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Shared governance in healthcare has evolved into professional governance, enhancing structural empowerment. This shift emphasizes accountability, professional obligation, and effective decision-making for improved outcomes.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Theory

Background:

  • Shared governance is a foundational model for nurse empowerment.
  • Evolving healthcare landscapes necessitate advanced governance structures.
  • Existing literature indicates a conceptual shift from shared to professional governance.

Purpose of the Study:

  • To describe the evolution of shared governance to professional governance.
  • To analyze professional governance as a framework for structural empowerment.
  • To identify the core attributes of professional governance.

Main Methods:

  • A comprehensive deductive literature review was conducted.
  • Concept clarification was performed for structural empowerment and shared governance.
  • Related constructs were analyzed to support the conceptual evolution.

Main Results:

  • Shared governance has matured into professional governance.
  • Key attributes of professional governance include accountability, professional obligation, collateral relationships, and effective decision-making.
  • This evolution provides a robust framework for structural empowerment.

Conclusions:

  • Professional governance represents a maturation of shared governance.
  • The identified attributes are crucial for empowering healthcare professionals.
  • This framework supports enhanced structural empowerment and improved healthcare delivery.