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  1. Upenieks, Valda MPH, RN


The concept of nursing practice models-shared governance-has attracted the attention of nursing administrators in the last decade in response to maintaining nursing job satisfaction, quality care, and fiscal viability. This article contains a critique of existing research that tests the effects of nursing practice models on nursing outcomes, predominantly job contentment and autonomy. The results of the studies reviewed indicate that implementation of nursing practice models enhances job satisfaction, increases personal power and accountability, and improves climatic change. In addition, implementation of nursing practice models is highly dependent on manager skill in leading and maintaining the change process.