Professional Governance is the structural foundation that empowers nurses to translate strategic intent into meaningful action at the point of care. Rooted in shared decision-making, it establishes clear pathways for nurses to have legitimate authority over their practice, including decisions related to clinical quality, professional competence, and knowledge advancement.

Through this model, nurses are not passive recipients of directives – they are active agents in shaping their work environment, influencing resource allocation, and leading quality and safety initiatives.

Professional Governance aligns directly with organizational priorities by ensuring that governance structures focus on strategically important work, use clear metrics to evaluate effectiveness, and foster innovation that supports long-term goals. It also builds a strong culture of accountability, autonomy, and professional identity, where every nurse is engaged in continuous learning and improvement. When fully realized, Professional Governance creates the conditions for transformational change – driving excellence in nursing practice and strengthening the entire health system.