Certified Nurse Manager and Leader (CNML) Practice Test

What is shared governance in the context of nursing?

1. A management-only decision-making process

2. A system where nurses have input and accountability

3. A hierarchical organizational structure

4. A non-participatory management strategy

The correct answer is: A system where nurses have input and accountability

Shared governance in nursing refers to a collaborative decision-making process that empowers nurses to have a voice in the management of their practice. This approach allows nursing professionals to participate in decisions that affect their work environment, patient care, and overall organizational policies. It promotes accountability and encourages nurses to engage actively in leadership roles, fostering a sense of ownership and pride in their contributions to patient care. This participatory model is significant as it cultivates an inclusive atmosphere where nursing staff can share their insights and expertise, which ultimately leads to improved care outcomes and staff satisfaction. By incorporating the perspectives of nurses at all levels, shared governance aligns the goals of the organization with the values and needs of nursing teams, creating a more cohesive and motivated workforce. Other options describe approaches that lack the collaborative and inclusive nature that shared governance embodies, focusing instead on top-down management methods or structures that do not facilitate nurse involvement in decision-making.