Results-oriented committee restructuring.

Identifying delays in accomplishing key initiatives and maintaining competent staff in an environment of decision-making chaos and bureaucracy, nursing leaders created an environment of change that was more controlled, with greater input from the staff who would have to implement these changes in their clinical practice. Creative committee restructuring in the nursing department has been recognized institutionally as a model for cost-effective utilization of staff, prompt attention to current issues, and expediting change. The authors discuss how they redesigned committee structure, solicited using multidisciplinary forums, and created a decentralized mechanism for staff participation.