Nursing leadership and governance

Developing strong leaders – both in clinical nurse and management roles – is integral to achieving our goal of being global leaders in pediatric nursing. 

Through shared governance, our nurses collaborate with management on decisions that affect nursing care.

Seattle Children’s supports leadership development of all nurses in all roles, in keeping with recommendations from the 2010 Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health.

Clinical nurses who are interested in increasing their knowledge, skills and scope of responsibility have a number of opportunities. Among them are:

  • Clinical educators who coordinate educational opportunities for staff on inpatient units
  • Charge nurses who coordinate unit activities as designated shift leaders
  • Clinical practice managers whose role may include Continuous Performance Improvement (CPI) activities and scheduling, hiring and evaluating staff
  • Care coordinators working with specific patient populations from admission through discharge

Nurses who want to pursue careers as executive or clinical nursing leaders may choose to acquire graduate education and transition into other roles within the organization, including:

  • Clinical nurse specialists who provide consultation, clinical expertise and leadership that focus on nursing practice competencies and professional development
  • Nurse practitioners with primary responsibility for clinical management of patients in a specialty area
  • Clinical directors who manage and evaluate all services in a department on a 24/7 basis

Shared Governance

We are committed to shared governance because we believe that nurses providing direct patient care are in the best position to make decisions related to nursing practice. We also see shared governance as a means of attracting the best nurses and earning their loyalty.

Seattle Children’s brings decision-making authority to the point of service through four councils:

  • Nursing Assembly
  • Professional Development Council
  • Operations Council
  • Quality Practice Council

Our Professional Practice Model

CHILD Professional Practice Model

Our professional practice model, using the acronym CHILD, has five focal points: