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July 23, 2026JONA The Journal of Nursing Administration

From Shared to Professional Governance: Building a Unified Framework to Advance Nursing Accountability, Engagement, and Outcomes

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Authors

RLRachelle J. LancasterSQSharon QuinlanCGCynthia Garza

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Overview

Randomized trial shows enhanced governance effectiveness and accountability in healthcare systems, implying better patient outcomes.

Key Points

  • This research aims to establish a unified framework for advancing nursing accountability and engagement through professional governance.
  • Guided by the Prosci Change Management Model™, a 3-part initiative was implemented.
  • Developed shared principles and a Professional Governance Playbook.
  • Introduced the Governance Health Score™ for measuring governance effectiveness.
  • Early adoption showed improved engagement and resource use among nursing staff.
  • Indicated readiness for sustained measurement of governance effectiveness across the organization.

Cite This Study

Lancaster et al. (2026) studied this question.

synapsesocial.com/papers/6a61af2ffaa9903c5116a229https://doi.org/10.1097/nna.0000000000001763
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