From shared to professional governance: Building a unified framework to advance nursing accountability, engagement, and outcomes

Authors

• Rachelle J. Lancaster, Advocate Health - MidwestFollow
• Sharon Quinlan, Advocate Health - MidwestFollow
• Cynthia Garza, Advocate Health - MidwestFollow
• Sandy Goldmann, Advocate Health - MidwestFollow
• Shawana Burnette, Advocate Health - MidwestFollow
• Rocio Sanchez, Advocate Health - MidwestFollow

Recommended Citation

Lancaster RJ, Quinlan S, Garza C, Goldmann S, Burnette S, Sanchez R. From Shared to Professional Governance: Building a Unified Framework to Advance Nursing Accountability, Engagement, and Outcomes. J Nurs Adm. 2026;56(8):433-438. doi:10.1097/NNA.0000000000001763

Abstract

Health systems are shifting from shared to professional governance models emphasizing accountability, engagement, and outcomes. After a multistate merger, fragmented governance structures required alignment and presented a transformational opportunity to move from shared to professional governance. Guided by the Prosci Change Management Model™, a 3-part initiative established shared principles, a Professional Governance Playbook, and the Governance Health Score™. Early adoption demonstrates engagement, resource use, and readiness for sustained, enterprise-wide measurement of governance effectiveness and accountability.

Document Type

Article

PubMed ID

42480086