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Shared governance has empowered nurses for decades, but true nursing autonomy remains elusive. Evolving to professional governance is crucial for enhancing accountability and professional decision-making in nursing practice.

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Area of Science:

  • Nursing Practice and Healthcare Management
  • Organizational Psychology in Healthcare

Background:

  • Shared governance models have been implemented for over 40 years.
  • These models aim to structurally empower nurses and increase engagement in practice.
  • Despite progress, full nursing autonomy has not yet been realized.

Purpose of the Study:

  • To advocate for the evolution from shared governance to professional governance in nursing.
  • To highlight key principles of professional governance: accountability, professional obligation, collateral relationships, and decision-making.
  • To provide nurse leaders with strategies for implementing professional governance.

Main Methods:

  • Historical analysis of shared governance in nursing.
  • Conceptual framework development for professional governance.
  • Recommendations for leadership in fostering an empowering work culture.

Main Results:

  • Shared governance has limitations in achieving mature nursing autonomy.
  • Professional governance offers a more robust framework for nurse empowerment and accountability.
  • Nurse leaders require specific guidance to transition effectively.

Conclusions:

  • The nursing profession must transition to professional governance for full autonomy.
  • Professional governance enhances accountability and decision-making power for nurses.
  • Effective leadership is key to cultivating an empowering environment for professional governance.