
Shared governance is a structure and process to promote quality outcomes through engagement of frontline staff in decision-making. The CNS is uniquely skilled to support and coach shared governance leaders. Using the example of lesson's learned at an academic medical center that sustained shared governance work through a global pandemic, CNSs can identify strategies that can sustain the process through transitions in leadership, staffing crisis, and organizational and global change. More than just having meetings, the CNS promotes shared governance that has measurable evidence to support accreditation by implementing routine evaluation using the Index of Nursing Professional Governance.