Engaging Nurses in Professional Governance Across a Hospital Service Line

Strong professional governance is linked with higher levels of nurse engagement and lower levels of nurse turnover. Nevertheless, a large academic medical center found that professional governance engagement declined after the pandemic. A quality improvement project utilizing the Plan-Do-Study-Act m...

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Published inNurse leader p. 102479
Main Authors Lee, Mark, Pappas, Sharon, Yolo, Ron
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.07.2025
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Abstract Strong professional governance is linked with higher levels of nurse engagement and lower levels of nurse turnover. Nevertheless, a large academic medical center found that professional governance engagement declined after the pandemic. A quality improvement project utilizing the Plan-Do-Study-Act methodology was developed to innovate professional governance, developing and implementing a service line council across eight medical–surgical units of a hospital service line sharing greater clinical, administrative, and educational resources than before. Over 3 months, the project indicated a statistically significant difference in the mean work empowerment scores of clinical nurses participating postsurvey (23.29 out of 30), compared to presurvey (19.75), t = 3.62, df = 31.8, p = .001. The results demonstrate the importance of aligning professional governance with evolving clinical and administrative structures for patients and the profession.
AbstractList Strong professional governance is linked with higher levels of nurse engagement and lower levels of nurse turnover. Nevertheless, a large academic medical center found that professional governance engagement declined after the pandemic. A quality improvement project utilizing the Plan-Do-Study-Act methodology was developed to innovate professional governance, developing and implementing a service line council across eight medical–surgical units of a hospital service line sharing greater clinical, administrative, and educational resources than before. Over 3 months, the project indicated a statistically significant difference in the mean work empowerment scores of clinical nurses participating postsurvey (23.29 out of 30), compared to presurvey (19.75), t = 3.62, df = 31.8, p = .001. The results demonstrate the importance of aligning professional governance with evolving clinical and administrative structures for patients and the profession.
ArticleNumber 102479
Author Lee, Mark
Pappas, Sharon
Yolo, Ron
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Cites_doi 10.1097/00006199-199801000-00007
10.1016/j.mnl.2017.09.008
10.1016/j.mnl.2019.08.004
10.1097/NNA.0000000000000999
10.1097/NNA.0000000000000412
10.1016/j.mnl.2024.04.012
10.1097/00005110-200307000-00011
10.1097/NNA.0000000000001147
10.1097/01.NUMA.0000550448.17375.28
10.1097/00005110-200105000-00006
10.1097/NNA.0000000000000839
10.1111/jan.13549
10.1097/NNA.0000000000000849
10.1097/SGA.0000000000000446
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References (bib5) 2024
Jun, Rivera, Jackman, Niedz (bib7) 2024; 22
McVay, Rein, Payne-Borden (bib20) 2017; 15
Pappas, Cunningham (bib19) 2023
Kutney-Lee, Germack, Hatfield (bib12) 2016; 46
(bib8) 2017
Laschinger, Almost, Tuer-Hodes (bib15) 2003; 33
Berlin, Lapointe, Murphy, Viscardi (bib6) 2021
Olender, Capitulo, Nelson (bib3) 2020; 50
Porter-O’Grady, Clavelle (bib2) 2021; 51
Hess, Bonamer, Swihart, Brull (bib17) 2020; 50
Weston, Meek, Verran, Brewer, Clavelle, Porter-O’Grady, Wong (bib18) 2022; 52
Hess (bib16) 1998; 47
Porter-O’Grady, Clavelle (bib1) 2020; 18
Laschinger, Finegan (bib13) 2005; 23
Porter-O’Grady (bib9) 2019; 50
Li, Shi, Li, Xing, Wang, Ying, Zhang, Sun (bib14) 2018; 74
Manyang, Stene, Pagel, Niesen (bib4) 2020; 43
Guanci, Medeiros (bib10) 2018
Laschinger, Finegan, Shamian, Wilk (bib11) 2001; 31
Li (10.1016/j.mnl.2025.102479_bib14) 2018; 74
Weston (10.1016/j.mnl.2025.102479_bib18) 2022; 52
Laschinger (10.1016/j.mnl.2025.102479_bib13) 2005; 23
Berlin (10.1016/j.mnl.2025.102479_bib6) 2021
Jun (10.1016/j.mnl.2025.102479_bib7) 2024; 22
Hess (10.1016/j.mnl.2025.102479_bib16) 1998; 47
Manyang (10.1016/j.mnl.2025.102479_bib4) 2020; 43
Hess (10.1016/j.mnl.2025.102479_bib17) 2020; 50
