governance - Stamford Hospital - Stamford Health

Journey to Excellence

Structural Empowerment and Nursing Recognition

Structural empowerment promotes professional development and provides for nurse recognition. Information and decision making is bi-directional and is evidenced in the Shared Governance model that exists at Stamford Hospital.

Shared Governance empowers individuals to make solid decisions at the point of care through:

  • Shared Leadership
  • Collective Wisdom
  • Measuring Practice Against Standards
  • Evaluation Effectiveness
  • Improving Processes and Practice
    • M. Koloroutis (2004)

Through Shared Governance, we've created an environment that supports nurses as they pursue advanced education and professional standing. Flexible scheduling, tuition reimbursement and a supportive leadership team has resulted in nurses enrolling in advanced degree programs at record rates. And the investment in tuition reimbursement toward an advanced nursing degree is consistent with Stamford Health’s culture of supporting and valuing continuous learning.

Our Professional Development Program is designed to recognize the clinical nursing staff for advanced performance and leadership qualities. Objectives include the following:

  • Promote excellence in practice to assure quality patient and family care
  • Develop and recognize excellence in leadership
  • Keep the expert nurse in direct patient care
  • Encourage personal and professional development
  • Facilitate career advancement
  • Support retention and recruitment

Empirical Outcomes

Performance metrics are important factors our nurses consider in defining and driving quality of care. We currently track 11 nurse-sensitive indicators prescribed by the National Database for Nursing Quality Indicators (NDNQI), established by the American Nurses Association.

Those indicators are:

  • Nursing staff skill mix
  • Nursing hours per patient day
  • Catheter-associated urinary tract infection rate (CAUTI)
  • Central-line-associated blood stream infection rate (CLABSI)
  • Fall/injury fall rates
  • Hospital-/unit-acquired pressure ulcer rates
  • Nurse turnover rate
  • Peripheral IV infiltration rate
  • Physical restraint prevalence
  • RN survey with the practice environment scale
  • Ventilator-associated pneumonia rate

We use the outcomes of these reports to benchmark its performance against teaching hospitals of similar size and define areas where improvement is needed.

Professional Nursing Affiliations

Through our affiliations with Norwalk Community College, Fairfield University, Pace University, University of Connecticut, and Sacred Heart University, Stamford Health nurses have access to a wide variety of supervised clinical and observational experiences that include both inpatient and community rotations. This includes affiliations with undergraduate and graduate programs, as well as an onsite master of science and nursing (MSN) cohort with Sacred Heart University. The positive influence of these institutions creates a mutually beneficial experience for students, instructors and clinical staff.

Professional Practice & Development

Keeping the patient and family at the center of our care is the foundation of all that we do. An environment of exemplary professional practice promotes the professional nurse as:

  • Consultant and resource
  • Autonomous care provider
  • Educator
  • Establisher of interdisciplinary relationships
  • Promoter of quality of care and quality improvement

Our nursing staff are required to practice in accordance with the Connecticut Nurse Practice Act Chapter 378.

For more information about Nursing Opportunities at Stamford Hospital, contact Human Resources at 203.276.7590