Nursing Shared Governance

Shared Governance Structure

Professional practice at Jefferson Health - New Jersey is guided by a shared governance structure that promotes professional growth and optimal patient outcomes and satisfaction through system-wide and unit based councils.


The Nurse Coordinating Council

The Nurse Coordinating Council provides a forum for coordination and consolidation of information and improvements related to other shared governance councils. This council serves as a liaison for hospital interdisciplinary committees, reviewing project requests, submitting to appropriate councils, and tracking progress. It also serves as the final approval body for Shared Governance. Its members are Chairs of all Shared Governance councils.

The Advanced Practice Nurse Council

The Advanced Practice Nurse Council identifies and provides professional development opportunities for Advanced Practice Nurses (APNs). It facilitates peer review and encourages evidence-based practice, along with researching activities and providing support for continuing education, including doctoral studies. Its members are APNS.

The Nurse Executive Council (NEC)

The Nurse Executive Council (NEC) provides leadership and executive oversight for organizational strategic and operational priorities that support a culture of nursing excellence. The following committees report through NEC:

The Clinical Nurse Recognition Committee recognizes Jefferson Health – New Jersey nurses’ professional excellence. It serves as a resource for clinical nurses preparing Clinical Advancement Program (CAP) applications, which it reviews, along with refining the annual CAP application process.  This committee also creates innovative ways to recognize and reward staff during Nurses Week and collaborates with nursing leadership to administer an effective employee recognition program.

The Nurse Leader Council

The Nurse Leader Council provides operational direction, allocates resources, and supports a culture of nursing excellence. Its responsibilities include: management of patient care issues related to administrative policy changes and patient throughput, as well as the flow of information within Jefferson Health New Jersey. Its members are nurse managers, assistant nurse managers, supervisors, and charge nurses.

The Practice Council

The Practice Council promotes evidence-based practice and consistent practice standards. The Council provides a structure that enables defining, evaluating, implementing and improving practice, as well as work-life issues. The following committees report through the Practice Council:

  • Service Line Committees for each specialty area define nursing practice within that area. The service line is the recommending body and is accountable for establishing and maintaining standards of practice, and creating polices and procedures that describe and guide evidence-based nursing care.
  • Peer Review Committee maintains standards of nursing practice through assessment and evaluation of the quality of care provided confidentially by peers. This approach, based on professional standards of practice, develops strategies for improving clinical practice. The confidential Peer Review provides a fair and impartial evaluation of event-based nursing performance.
  • Suicide Prevention Committee promotes a safe environment for patients at risk for suicide attempts. Goals are to provide appropriate care for those at risk for suicide attempts, identify interventions appropriate to the population and define inclusion/ exclusion criteria


The Magnet Ambassador Council

The Magnet Ambassador Council promotes clinical excellence and supports the Magnet journey, while facilitating the communication of initiatives and events to peers.

The EBP & Research Council

The EBP & Research Council promotes evidence-based practice and research activities, including: conducting nursing research essential to the development of evidence-based practice, quality outcomes and cost-effective patient care.

The Professional Development Council

The Professional Development Council assesses educational needs and provides opportunities for lifelong learning, health promotion, and professional development within nursing and in our surrounding internal and external communities.


The Safety and Quality Council

The Safety and Quality Council promotes and maintains a safe, cost-effective, high-quality patient care environment. It develops clinical nurses’ knowledge and practice related to Jefferson Health – New Jersey’s performance improvement model (PDSA), data analysis and use of data to identify opportunities for improvements. It also assists in the development and implementation of unit action plans for nurse-sensitive quality indicators (NDNQI).

The Dermal Defense Committee works through interdisciplinary collaboration to develop and provide quality wound care educational programs and materials to improve patient outcomes. It also conducts monthly prevalence rounds.

The Falls Committee works to increase patient safety, decrease falls, and prevent patient falls with injuries.

Nurse Workplace Environment and Staffing Council

Nurse Workplace Environment and Staffing Council provides a formal collaborative structure that gives clinical staff nurses a respected voice in determining human and environmental resources needed to provide the best care to the patients they serve.

Strategies for Shiftwork Safety and Wellness Committee Interprofessional team working to assess fatigue, using evidence based resources, in the workplace and its impact on operations and associates; recommends policies, education and resources to support a culture that promotes work-life balance and a restorative workplace.

Nursing Informatics Council

Nursing Informatics Council provides a connection between clinicians and information technology to promote the role of technology and informatics in the delivery of safe patient care. The council recommends Informatics/Technology solutions to Coordinating Council that will enhance clinical practice and work efficiency. 

Night Shift Council

Night Shift Council provides a forum to improve the professional practice environment of night-shift nurses. There is one night shift council at each Jefferson Health – New Jersey campus.

Unit Council

Unit Council is the governing body for all nursing staff at the unit level to support decision making related to clinical practice and a positive work environment. 

Coordinating Council

Coordinating Council provides a forum of the coordination and consolidation of information and improvements of the other shared governance councils. Coordinates collaboration between nursing shared governance and hospital interdisciplinary committees.