Governance in hygiene and cleaning has shown to be a trend nowadays in hospital organizations. This is a reflective study that aimed at discussing and theoretically thinking over the implementation of governance services in hospital hygiene and cleaning, identifying possibilities, limitations and challenges posed to the current managerial work of nurses. The services implementation has huge potentials like quick cleaning of units, scaling the replacement of staff in public institutions by outsourcing workers, and appropriateness of the design which are aspects that impact on the safety of users. Limitations concern the human resources capacity-building and proper work in the hospital setting. This service makes room for the managerial work of nurses that are faced with the challenge of adapting the managerial tools used to forecast and provide human and material resources, planning, decision making, supervision and continued education on the specificity of the hospital hygiene and cleaning service.