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Transforming Shared Governance: Toward Professional Governance for Nursing
Tim Porter O'Grady1, Joanne T Clavelle
1Author Affiliations: Senior Partner, Health Systems (Dr Porter-O'Grady), Tim Porter-O'Grady Associates LLC, and Clinical Professor, Emory University, School of Nursing, Atlanta, Georgia; and Chief Executive Officer (Dr Clavelle), Clavelle Consulting LLC, Arvada, Colorado, and Assistant Professor, University of Colorado College of Nursing, Anschutz Medical Campus, Aurora.
The Journal of Nursing Administration
|March 18, 2021
Summary
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.
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.
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