HNN320 Lecture Notes - Lecture 1: Clinical Governance, Registered Nurse, Safety Culture
9 Jun 2018
School
Department
Course
Professor
HNN320 WEEK ONE: (elijah.marang[email protected])
• Define the term clinical governance.
- Governance meaning: steer; integrated approach to data driven quality
improvement and links admin and clinical staff in framework of
accountability.
- OR Clinical governance: set of relationships and responsibilities established by a
health service org between its executive, workforce and stakeholders to support
safe, quality care.
• Discuss the role of clinical governance in high quality and safe patient care delivery.
• Importance of governance and monitoring: licences, prof standards, increased
expectations government and institutional levels will regulate accountability.
- Profs be responsible controlling healthcare practices via oversights for high
quality care.
- Ability to share opinions, increase responsibilities, improve edu thus
improving care patients.
- Safety culture: integration of individual and group values, knowledge,
attitudes, perceptions, competencies and behaviours that determine a
commitment to an org health and safety strategy.
• Evaluate clinical governance frameworks and discuss the importance of standardised
approaches to patient care delivery.
• Discuss how clinical governance is implemented and operationalised within healthcare
organisations.
• Identify facilitators and barriers to the implementation and operationalisation of clinical
governance.
• Discuss the accountability of the registered nurse in relation to clinical governance.
• Nurse role: advocating patient behalf, governance of practice, policy and
procedures, monitor patient care, general hygiene.
- Cotiuousl itiall ealuate ae. Ae atios est fo the patiet?
- Offer potential solutions and feedback is responsibility of every nurse.
- More involved the more supportive.
- Use data based approaches to evaluate and monitor pt outcomes to
demonstrate contribution healthcare services.
- Embrace responsibility and implications of governance practice.
Cloud presentations.
Clinical governance and care:
• Governance, leadership and quality/safety linked; all patients receive equality care and this
requires clinical governance framework.
find more resources at oneclass.com
find more resources at oneclass.com
• Standards of quality and safe care Commission.
• Requires no falls, min infections, HH practices, no adverse events blood/medicines, no
pressure ulcers.
• Clinical governance framework is pt centred. Relevant to pt, client group, monitored, logical.
• Nurses understand quality and safety through leadership and quality and safety care is
implemented through governing bodies (is understood and ensure safest level of care is
given).
Problems healthcare without clinical governance:
• Neglect caused by irrelevant governance and frameworks, incompetent managers, untrained
staff (some degree), debt, busy wards.
• Unsanitary, busy ward, neglect staff, negative hand hygiene practices=infections and highest
death rates.
• NHS maintained culture of working with hospital rather than promoting and enforcing safety
care. Fear of bringing down hospital.
• High death rates, staff bullying/ostracising, cover ups, internal investigations led to freedom
to continue neglect.
• Lacked care, lacked observations, lacked empathy, incompetence, neglect, insulting
complainers, ignoring monitors and patient calls.
• Traumatised patients and carers, unhappy workplace, thousands of complaints, continuing
debt, decrease staff.
• All 10 NHS standards failed completely.
Clinical governance:
• Creating quality and safe nursing care and continuously improving quality and safe care
given.
• Understanding importance client participation and care plans.
• Apply standards, reporting and policies/procedures into care.
• Continue prof development ie research or seminars.
• Empower patients to experience best possible health outcomes by auditing, debriefing,
researching, education and training, risk management.
‘eadigs: Leadership ad ursig oteporary perspeties hapter ;
• Nurse role: advocating patient behalf, governance of practice, policy and procedures,
monitor patient care, general hygiene.
- Continuously critically evaluate care. Ae atios est fo the patiet?
- Offer potential solutions and feedback is responsibility of every nurse.
- More involved the more supportive.
- Use data based approaches to evaluate and monitor pt outcomes to demonstrate
contribution healthcare services.
- Embrace responsibility and implications of governance practice.
• Governance meaning: steer; integrated approach to data driven quality improvement
and links admin and clinical staff in framework of accountability.
- Accountability ensures responsibility for optimal pt outcomes.
- Needs systems, processes and structures to steer system, enable favourable
outcomes, ensure welfare employees/financial viability. Includes regulations, audits
and oversights for monitoring and vigilance care.
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Hnn320 week one: (elijah. marangu@deakin. edu. au: define the term clinical governance. Governance meaning: steer; integrated approach to data driven quality improvement and links admin and clinical staff in framework of accountability. Profs be responsible controlling healthcare practices via oversights for high quality care. Co(cid:374)ti(cid:374)uousl(cid:455) (cid:272)(cid:396)iti(cid:272)all(cid:455) e(cid:448)aluate (cid:272)a(cid:396)e. (cid:858)a(cid:396)e (cid:373)(cid:455) a(cid:272)tio(cid:374)s (cid:271)est fo(cid:396) the patie(cid:374)t? (cid:859) Embrace responsibility and implications of governance practice. Relevant to pt, client group, monitored, logical: nurses understand quality and safety through leadership and quality and safety care is implemented through governing bodies (is understood and ensure safest level of care is given). Fear of bringing down hospital: high death rates, staff bullying/ostracising, cover ups, internal investigations led to freedom to continue neglect. Lacked care, lacked observations, lacked empathy, incompetence, neglect, insulting complainers, ignoring monitors and patient calls: traumatised patients and carers, unhappy workplace, thousands of complaints, continuing debt, decrease staff, all 10 nhs standards failed completely.
