Shared Governance and Expert Practice: A Nursing Perspective
Nursing has always carried a dual responsibility. At the bedside, nurses make constant clinical judgments in real time. At the organizational level, they live with the consequences of policies, workflows, paperwork needs, communication failures, and practice standards that form what care looks like hour by hour. When those 2 truths are detached, aggravation grows rapidly. Nurses are held accountable for care, yet might have little impact over the decisions that specify how