Pappas (10.1016/j.mnl.2025.102479_bib19) 2023
Kutney-Lee (10.1016/j.mnl.2025.102479_bib12) 2016; 46
Olender (10.1016/j.mnl.2025.102479_bib3) 2020; 50
McVay (10.1016/j.mnl.2025.102479_bib20) 2017; 15
Porter-O’Grady (10.1016/j.mnl.2025.102479_bib1) 2020; 18
Laschinger (10.1016/j.mnl.2025.102479_bib15) 2003; 33
Porter-O’Grady (10.1016/j.mnl.2025.102479_bib9) 2019; 50
Guanci (10.1016/j.mnl.2025.102479_bib10) 2018
Porter-O’Grady (10.1016/j.mnl.2025.102479_bib2) 2021; 51
Laschinger (10.1016/j.mnl.2025.102479_bib11) 2001; 31
References_xml – year: 2017
  ident: bib8
  article-title: Quality improvement essentials toolkit
– volume: 23
  start-page: 6
  year: 2005
  end-page: 13
  ident: bib13
  article-title: Using empowerment to build trust and respect in the workplace: a strategy for addressing the nursing shortage
  publication-title: Nurs Econ
– volume: 15
  start-page: 403
  year: 2017
  end-page: 405
  ident: bib20
  article-title: Integration of nursing within the service line model
  publication-title: Nurse Leader
– volume: 33
  start-page: 410
  year: 2003
  end-page: 422
  ident: bib15
  article-title: Workplace empowerment and Magnet hospital characteristics: making the link
  publication-title: J Nurs Adm
– volume: 46
  start-page: 605
  year: 2016
  end-page: 612
  ident: bib12
  article-title: Nurse engagement in shared governance and patient and nurse outcomes
  publication-title: J Nurs Adm
– start-page: 55
  year: 2023
  end-page: 71
  ident: bib19
  article-title: Professional governance in a healthcare system and the role of the chief nurse executive
  publication-title: Professional Governance for Nursing: The Framework for Accountability, Engagement and Excellence
– volume: 50
  start-page: 104
  year: 2020
  end-page: 108
  ident: bib17
  article-title: Measuring council health to transform shared governance processes and practice
  publication-title: J Nurs Adm
– volume: 50
  start-page: 52
  year: 2020
  end-page: 58
  ident: bib3
  article-title: The impact of interprofessional shared governance and a caring professional practice model on staff's self-report of caring, workplace engagement, and workplace empowerment over time
  publication-title: J Nurs Adm
– volume: 47
  start-page: 35
  year: 1998
  end-page: 42
  ident: bib16
  article-title: Measuring nursing governance
  publication-title: Nurs Res
– volume: 50
  start-page: 36
  year: 2019
  end-page: 41
  ident: bib9
  article-title: Principles for sustaining shared/professional governance in nursing
  publication-title: Nurs Manage
– volume: 51
  start-page: 206
  year: 2021
  end-page: 211
  ident: bib2
  article-title: Transforming shared governance: toward professional governance for nursing
  publication-title: J Nurs Adm
– year: 2024
  ident: bib5
  article-title: Nurse and physician workplace engagement seeing signs of recovery—while key roles like managers still struggle
– volume: 74
  start-page: 1264
  year: 2018
  end-page: 1277
  ident: bib14
  article-title: Relationship between nurse psychological empowerment and job satisfaction: a systematic review and meta-analysis
  publication-title: J Adv Nurs
– volume: 52
  start-page: 273
  year: 2022
  end-page: 279
  ident: bib18
  article-title: The Verran professional governance scale: confirmatory and exploratory analysis
  publication-title: J Nurs Adm
– volume: 31
  start-page: 260
  year: 2001
  end-page: 272
  ident: bib11
  article-title: Impact of structural and psychological empowerment on job strain in nursing work settings
  publication-title: J Nurs Adm
– volume: 22
  start-page: 393
  year: 2024
  end-page: 398
  ident: bib7
  article-title: Improving professional governance in nursing: applying organizational gap analysis and strategy implementation in a medical intensive care unit council
  publication-title: Nurse Leader
– year: 2018
  ident: bib10
  article-title: Shared Governance that Works
– volume: 43
  start-page: 298
  year: 2020
  end-page: 302
  ident: bib4
  article-title: A balancing act: managing workload while improving nurse and patient satisfaction
  publication-title: Gastroenterol Nurs
– volume: 18
  start-page: 181
  year: 2020
  end-page: 189
  ident: bib1
  article-title: The structural framework for nursing professional governance
  publication-title: Nurse Leader
– year: 2021
  ident: bib6
  article-title: Nursing in 2021: Retaining the Healthcare Workforce when We Need it Most
