Insights on Excellence: A Guide to the Commission on Magnet as It Considers the Future.

As the Commission on Magnet ® considers updates to the Magnet Recognition Program ® , a new lens is suggested to both conceptualize and structure the program for more relevant metrics of excellence going forward. By focusing on exemplars of excellence that demonstrate a more outward view and the foundational role of nurses in advancing the health of society, the construct of excellence becomes more impactful and reflective of the real value of nurses and their role in these endeavors.

Valuing Nursing Practice: Laying the Future Foundations for Nursing.

Nursing has always been a cost for the institutions within which nurses work. This fact has influenced almost everything that affects how nurses are utilized and valued. As a cost, nurses are closely managed on the margin, always constrained by the resource machinations of organizations and systems with little determination or enumeration of the contributions nurses make to the service and financial value represented by algorithms and metrics that enumerate and demonstrate nurse's impact and contribution to service and financial value.

Advancing Professional Governance to Improve Health Outcomes.

Developing the skills and behaviors needed for nurses to lead in professional governance has long been a priority at the American Organization for Nursing Leadership (AONL). The annual AONL Professional Governance Leadership Conference is an important part of advancing nursing professional governance, convening nurses in all roles to discuss professional governance concepts and leadership practices. AONL has produced publications and podcasts exploring the professional governance foundations, roles, and behaviors, available on its website.

Test-Retest Reliability of the Verran Professional Governance Scale.

Stability testing, conducted using a test-retest protocol, measures an instrument's reliability by evaluating the consistency of participant responses to survey questions with repeated testing within a short interval. No studies have measured the stability of the Verran Professional Governance Scale (VPGS). The purpose of this study was to evaluate the test-retest reliability of the VPGS.

Renewing the Nursing Culture: Sustaining the Professional Community of Practice Through the Role of the Preceptor.

Culture is the driving frame within which all human action takes form. This article explores the elements and characteristics of culture and applies them to the nursing professional community of practice. As it drills down to the work in the cultural context, it argues for the central role of the preceptor in evidencing the influence of culture.

A Road Map for the Development of a Decisional Authority Framework for Professional Governance Using Accountability Grids.

Although resources are available to guide structures and processes for professional governance, limited information exists about defining and legitimizing the decisional authority needed to support direct care nurses' ownership of clinical practice as well as the role of nursing leaders. This article presents a road map for creating and implementing clinical nurse, nurse leader, and nurse executive accountability grids with clearly delineated authority to provide a decisional authority framework for professional governance in one organization.

Abandoning Blue-Collar Management: Leading Nursing Professionals Into a New Age for Practice.

Leading professionals require a different set of skills from those used for most employee work groups. This article reviews the reasons why nursing professionals need different leadership capacity and what some of those changes might be.

The Verran Professional Governance Scale: Confirmatory and Exploratory Analysis.

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).

Professional Governance in a Time of Crisis.

The global COVID-19 health crisis has significantly altered the structures and processes of healthcare in innumerable unanticipated ways. No profession has been more impacted or challenged than nursing. In many settings, nursing professional governance has been abandoned or neglected.

Transforming Shared Governance: Toward Professional Governance for Nursing.

For more than 40 years, shared governance has supported structural empowerment and engaged nurses in their practice. Although progress has been made in advancing nursing ownership of practice through shared governance, mature nursing autonomy has yet to be achieved. It is time to evolve to professional governance, emphasizing accountability, professional obligation, collateral relationships, and decision making.

Complexity Leadership: Constructing 21st-Century Health Care.

In this 21st-century postdigital age, deeper and more relevant understandings of both structure and process are critical in laying the foundations for the success of human enterprises and systems for the foreseeable future. Leadership of these complex, networked initiatives and environments will require a fundamentally different understanding and tool sets essential to the well-designed, linked, and integrated undertaking of the human enterprise. This is no less true of the unfolding health care networks now becoming the substantive framework for the delivery of health care services in the foreseeable future.

Quantum Caring Leadership: Integrating Quantum Leadership With Caring Science.

The authors of this article integrate two historically parallel yet disparate fields of nursing, caring science theory and nursing quantum leadership science. Through a nursing, discipline-specific unitary paradigm lens, intersecting principles of caring science and quantum leadership science are uncovered. The result is a model for unitary, discipline-specific, nursing healthcare leadership: Quantum Caring Healthcare Leadership.