LAUSR

AIM To investigate relationships among structural empowerment, professional governance, autonomy, and job satisfaction in Korean nurses and provide a more in-depth explanation of the nature of professional governance as a process. BACKGROUND Professional governance in nursing is a key component in the Magnet Recognition Program. However, little is known about professional governance in Korean nursing. METHODS A sequential explanatory mixed method study with Korean nurses (n = 208). RESULTS The quantitative findings showed that decision-making among Korean nurses fell on a continuum of professional governance directed by managers. The mediating effects of professional governance on the relationships between structural empowerment and autonomy and between structural empowerment and job satisfaction were significant. The qualitative findings described inhibitors and facilitators of professional governance. CONCLUSION The findings of this study highlight the significance of professional governance in providing nurses with more control over nursing practice and patient care and in encouraging nurses' involvement in organizational decision-making. IMPLICATIONS FOR NURSING MANAGEMENT Healthcare organizations should establish internal policies that give nurses the power to voice their opinions in patient care, encourage unit managers to create a positive nursing work environment through support and recognition, and have nurses set council activity goals based on their needs. This article is protected by copyright. All rights reserved.