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Evolution of Structural Empowerment: Moving From Shared to Professional Governance
Joanne T Clavelle1, Tim Porter O'Grady, Marla J Weston
1Author Affiliations: Regional Vice President/Chief Nursing Officer-West (Dr Clavelle), GetWellNetwork, Bethesda, Maryland; Senior Partner (Dr Porter-O'Grady), Tim Porter-O'Grady Associates, Atlanta, Georgia, Professor of Practice, Arizona State University College of Nursing and Health Innovation, Phoenix, and The Ohio State University College of Nursing, Columbus; Chief Executive Officer (Dr Weston), American Nurses Association, Silver Springs, Maryland; Professor (Dr Verran), College of Nursing, Anschutz Medical Campus, University of Colorado, Denver.
Objective:
The aim of this study is to describe the maturation of the concept of shared governance to professional governance as a framework for structural empowerment.
Background:
An analysis of the literature and concept clarification of structural empowerment and shared governance demonstrate that the concept and attributes of shared governance have evolved toward professional governance.
Methods:
A comprehensive, deductive literature review and concept clarification of structural empowerment, shared governance, and related constructs was completed.
Results:
The concept and practice of shared governance has matured to a concept of professional governance with the attributes of accountability, professional obligation, collateral relationships, and effective decision-making.
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