J Nurs Adm 2021 Apr;51(4):206-211
Author 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.
For more 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. It is time to evolve to professional governance, emphasizing accountability, professional obligation, collateral relationships, and decision making. Read More