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The article discusses the results of a study on the decision-making process of nurse managers. The strategies employed to conduct a comprehensive literature search include using such headings as nursing and supervisory to search the database PubMed. An alert generated by direct observation or a verbal or written report marked the beginning of majority of decision procedures. The emergence of education as the most frequently reported action selected is said to connote a bias toward remedial training. Also cited are the limitations of the study such as the small size of the sample and reliance of the interviews on self-report.

This article describes psychometric testing and refinement of the Verran Professional Governance Scale (VPGS), which measures behaviors associated with professional governance. Phase 1 reduced the items on the scale based on floor and ceiling effects and redundancy of items. Phase 2 examined structural construct validity using exploratory (EFA) and confirmatory factor analysis (CFA). The final 22-item instrument demonstrates satisfactory internal consistencies and fit indices and significant positive correlation between the VPGS, job satisfaction, and control over nursing practice. [ABSTRACT FROM AUTHOR]

OBJECTIVE: The aim of this study is to describe the maturation of the concept of shared governance to professional governance as a framework for structural empowerment. BACKGROUND: An analysis of the literature and concept clarification of structural empowerment and shared governance demonstrate that the concept and attributes of shared governance have evolved toward professional governance. METHODS: A comprehensive, deductive literature review and concept clarification of structural empowerment, shared governance, and related constructs was completed. RESULTS: The concept and practice of shared governance has matured to a concept of professional governance with the attributes of accountability, professional obligation, collateral relationships, and effective decision-making. [ABSTRACT FROM AUTHOR]