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  1. Clavelle, Joanne T. DNP, RN, NEA-BC, FACHE
  2. Porter O'Grady, Tim DM, EdD, APRN, NEA-BC, FAAN
  3. Weston, Marla J. PhD, RN, FAAN
  4. Verran, Joyce A. PhD, RN, FAAN


OBJECTIVE: 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.


BACKGROUND: 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.


METHODS: A comprehensive, deductive literature review and concept clarification of structural empowerment, shared governance, and related constructs was completed.


RESULTS: 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.