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  1. Dunbar, Berthenya MSN, ARNP, BC
  2. Park, Bonnie RN, BSN, CPAN
  3. Berger-Wesley, Mary RN, MSN
  4. Cameron, Terri RN, BSN
  5. Lorenz, Barbara T. ARNP, BC
  6. Mayes, Diane MSN, RN, CCRN
  7. Ashby, Rosemary MSN, ARNP-C


The shared governance literature contains numerous examples of how to design and implement nursing shared governance models. However, there is a major gap between design/implementation and a change in culture. A change in nursing culture will support viability of this governance model. The authors detail the steps taken by a shared governance transition team to help a large nursing organization make changes in governance process and perception as well as to incorporate a maintenance plan.