Decision-making at unit and hospital levels is encouraged through Bronson's shared governance structure and by collaboration with other disciplines.

Each nursing unit or division of units has its own shared governance council attended and chaired by staff nurses. One or two representatives from this council participate in the monthly meeting of the Divisional Nursing Shared Governance Council (DNSGC). The DNSGC reports to Nursing Executive Council who, in turn, reports to the Board of Directors. Goals of the DNSGC include:

• Provide effective communication and collaboration between nursing staff, ancillary staff and management
• Design, oversee, and evaluate changes/improvements in nursing practice
• Promote quality professional nursing performance
• Promote quality improvement, patient safety and evidence-based nursing practice