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.