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Practice Governance

Our practice governance structure, the Professional Nursing Organization (PNO), creates the community that unites all registered and advanced practice nurses across the Dartmouth-Hitchcock system. The PNO promotes excellence in practice, enriches professional life, and engages nurses in all roles, and at every campus, in organizational leadership and decision-making.

The PNO is guided by our Professional Practice Model to ensure the delivery of high-quality patient care and works collaboratively to improve the organization’s outcomes. Every nurse is a member of the PNO and has opportunities to advocate for change in matters related to clinical and professional practice.

Our practice governance structure includes five central councils. Local practice area councils and committees have representation on the central councils and partner with them to accomplish the goals of the PNO.

Each council has an elected chair who becomes an officer of the PNO Cabinet, the highest decision-making body in nursing.

PNO Councils

The Clinical Councils include the Acute Care Council, the Ambulatory Care Council and the Perioperative and Procedural Care Council. The Clinical Councils are accountable to the PNO Cabinet for guiding the development, implementation and evaluation of nursing practice guidelines, procedures, documentation and standards for their respective specialty focus areas. In addition, for strategically moving the Dartmouth-Hitchcock system toward consistent nursing practice and clinical integration across all campuses.

The Professional Pathways Council promotes leadership development, mentorship and recognition opportunities for nurses in all functional roles throughout the PNO.

The Research and Education Council promotes the generation of new knowledge through nursing research, the translation and application of research through evidence-based practice, and strategies to address onboarding and educational needs for nursing. 

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