salem health, nurses, employees

SHINE-Salem Health is Interdisciplinary and Nursing Excellence

At Salem Health our professional practice model is based on shared decision making through our shared leadership structure. The Shared Leadership structure allows interdisciplinary and nursing frontline staff to work collaboratively with administrators to determine nursing practice, standards of care, and hospital policy and procedures. It is based on the principles of partnership, equity, accountability and ownership. Shared Leadership empowers the interdisciplinary staff to define, implement and maintain current practice standards and to implement the vision and strategic plan for excellent patient care.

shared governance structure

The aims of Shared Leadership:

  • Drive accountability to the level of frontline staff
  • Provide a vehicle for staff to share in decision-making
  • Engage staff in innovative and collaborative problem-solving and strategy development
  • Encourage discussion and resolution of clinical operational issues

Shared Leadership is practiced through established councils in each of the following areas:

Practice Council

The purpose of the Practice Council is to oversee the development, implementation and evaluation of practice standards and guidelines in accordance with regulatory requirements, evidence-based literature and practice, and professional organizations.

Coordinating Council

The Coordinating Council is a decision-making, advising and coordinating body. This council is a forum for interdisciplinary and nursing and non-nursing leaders in all departments to communicate about common issues related to patient outcomes, workflow, and the nursing professional practice environment.

Evidence Based Practice

The Evidenced Based Practice Council is a decision-making, advising and coordinating body accountable for promoting research and the use of evidence-based practice to assure excellent patient care and clinical outcomes. This Council assists in the research process, fosters and supports investigative role development among staff and disseminates results of investigative activities.

Professional Growth and Development

The Professional Growth & Development Council provides a forum to address issues, explore strategies that promote a practice environment that supports and enhances professional achievement and role development, recognize contributions to our mission, and foster the recruitment and retention of talented clinical staff.

Informatics Council

The Informatics Council is responsible for collaborating with clinical nurses, other disciplines, and the Clinical Informatics Department regarding informatics functionality and workflows. The Council evaluates and recommends changes to optimize the electronic medical record based on hospital and department goals, objectives and improvement initiatives. The Council provides a forum for interdisciplinary discussion of common application function issues, feedback on enhancement requests or project work, and sharing of best practice ideas.

Specialty Practice Teams

The Specialty Practice Teams (SPT) are unit-based councils dedicated to supporting optimal patient outcomes and a healthy work environment through interdisciplinary collaboration of front line staff and shared decision making. SPTs support the 4 principles of Shared Decision Making: Accountability, Partnership, Ownership and Equity within the Salem Health Professional Practice Model.

In 2016 we launched a new “Shared Leadership Day” whereby all councils meet on the same day. Modeled after Stanford’s shared decision-making structure, we have also incorporated an Education/Leadership session where frontline staff learn about leadership development topics, Lean tools/principles, performance improvement projects from across the hospital, along with a variety of other topics. This new structure has assisted our evolution to ensure greater interconnectedness, communication and coordination between our councils and leadership.


SHINE practice model