Conceptualizing Nurse Professional Governance to Enhance Performance, Quality and Safety of Health Services

Suhaila Haron, Aini Suzana Ariffin


The need of nurses’ engagement in the governance of healthcare systems and organizations has been highlighted in order to improve patients’ experience, work environment, financial performance, as well as increase the qualityand safety of health services. There is a need to develop information to explore the current spectrum of nurses’professional governance, especially at the organizational level. This review aims to explore this concept, as well assurvey how nurses’ professional governance has been used to overcome health worker issues in previous studies. Data source of this study included Web of Science, Google Scholars, and Wiley online Library (40 articles). Fourdistinct themes of nurses’ professional governance strategies were identified from the selected articles, namely: shared governance, professional development, performance management, and clinical governance. A conceptualframework on the dynamic of nurses’ professional governance was proposed to conclude the review. This will helpstreamline the evaluation and investigation on the consequences and impact of these strategies towards delivery services and patient outcomes.


Concept analysis, nurse professional governance, shared governance, professional development, performance management, Clinical governance.

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