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  1. Fujita, Liane Y. MS, APRN, CCRN
  2. Harris, Madeline (Mimi) MS, RN, NEA-BC
  3. Johnson, Katherine G. MS, RN, CCRN, CNRN
  4. Irvine, Nona P. MS, RN, NEA-BC
  5. Latimer, Renee W. MSN, MPH, APRN-BC


A nursing peer review (NPR) model in a shared governance environment enhances professional accountability, contributing to the delivery of quality patient care. The authors describe changes made to an NPR model, the outcomes achieved, the impact on nursing practice, lessons learned, and why they recommend the investment of time, money, and resources into incorporating an NPR model into a shared governance structure.