Shared Decision Making

At UCSF, we embrace the sharing of ideas and recognize the power of many voices. Our shared decision-making model is an integrated council structure that brings nurses at all levels together to focus on continually improving patient and nursing care outcomes, resulting in the delivery of the highest quality of care. Councils are established at the medical center-wide or core level, peer or population-specific level, and unit-specific level.

Coordinating Council

The purpose of this council is to provide an overall structure and framework for the shared decision-making process of the Department of Nursing. 

The structure provides a forum to empower nursing in this process by creating four core councils, which are described below, with oversight from the Coordinating Council. 

The councils are designed to support shared decision-making, encourage the exchange of ideas, provide methods of researching solutions to issues in nursing practice, and improve communication for nursing staff at every level of the organization. Each council domain represents, where appropriate, nurses from all provider levels, all units or divisions of units, and associated colleagues from other disciplines or departments. 

Core Councils

+ Clinical InQuERI Council

The purpose of this council is to support nurses’ participation in clinical inquiry projects, including research and evidence-based practice at all levels of the organization. This will be accomplished by developing:

  • Strong unit cultures that embrace clinical inquiry as the pathway to excellence

  • Capacity of staff to identify, understand, evaluate, and utilize quality metrics to improve patient outcomes

  • Capacity of nurses to translate successful evidence-based small tests of change into sustained clinical practice

  • Capacity of nurses to engage in clinical research

  • Capacity of nurses to translate research and other evidence into the basis for practice innovation and implementation

In addition to educational programming and individual / group consultation to plan and implement nursing research projects, the Clinical InQuERI Council in collaboration with the School of Nursing, awards one to two Synergy Grants to UCSF Medical Center Nurse and School of Nursing Faculty teams to describe, measure, and/or test patient and/or family issues, questions, or problems. The Council also supports UCSF Medical Center Clinical Nurses to conduct research with School of Nursing Faculty via the Clinical Nurse Research (CNR) grant.

Nursing Research Subcommittee

The Nursing Research Subcommittee is an ad-hoc group that is activated to review a research proposal when the proposed research activity takes place on a nursing unit at UCSF Medical Center.  Depending on the type of research protocol, additional content expertise may be called into the review process, as well as the patient care manager of the involved unit(s).  Review by the Nursing Research Subcommittee is not in lieu of internal review board (IRB) review and approval, but rather, a step in the pre-research phase to ensure that nursing areas are informed of the proposed study and that necessary steps are completed before the proposal moves on to the IRB.

Members
  • Maria Amada Apacible, NP

  • Robin Bisgaard, RN, MSN

  • Elizabeth Borczynski, RN, BSN

  • Beverly Darmstaedter, RN

  • Meghan Duck, RNC-OB, MS, CNS

  • Lauren Frahm, RN-BC, BSN

  • Kristen Gosnell, RN

  • Courtney Gregory, RN

  • Charles Hood, RN

  • Tina Ha, RN, MSN, CNL

  • Melody Haworth, RN, PHN, MSN, CCTN, CNL

  • Michael Heinbach, RN

  • Vivian Huang, RN, BSN, OCN, BMTCN

  • Hannah Jang, RN, PhD, CNL

  • Karolina Jedrzejewska, RN, BSN, CCRN-CSC 

  • Nancy Lee, RN-BC, MSN

  • Aime Lencioni, RN, BS, CCRN

  • Michelle Lieggi, MLS

  • Yin Lo, RN-BC, BSN

  • Tamara O’Connor, RN

  • Laura Olson, MSLIS

  • Warren Payneta, RN

  • Michele Pelter, RN, PhD

  • Marisa Quinn, RN

  • Lindsey Roberts, RN

  • Olga Sukhenko, RN

  • Rochelle Szuba, RN

InQuERI Council

+ Clinical Practice Council

The purpose of this council is to ensure that reliable high quality and evidence-based nursing care standards are established and disseminated across the continuum of care.

The functions of this council include:

  • Monitor changes in practice for deviations from standards and make recommendations for corrective action

  • Keep abreast of current evidence as it pertains to clinical practice and spearhead practice changes in response to new evidence

  • Evaluate current clinical practice, identify areas of deficiency and delegate these items to the appropriate Practice Committee for evaluation and resolution

  • Evaluate current clinical practice, identify areas of best practices and assists with the communication of best practices to all units

  • Promote standardization of nursing practice across units wherever possible

  • Promote shared decision making process to the nursing staff at UCSF

+ Professional Development Council

The purpose of this council is to support and recognize the highest standards of Nursing practice and to support professional development opportunities for Nursing staff.

The council is focused on the following functions:

  • Promote specialty certification

  • Develop a formal mentoring program

  • Promote community involvement

  • Review clinical affiliations

  • Promote pursuit of advanced education

  • Promote professional nursing association involvement

  • Facilitate milestone development

  • Facilitate formal leadership development program

  • Evaluate recognition programs

  • Monitor and trend retention data

+ Magnet Unit/Department Council

The Magnet Unit/Department Champion Council was established to address issues that contribute to improving patient care, strengthen communication across our practices and enhance collaboration between residents and nurses.

The council is composed of nurses and residents from across the medical center.  It serves as an advisory group to formal committees and council structures across the medical center.

The functions of this council include:

  • Enhance communication between nurses and residents

  • Encourage unit based activities to enhance communication and resolution of issues between nurses and residents.

  • Gain an understanding of the current status of nurse-resident communication/relationships and create process for improvement.

Members
  • Audrey Aanenson

  • Bridget Allen

  • Rebecca Arnold

  • Julianne Bakshi

  • Valerie Bednar

  • Julia Bettinelli

  • Moonyeen Bonoan

  • Rondall Bracken

  • Jamie Cardinale-Webb

  • Kelli Cochran

  • Angela Collins

  • Janet Corroo

  • Christine Diamond

  • Megan Duck

  • Leeda Dudely

  • Kelly Dugan

  • Joanne Entorma

  • Elaine Esler

  • Alicia Ford

  • Lauren Frahm

  • Joyce Francisco

  • Eugenia Gee

  • Nicole Giacosa

  • Elsa Hagner

  • Kim Noh

  • Allie Hoffman

  • Amy Iams

  • Stephanie Jullien

  • Karen Kalua

  • Shirley Kedrowski

  • Julia Krupetsky

  • Sudah Lama

  • Wendy Lin

  • Shauna Lobre

  • Luke Lorenzo

  • Kathleen Maniatis

  • Jody Mechanic

  • Lauren Monary

  • Michelle Murray

  • Asunta Pacheco-Kennedy

  • Sara Paredes

  • Leanne Parsons

  • Elizabeth Patmont

  • Warren Payneta

  • Jeromie Power

  • Kelly Roberson

  • Mallory Saffold

  • Renee Salvemini

  • Yvette Samba

  • James Sardelis

  • Melissa Smallwood

  • Julie Therien

  • Devon Vandewiele

  • Courtney Williamson

  • John Wolford

  • Curtis Wong

  • Katherine Woodward

  • Holly Woon

  • Angela Yan

  • Erica Yuan

Peer Councils

Population-specific Peer Councils compliment and parallel the core structure.

  • Ambulatory Council

  • Nurse Resident Council

Unit Councils

There are more than 100 unit-based councils that support shared decision-making on patient and advanced clinical care issues. Led by direct care nurses, Patient Care Managers or Clinical Nurse Specialists may serve as coaches for these councils. Our Shared Decision-Making model has been a key, formal structure to ensure nurses have a voice in a broad array of clinical and organizational decisions.