Which description best characterizes shared governance in nursing practice?

• A. A top-down management approach
• B. A collaborative model where nurses participate in policy and practice decisions
• C. A model where only physicians set policies
• D. A model focused solely on cost containment

Answer: (B)

Shared governance centers on collaborative decision-making and professional autonomy within nursing practice. It gives nurses at all levels a voice in shaping policies, standards of practice, and day-to-day decisions that affect patient care, safety, and the work environment. Structures like clinical practice councils and committees connect frontline nurses with leadership to ensure decisions are informed by bedside experience and evidence, while maintaining accountability and alignment with organizational goals. This approach fosters empowerment, professional growth, and better outcomes because care decisions reflect nurses’ expertise and patient needs.

This description fits best because it emphasizes nurses’ active participation in policy and practice decisions, rather than centralized control, physician-only policymaking, or a sole focus on cost containment.