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Shared Governance in the Context of Nurses' Professional Practice: A Scoping Review
João Miguel Almeida Ventura-Silva1, Carla Maria Freitas Costa Freire2, Samuel Spiegelberg Zuge3
1School of Economics and Management, University of Minho, Braga, Portugal; Northern Health School of the Portuguese Red Cross, Oliveira de Azeméis, Portugal; RISE-Health, Porto, Portugal (Dr Ventura-Silva).
Journal of Nursing Care Quality
|June 12, 2026
Summary
Shared governance in nursing enhances professional practice through active participation and autonomy. Effective implementation requires aligned structures, leadership, culture, and development for optimal outcomes.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Science
Background:
- Shared governance is a key strategy for enhancing nurses' decision-making and professional autonomy.
- It is crucial for sustaining nursing practice in complex healthcare environments.
Purpose of the Study:
- To identify, describe, and synthesize existing evidence on shared governance in nursing.
- To explore the impact of shared governance on nurses' professional practice.
Main Methods:
- A scoping review was conducted following Joanna Briggs Institute methodology.
- Searches encompassed major databases (MEDLINE, CINAHL, Scopus, ProQuest) up to January 2026.
Main Results:
- Twenty-nine studies from 1994-2025 were included.
- Key themes identified include organizational structure, leadership, culture, education, and outcomes.
Conclusions:
- Shared governance enhances nursing practice when integrated with participatory structures, leadership, culture, and development.
- The review indicates varied implementation and highlights the importance of alignment for positive impact.
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