title: Factors associated with success and breakdown of shared governance.
abstract: Shared governance (SG), a process for empowering nurses in practice settings, has been widely used for decades. However, despite enthusiasm for the concept, the process is not always successful or falters after successful initiation. To assist nursing leaders trying to implement or maintain SG processes, the author summarizes literature on both human and structural factors that contribute to the success or breakdown of SG practice models. Barriers to implementation and strategies to support implementation, as well as enculturation of SG, are discussed.
authors.affiliation: Center for Nursing Excellence, WellStar Health System, Marietta, Georgia, USA. nancy.ballard@wellstar.org
authors.forename: Nancy
authors.initials: N
authors.lastname: Ballard
mesh_terms: D003657:Decision Making; D006284:Health Plan Implementation; D006801:Humans; D007400:Interprofessional Relations; D017146:Models, Organizational; D009746:Nursing, Team / Q000458:organization & administration*; D015279:Organizational Culture; D010557:Personnel Administration, Hospital / Q000379:methods*; D012944:Social Support