"[A shared governance structure] needs continuous care, attention, advocacy, and that 'care-and-feeding' piece to make it successful." — Peg Gagne, MSN, RN, chief nursing officer, University of Vermont Medical Center When the functionality of a shared governance system at the University of Vermont Medical Center had drifted a bit, the hospital decided to redesign and restart it with a much different structure. The result was an inclusive approach that required active engagement of clinical nursing staff in shared decision-making. For this week's lead story, I talked to Peg Gagne, MSN, RN, the hospital's chief nursing officer, who was on the redesign team, about what makes the new structure work so well. | 