Nurse’s leadership and participation in hospital governance: scoping review

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Context: The structures of hospital governance are demanding and challenging and require an investment by the organization, its leaders, and the team of health professionals, in the case of nurses, in order to obtain care provided with quality and safety of the client. Aim: Map available evidence on the impact of leadership and participation of nurses in hospital governance regarding the quality and safety of care provided. Methods: Scoping review with research of studies in databases dated between January 2014 and July 2020, aiming the most recent possible evidence to answer the investigation question. The sample corpus consisted of 10 articles that met methodological conditions. Results: The evidence suggests a significant relationship between shared governance and involvement at work, indicating that the more nurses participate in shared governance, the greater their involvement in work, with positive results in the care provided and in customer safety. The participation of nurses in hospital governance requires transformational, proactive leaders who strive to transform the environment and organizational culture through innovation. Conclusion: Nurses in the hospital context should be governed by a more autonomous nursing practice model, with active participation in governance and based on collective and shared negotiation, and these conditions are sine qua non to obtain quality care and ensure the safety of the client.
Translated title of the contribution Liderança e participação dos enfermeiros na governança hospitalar: scoping review
Original languageEnglish
Pages (from-to)91-111
Number of pages21
JournalGestão e Desenvolvimento
Issue number30
Publication statusPublished - 23 Mar 2022


  • Leadership
  • Governance
  • Nurse
  • Hospital
  • Security
  • Care


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