About the framework & its author
Built where systems meet
the human in the bed
Robert Domondon, RN, CCRN, CSC, CMC — twenty-two years at the ICU bedside, thirteen years in healthcare management, a physician's training, an administrator's scars, and one conviction: nurses shouldn't just use AI. They should govern it.
The vantage point
The road here
Clinical training and practice where resources were scarce and judgment mattered most.
Operations, safety, budgets, people — the systems view of care, learned the hard way.
Thirteen years bridging management, emerging technology, and human-centered care.
Critical care at the bedside: the one vantage point from which nothing about an institution can be hidden — and the vantage point every component of this framework is accountable to.
Building the ecosystem where nurses govern the AI era instead of being governed by it.
Governance by design. Clarity and values before velocity. Good does not scale automatically — it must be deliberately organized, governed, and stewarded.
The research base
Four traditions, one architecture
Domondon Dominium is deliberately synthetic. Each tradition contributes a layer the others lack — and all four converge on the same skeleton, which is the strongest evidence the model is universal.
AI governance
NIST AI RMF, ISO/IEC 42001, the EU AI Act's oversight and logging articles, and agentic-AI research — the control vocabulary: risk tiers, human oversight, audit logs, scoped permissions, levels of autonomy.
High-reliability & safety science
Weick & Sutcliffe's HRO principles, Reason's Swiss cheese, just culture, crew resource management, Bainbridge's ironies of automation, Safety-II — the failure wisdom: how systems actually break, and how mindful ones catch it early.
Operations & management science
Mission command and commander's intent, ITIL service management, RAPID decision rights, Beer's Viable System Model, Toyota's jidoka and andon, sociotechnical design — the structural skeleton.
Nursing & clinical governance
The nursing process, Nightingale's evidence doctrine, NHS clinical governance, the Five Rights of Delegation, care ethics, Benner's novice-to-expert — the soul, and the strongest single doctrine: tasks delegate, judgment does not.
The ecosystem
Where the framework lives
Domondon Dominium is the operating doctrine beneath a working, nurse-led AI governance ecosystem — each part answering a different question:
NAIO Institute
The governance authority — standards, credentialing, and compliance frameworks for AI workforce systems in healthcare. Core principle: governance before autonomy.
Florence-X
The orchestration control plane — mission control for AI agent workforces: dispatching tasks, enforcing policy, routing models, managing memory boundaries. Humans retain final decision authority at every layer.
EDENA
The conscience layer — classifying, gating, and auditing every AI action before execution. Ethics as executable infrastructure.
Nurse AI OS →
The governed agent operating system — where the architecture becomes personal. Free for nurses and nursing students during the founding year.
Nurse Intelligence Network
The human intelligence layer — the global professional community where nurses develop AI competence, shape governance, and launch ventures.
Florence Media Network
The content engine — governance-grade media, every piece classified and human-reviewed before release, because trust is the product.
The question behind everything
"What if we could scale good?"
Can intelligence, technology, and expertise be deliberately organized so that patient safety, human dignity, and workforce resilience scale — without harm? This framework is the working answer. Scale intelligence. Preserve humanity. Leave systems better than we found them.
Speaking, collaboration, or governance inquiries:
[email protected]