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Factors Associated With Success and Breakdown of Shared Governance

Ballard, Nancy MSN, RN

JONA: The Journal of Nursing Administration: October 2010 - Volume 40 - Issue 10 - p 411-416
doi: 10.1097/NNA.0b013e3181f2eb14

Shared governance (SG), a process for empowering nurses in practice settings, has been widely used for decades. However, despite enthusiasm for the concept, the process is not always successful or falters after successful initiation. To assist nursing leaders trying to implement or maintain SG processes, the author summarizes literature on both human and structural factors that contribute to the success or breakdown of SG practice models. Barriers to implementation and strategies to support implementation, as well as enculturation of SG, are discussed.

Author Affiliations: Director, Center for Nursing Excellence, WellStar Health System, Marietta, Georgia; Doctoral Student, School of Nursing, University of Kansas.

Correspondence: 813 Salacoa Rd, Fairmount, GA 30139 (

© 2010 Lippincott Williams & Wilkins, Inc.