Implementation of a professional governance practice model in an ambulatory care setting

The purpose of this quality improvement project with a pre- and post-test design was to determine if the implementation of a professional governance model in an ambulatory setting would improve job satisfaction, nurse engagement and staff perception of professional governance. A project team was formed to create the structure of the model, surveys were utilized to gain baseline knowledge of professional governance, job satisfaction and engagement. To measure the change in culture three aims were considered: improve job satisfaction, improve nurse engagement, and improve staff perception of professional governance. The goal of each aim was to increase by a minimum of ten percent from baseline. Overall, the results of the surveys indicated an increase in job satisfaction, but there are opportunities to continue to increase and improve upon nurse engagement and staff perception of professional governance. Keywords: professional governance, job satisfaction, nurse engagement, perception