Elements of Effective Professional Governance: An Integrative Review.

OBJECTIVE

This review synthesizes literature on elements of professional governance structures that support effective nurse-led decision-making and sustained engagement.

BACKGROUND

Professional governance has been demonstrated to enhance nursing engagement and improve patient outcomes. However, it remains unclear which elements of governance structures are most effective in a complex post-COVID-19 healthcare environment.

METHODS

A systematic search and critical appraisal were conducted to identify relevant literature. Data were extracted and analyzed to identify key themes.

RESULTS

Eight articles met the inclusion criteria. Thematic analysis revealed 4 key elements influencing nurse-led decision-making and engagement: council structure, leadership engagement, clinical nurse accessibility, and education and training. Several barriers to engagement were also noted.

CONCLUSIONS

Effective professional governance structures are crucial for fostering nurse-led decision-making and engagement. Future research should focus on empirical evaluations of professional governance structures and protocols to guide best practices in a rapidly changing healthcare landscape.