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Leadership & Governance

Hospital Leadership Isn't A One-Person Job!

Leadership is often composed of several people on varying levels in the organization and within their departments. FMH works with a leadership structure that promotes a nursing chain of command and supports shared governance. Shared governance erupted in nursing to allow clinical nurses to participate in the decision making processes that directly or indirectly affect their practice.

Nursing administrators, such as the Chief Nursing Officer, Directors, Managers and Clinical Nurse Specialists are the leadership representatives for FMH that hold a great deal of responsibility in their hands. The American Nursing Association (ANA) states, "... the nursing administrator is a registered nurse who orchestrates and influences the work of others in a defined environment, most often health care focused, to enhance the shared vision of an organization or institution." The nursing leadership team at FMH is a specialty of nursing that oversees the operations and practices of the nursing department. The leadership team is tasked with creating an environment that enables nursing to provide excellent care, with the ability to improve health, safety and quality. These multi-faceted leaders may also be identified as broad level thinkers and visionaries. They have emerged into nursing administrators because they have demonstrated the ability to balance the business aspect and the on-going commitments of nursing.

So, how do these dynamic individuals contribute to FMH success?

  • Achievement of the appropriate level of competency
  • Development of policies and procedures as a framework for nursing practice
  • Representation as collegial interdisciplinary team members
  • Opportunities are sought to learn and grow for the department of nursing
  • Mentoring of staff into advanced nursing roles

As nurse leaders advocate and support the nurse they ultimately create a non-threatening environment where each employee has the optimal potential to function at their best.

FMH established unit practice councils for each nursing department. Two examples of nursing departments are Pediatrics and Obstetrics. These councils make recommendations on how to implement initiatives that will best meet the needs of their departments through shared governance. Clinical Leadership Team meetings, staff huddles, one-on-one supervisory meetings, and nursing symposiums are just some examples of what makes leadership and governance effective at FMH.

The Nurse Administrators of FMH abide by the Scope and Standards of Practice for Nursing Administration as set forth by the ANA. These leaders share a vision and common goals that are integrated from the top down. They shape the health care environment at FMH .

Nursing administration: scope and standards of practice / American Nurses Association. (2009)



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