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Elements of Effective Professional Governance: An Integrative Review
Emily M Crossen1, Julie Murphy
1Senior Professional Development Specialist (Dr Crossen); Senior Clinical Quality Improvement Specialist (Dr Murphy), Clinical Education, Informatics, Practice, and Quality, Boston Children's Hospital, Boston, MA.
The Journal of Nursing Administration
|June 19, 2026
Summary
Effective professional governance structures are crucial for nurse-led decision-making and sustained engagement. Key elements include council structure, leadership, accessibility, and training to enhance nursing practice.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Science
Background:
- Professional governance enhances nursing engagement and patient outcomes.
- Optimal governance elements remain unclear in the post-COVID-19 era.
- Understanding effective structures is vital for healthcare improvement.
Purpose of the Study:
- Synthesize literature on professional governance structures.
- Identify elements supporting nurse-led decision-making.
- Determine factors for sustained nurse engagement.
Main Methods:
- Systematic literature search and critical appraisal.
- Data extraction and thematic analysis of identified articles.
- Identification of key themes influencing nurse engagement.
Main Results:
- Four key elements identified: council structure, leadership engagement, clinical nurse accessibility, and education/training.
- Analysis revealed specific factors supporting nurse-led decision-making.
- Barriers to engagement within governance structures were also noted.
Conclusions:
- Effective professional governance is essential for nurse-led decision-making and engagement.
- Further empirical research is needed to evaluate governance structures.
- Best practices for evolving healthcare landscapes require evidence-based protocols.
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