Journal
JOURNAL OF NURSING ADMINISTRATION
Volume 51, Issue 4, Pages 206-211Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/NNA.0000000000000999
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Shared governance has been instrumental in empowering nurses in their practice, but there is a need to transition to professional governance that emphasizes accountability and decision making. Nurse leaders should be equipped with historical context and recommendations to effectively lead professional governance in a supportive work culture.
For more than 40 years, shared governance has supported structural empowerment and engaged nurses in their practice. Although progress has been made in advancing nursing ownership of practice through shared governance, mature nursing autonomy has yet to be achieved. It is time to evolve to professional governance, emphasizing accountability, professional obligation, collateral relationships, and decision making. Nurse leaders are provided with historical context and recommendations for effectively leading professional governance in an empowering work culture.
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