The aim of this study is to describe the maturation of the concept of shared governance to professional governance as a framework for structural empowerment.
An analysis of the literature and concept clarification of structural empowerment and shared governance demonstrate that the concept and attributes of shared governance have evolved toward professional governance.
A comprehensive, deductive literature review and concept clarification of structural empowerment, shared governance, and related constructs was completed.
The concept and practice of shared governance has matured to a concept of professional governance with the attributes of accountability, professional obligation, collateral relationships, and effective decision-making.
Author Affiliations: Regional Vice President/Chief Nursing Officer–West (Dr Clavelle), GetWellNetwork, Bethesda, Maryland; Senior Partner (Dr Porter-O’Grady), Tim Porter-O’Grady Associates, Atlanta, Georgia, Professor of Practice, Arizona State University College of Nursing and Health Innovation, Phoenix, and The Ohio State University College of Nursing, Columbus; Chief Executive Officer (Dr Weston), American Nurses Association, Silver Springs, Maryland; Professor (Dr Verran), College of Nursing, Anschutz Medical Campus, University of Colorado, Denver.
The authors declare no conflicts of interest.
Correspondence: Dr Clavelle, 7700 Old Georgetown Rd, 4th Fl, Bethesda, MD 20814-2500 (email@example.com).