For this assessment, I will be reflecting on what clinical governance looks like in my workplace, with a critique of the framework used within the organization. During the reflection I will discuss what pillars and principles were found, while describing my fellow team members’ understanding of clinical governance and how it is reflected in their practice.
Finding the clinical governance framework for my workplace was challenging and time consuming without computer access in place of hard copy policy and procedure manuals. I found clinical governance summerised through the manuals, ensuring compliance of the 44 accreditation standards (Australian Aged Care Quality Agency, 2014) but as Knight, Kenny and Endacott (2015) discuss, while the concept is accepted, there is a gap between theory and practice, which is visual where I work. Pillars and principles such as risk management, efficiency, effectiveness, patient centric and equity are seen throughout the policies, and to analyse more specifically, clinical governance is articulated under categories, consisting of “education and training, clinical audit, clinical effectiveness, research and development and role clarity” (Davies, Chapman & Boyd, 2015 p.45).
Registered nurses conduct audits and subordinates are unaware what is required in this. Results from audits require 100% compliance and if this is not met the manager will rectify what is missing or failed to ensure it passes. Audit results adhere to company policy and
6. NSW Health. Incident management policy. Clinical Excellence Commission.
The NHS Constitution established the principles and values that are fundamental to service users on how appropriate clinical decisions are made for the delivery of quality care (Department of Health 2010). It provides explicit information for patients to understand their care, what to expect, and feel more empowered involving in their own care (DH 2010). The NHS constitution explains the behaviour expected from stakeholders such as staff, patients and the public (DH 2010). This prevent the government from making alteration and give the NHS complete autonomy and protection against political change without the full involvement of stakeholders to achieve transparency in the delivery of care (DH 2010).
Supervision provides nurses with the opportunity to be able to reflect and review their own actions or inaction (self-awareness) within the clinical practice (Bush 2005; Care Quality Commission (2013). However, lack of supervision or poor supervision has detrimental effects (such as mistakes, injuries, incidents and death) which may impact on patient care. Significant failures in care in the early 1990s brought about the start of clinical supervision and two examples of such cases include the Bristol heart surgery tragedy and cervical screening mistakes at Kent and Canterbury hospital (Cottrell and Smith,
This essay is going to reflect on my own management and leadership style in delivering patient care. It will discuss the effectiveness of the other leadership and management style within the multi-disciplinary team and its impact on delivering patient care. I will use as an example, my previous experience back home as a nurse and compare it to my current experience in the United Kingdom (UK). This will show my strength and weakness as well as my new learning skills, which have changed my practice. I will be using Driscoll model of reflection (2007) to guide my thought and refine my ideas.
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions.
In this essay, two current legislations: Equality act 2010 and Health and Safety at Work Act 1974, and their impact on health care provision are discussed. Values, skills, attitudes, importance of knowledge, ethics of professionalism and many other requirements are necessary for healthcare professionals. Two of these necessary requirements are discussed and their merits are presented. Reflective practice and how important it is for health care professionals is also outlined.
A. Describe the roles of nurses in critiquing studies to determine the research evidence that is ready for use in practice. Nurses are usually the healthcare workers that are most intimately involved in the daily care of patients. The nursing practice is always evolving and changing, and nurses rely on research to give them new ways to improve their care. Therefore, nurses critique studies to determine when it is ready to be implemented pragmatically. They will critique the study and results to determine if more questions need to be answered, if the research is thorough and unbiased, and if the data is complete.
The belief that the management or relevant authorities will not take necessary action to prevent further harm is one of the main reason why nurses do not report wrongdoings (Lewis, 2007). Nurses chose not to report wrongdoings of fellow colleagues due to reasons such as friendship, fear of being labelled as snitches and whistleblowers and concerned about retribution for reporting such as having their work performances criticised (Dunn, 2005). Nurses also fear of retaliation and stigmatism associated with “troublemaker” when reporting misconduct (Burman & Dunphy,
Operational clinical management has been connected to an extensive variety of roles. It is a prerequisite of clinic care, as well as organization performance, accomplishment of health transformation intentions, well-timed care distribution, organization reliability and competence, and is an essential element of the health care structure (Graling, 2008). The significance of operational medical management in guaranteeing an extraordinary quality health care structure that dependably delivers safe and effective care and has been repeated in the educated writings and a number of administration reports (Popescu, 2013). Many analyses, directives, and information have encouraged clinician commitment and medical management dire to successful value and safety. As one Australian sample, a major importance of nursing recommendation of the Garling Report was that Nurse Unit Manager (NUM) positions be studied and considerably remodeled “to enable the NUM to undertake clinical leadership in the supervision of patients […] to guarantee that for at least 70% of the NUM’s time is applied to clinical duties.”
The Australian Commission on Safety and Quality in Health Care was developed in order to improve such services in Australia. Australia’s healthcare system is still developing. Each year, there are new appearing organizations, volunteering programs and campaigns, and private providers. The outcomes expected are gradually realized, and implemented in real life. Nothing could have been done without the help of professionals on the highest level.
One mistake can be caught on camera by those who are distrustful of nurses. Overall, Fowler article was extremely unsuccessful at pusadering her audience to take action and become a part of policy making in healthcare because of her structural errors and usage of irrelevant sources in a failed attempt to build credibility with her audience. Fowler’s structural weaknesses in her organization and thesis statement was not persuasive, thus leaving her readers confused. Fowler first begins her article with background information about her topic, stating the history of Nursing. She outlines extensive details about the founding of the code of ethics for three paragraphs, which was not necessary for her argument.
Currently I work in a clinic setting as a nursing supervisor. Our team consists of doctors, nurse practitioners, registered nurses (RN), licensed practical nurses, a community health worker, and many support staff. Our structure and processes in which we take care of our patients involves an interprofessional collaboration practice model. The American Nurses Association (2016) defines interprofessional collaboration as: “Integrated enactment of knowledge, skills, and values and attitudes that define working together across the professions, with other health care workers, and with patients, along with families and communities, as appropriate to improve health outcomes”. In the clinic setting we are consistently working together to promote patient
They are also responsible for providing advice on human rights case law and handling equal pay claims and produce tools and make other information available to help service providers manage their risks. Scally and Donaldson, 1998, described Clinical Governance as ‘a framework through which NHS organisations are accountable for continuously approving the quality of their services and
He or she needs to learn to take control of issues and handle them as a good leader should instead to reporting all issues to the leader in charge. He or she assist the employees and protect them from being molested by both internal and external forces. They help to prevent unnecessary retrenchment of staff but rather redistribute them to other departments where their services are more useful. The nurse manager helps to motivate the workers by rewarding them financially and non-financially. He also inspire the nurses to provide a better patients care and become more productive and satisfied in their
Magnet Model© and Forces of Magnetism© The American Nurses Credentialing Center (ANCC) goal is to promote nursing excellence through a credentialing and recognition program, known as the Magnet Recognition Program®. Magnet recognition is considered the gold standard in nursing excellence. According to Swihart and Porter-O’Grady (2006), some consider it “the Nobel Prize of nursing excellence in professional practice environments” The Magnet program standards align with shared governance in that its standards require structural processes to be in place that allow nursing autonomy and decision making power in an organization.