– start-page: 55
  year: 2023
  ident: 10.1016/j.mnl.2025.102479_bib19
  article-title: Professional governance in a healthcare system and the role of the chief nurse executive
– volume: 47
  start-page: 35
  issue: 1
  year: 1998
  ident: 10.1016/j.mnl.2025.102479_bib16
  article-title: Measuring nursing governance
  publication-title: Nurs Res
  doi: 10.1097/00006199-199801000-00007
– volume: 23
  start-page: 6
  issue: 1
  year: 2005
  ident: 10.1016/j.mnl.2025.102479_bib13
  article-title: Using empowerment to build trust and respect in the workplace: a strategy for addressing the nursing shortage
  publication-title: Nurs Econ
– volume: 15
  start-page: 403
  issue: 6
  year: 2017
  ident: 10.1016/j.mnl.2025.102479_bib20
  article-title: Integration of nursing within the service line model
  publication-title: Nurse Leader
  doi: 10.1016/j.mnl.2017.09.008
– year: 2018
  ident: 10.1016/j.mnl.2025.102479_bib10
– year: 2021
  ident: 10.1016/j.mnl.2025.102479_bib6
– volume: 18
  start-page: 181
  issue: 2
  year: 2020
  ident: 10.1016/j.mnl.2025.102479_bib1
  article-title: The structural framework for nursing professional governance
  publication-title: Nurse Leader
  doi: 10.1016/j.mnl.2019.08.004
– volume: 51
  start-page: 206
  issue: 4
  year: 2021
  ident: 10.1016/j.mnl.2025.102479_bib2
  article-title: Transforming shared governance: toward professional governance for nursing
  publication-title: J Nurs Adm
  doi: 10.1097/NNA.0000000000000999
– volume: 46
  start-page: 605
  issue: 11
  year: 2016
  ident: 10.1016/j.mnl.2025.102479_bib12
  article-title: Nurse engagement in shared governance and patient and nurse outcomes
  publication-title: J Nurs Adm
  doi: 10.1097/NNA.0000000000000412
– volume: 22
  start-page: 393
  issue: 4
  year: 2024
  ident: 10.1016/j.mnl.2025.102479_bib7
  article-title: Improving professional governance in nursing: applying organizational gap analysis and strategy implementation in a medical intensive care unit council
  publication-title: Nurse Leader
  doi: 10.1016/j.mnl.2024.04.012
– volume: 33
  start-page: 410
  issue: 7-8
  year: 2003
  ident: 10.1016/j.mnl.2025.102479_bib15
  article-title: Workplace empowerment and Magnet hospital characteristics: making the link
  publication-title: J Nurs Adm
  doi: 10.1097/00005110-200307000-00011
– volume: 52
  start-page: 273
  issue: 5
  year: 2022
  ident: 10.1016/j.mnl.2025.102479_bib18
  article-title: The Verran professional governance scale: confirmatory and exploratory analysis
  publication-title: J Nurs Adm
  doi: 10.1097/NNA.0000000000001147
– volume: 50
  start-page: 36
  issue: 1
  year: 2019
  ident: 10.1016/j.mnl.2025.102479_bib9
  article-title: Principles for sustaining shared/professional governance in nursing
  publication-title: Nurs Manage
  doi: 10.1097/01.NUMA.0000550448.17375.28
– volume: 31
  start-page: 260
  issue: 5
  year: 2001
  ident: 10.1016/j.mnl.2025.102479_bib11
  article-title: Impact of structural and psychological empowerment on job strain in nursing work settings
  publication-title: J Nurs Adm
  doi: 10.1097/00005110-200105000-00006
– volume: 50
  start-page: 52
  issue: 1
  year: 2020
  ident: 10.1016/j.mnl.2025.102479_bib3
  article-title: The impact of interprofessional shared governance and a caring professional practice model on staff's self-report of caring, workplace engagement, and workplace empowerment over time
  publication-title: J Nurs Adm
  doi: 10.1097/NNA.0000000000000839
– volume: 74
  start-page: 1264
  issue: 6
  year: 2018
  ident: 10.1016/j.mnl.2025.102479_bib14
  article-title: Relationship between nurse psychological empowerment and job satisfaction: a systematic review and meta-analysis
  publication-title: J Adv Nurs
  doi: 10.1111/jan.13549
– volume: 50
  start-page: 104
  issue: 2
  year: 2020
  ident: 10.1016/j.mnl.2025.102479_bib17
  article-title: Measuring council health to transform shared governance processes and practice
  publication-title: J Nurs Adm
  doi: 10.1097/NNA.0000000000000849
– volume: 43
  start-page: 298
  issue: 4
  year: 2020
  ident: 10.1016/j.mnl.2025.102479_bib4
  article-title: A balancing act: managing workload while improving nurse and patient satisfaction
  publication-title: Gastroenterol Nurs
  doi: 10.1097/SGA.0000000000000446
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