The structural framework for nursing professional governance is foundational to cultivating nursing professional behaviors and practice that improve the work
environment and positively impact nursing, patient, and organizational outcomes.
Developing the skills and behaviors
needed for nurses to lead in professional governance has long been a priority at the American Organization for Nursing Leadership (AONL).
Having shared or self-governance
is a strategy that can be considered by nurse leaders
to improve select nurse-related outcomes
A professional practice environment that incorporates shared governance may serve
as a valuable intervention for organizations to promote optimal patient and nurse outcomes.
This article describes psychometric testing and refinement of the Verran Professional Governance Scale (VPGS), which measures behaviors associated with professional governance.
The demonstration of value has decisive elements grounded in metrics that deliver a cold and rational, often numeric, indication of value. This definite and often numeric metric can be seen, analyzed, evaluated, compared,
and used as a point of reference for other measures of worth to which it relates or intersects
Formore than 40 years, shared governance has supported
structural empowerment and engaged nurses in their practice.
Although progress has been made in advancing nursing
ownership of practice through shared governance,
mature nursing autonomy has yet to be achieved.
Shared governance is promoted as a management innovation designed to improve outcomes of
quality patient care, nurse job satisfaction, productivity, and nurse retention. Reported studies have not measured the degree of governance.
Changes to an SG structure can
take 2 to 5 years to be realized. Our findings corroborate that the IPNG is a valuable tool in promoting
setting-specific SG.
Instrument development and content validity testing resulted in a new instrument to measure
the relatively new concept of professional governance.
Comprehensive decision-making
structures, efficient teamwork and
transformational leadership competencies among nurse leaders enable personnel to
participate in decision-making.
OVER THE PAST 35 YEARS, nursing shared gov ernance (professional governance [PG]) has become the prominent model for nursing professionals to make decisions and take actions in many healthcare organizations.
Nurse leaders play a vital role in
comprehending and promulgating
the structures and relationships
that demonstrate nursing professional
governance (NPG).
Given our dynamic healthcare marketplace, it is imperative
to examine the context in which nurses function.
Unit councils serve as the foundation of professional governance in health care
organizations, helping to drive staff engagement and supporting high-quality outcomes.
Clinical nurses, managers, and
other RN types perceived their governance as shared, without significant difference in the nurses' perceptions based on role.
Although resources are available to guide structures and processes for professional governance, limited information exists about defining and legitimizing the decisional
authority needed to support direct care nurses' ownership of clinical practice as well as the role of nursing leaders
Leading professionals require a different set of skills from those used for most employee work
groups. This article reviews the reasons why nursing professionals need different leadership capacity
and what some of those changes might be.