Clinical Governance In Improving Delivery -Myassignmenthelp.Com

Question: Discuss About The Clinical Governance In Improving Delivery? Answer: Introduction The importance of engaging consumers in the delivery process of healthcare services has repeatedly been pointed out across the literature. Healthcare consumers are directly linked with the way in which services are provided in care settings and the quality of the same, making them stakeholders in this process (Cherry Jacob, 2016). According to the researchers, the process of involving consumers in the process of care delivery is highly complex, and need strategic interventions to enable consumers to participate in the service delivery process. Liu et al., (2015) highlighted two effective strategies through which one can ensure consumer participation in healthcare service. The first strategy is a crucial one and entails individualized care delivery system. The rationale behind engaging patients on an individual basis lies in the principle that comprehensive care is the aim of all services. It is, however, to be remembered that the social background and cultural preferences of the cli ent are to be taken into consideration while interacting with him so that the process is safe for him. The second strategy would be to involve the consumers in resource planning and allocation within the respective care setting. This relates to receiving feedback from them in context of their satisfaction level respective of resource allocation. The most fundamental element would be human resource allocation as this acts as the supporting framework for any care service. Role of nurse in increased consumer participation At present, my contribution to the healthcare system is as a registered nurse, and I strongly believe that patient engagement in clinical decision making is of prime importance. While working at the geriatric ward of a reputed healthcare setting I had to once deliver care to a 75-year-old patient of African origin who was suffering from diabetes mellitus and had been admitted to the unit for undergoing hip fracture surgery. My subject knowledge helped me in acknowledging that individuals from the Hispanic origin have a strong belief in their culture, and respect their traditions and customs. Such group of the population has a preference for traditional healing systems and minimally supports pharmacological treatment options. I, therefore, thought it desirable to engage the patient in his care plan and assess his preferences in relation to lifestyle modification strategies for health development. I successively outlined the care plan on the basis of the input provided and laid out the discharge plan accordingly. I was content to witness the patient have a speedy recovery. As stated by Mohammed et al., (2016) patient engagement in care planning leads to better patient outcomes. National Safety and Quality Health Service Standard The National Safety and Quality Health Service (NSQHS) Standards has been a prominent guide to optimal quality healthcare services which was outlined by the Australian Commission on Safety and Quality in Health Care (ACSQHC). These ten standards have the aim of ensuring that healthcare consumers are provided with safe and secured services and that they are protected from potential harm while receiving care. The NSQHS standard 3 is based on Preventing and Controlling Healthcare Associated Infections. The mentioned standard focuses on the systems and approaches must be followed by healthcare professionals for reducing the risks of infections suffered by the patient (safety and quality.go.au, 2012). Non-adherence to the set of the guideline and best practices would be drastic for the patients since healthcare associated infections have been long linked with increased rates of modality as well as mortality. Healthcare associated infections (HAIs) are the distinct infections suffered by p atients while receiving care in a healthcare organization (Nez-Nez et al., 2017). HAIs are of the major healthcare concerns across the globe at the contemporary era. Chen et al., (2017) supported this by stating that HAIs contribute to increased healthcare costs and burden on care giver apart from poorer outcomes for patients. Resource allocation is challenging under such scenario as an increased number of hospital bed days are found to be consumed. The ultimate consequence is the poor quality of patients lives. Strategies to improve patient outcomes for the standard As a registered nurse I have always understood my accountability in adhering to best practices for preventing HAIs. The key strategy, as per my nursing knowledge, to ensure infection prevention is adherence to adequate hand hygiene techniques. As pinpointed by Jones et al., (2017) transmission of infectious pathogenic organisms is promoted by hands, acting as a suitable vehicle. It is, therefore, logical to exhibit good hand hygiene practices while working in a healthcare unit. Throughout my practice, I have ensured that I adequately wash my hands on a regular basis with suitable disinfectant prior to and after handling a patient. Evidence points out that alcohol-based hand rubs are mostly effective in a care setting (Sunkesula et al., 2017), and I have taken initiative to ensure the provision for the same is present. To add more relevance to practices for prevention of HAIs, I ensure to wear personal protective equipment while working in the care setting. According to Kang et al., ( 2017) personal protective equipment such as gloves, apron and masks are effective in eliminating the transfer of microorganisms between individuals in care settings. Transfer of body fluids is minimized when prudent measures are taken, and sterile environment is maintained. Leadership and management for nursing role Healthcare leadership has drawn the considerable attention of healthcare advocates in the recent few years against the evolving demands of healthcare sector (). Leadership in nursing context has been defined as the management style in which critical thinking and advocacy ensures optimal quality care delivery. Leadership roles played by nurses have a direct impact on the healthcare system as a whole. Two distinct leadership roles registered nurses are to demonstrate in due course of their practice are to be discussed in here. As suggested by Weiss and Tappen (2014) nurses are to play a proactive role in motivating the team within which the professional is working. This relates to mentoring of the team using appropriate strategies. A nurse leader must understand that different people can be motivated ideally in a different manner, and consequently find strategies to empower and motivate them. Leaders, playing the role of mentors, must be giving other the opportunity to engage in the pr ocess of critical decision making. Gopee and Galloway (2017) commented that nurses are required to demonstrate leadership ability by collaborating with colleagues under diverse situations. It is significant for nurses to establish effective and healthy relationships to bridge the gap in communication. Professionals face challenges in communicating with other healthcare providers in a timely and efficient manner. Leadership can solve this concern and enable a nurse to work in collaboration with other professionals such as therapists, physicians and fellow nurses. Personal development of leadership skill Reflecting on the results of Leadership Skills Inventory the leadership skill I would like to develop is conceptual skills. Conceptual skills allow a leader to visualize the entire organization and the responsibilities to be fulfilled with relationships between abstract concepts and ideas that are innovative. Recognizing the relationships and understanding the noteworthy components in any situation, a leader can act in a way, which advances the over-all welfare of the total organization. With developed conceptual skills, one is able to solve problems and formulate processes in a suitable manner. For this, one needs to understand the relationship between concepts, symbols, patters and ideas. In this regard, it is to be stated that conceptual skills need conceptual thinking, including critical thinking, innovative thinking, implementation thinking and intuitive thinking (Northhouse, 2018). For developing my conceptual skills, I would need to look at the scenario as a whole instead of considering parts of it. This would involve critical thinking about a particular subject and analysis of the potential outcome. Some of the methods by which I would develop my conceptual skills are observation, identification of problems as case studies, attending seminars, reading about different case studies, discussing ideas with colleagues and volunteering for cross-functional assignments. These are crucial ways of developing ideas and getting feedback on them from other professionals (Weiss Tappen, 2014). Organizational culture for learning and professional development A healthcare system is made up of individuals and systems that interact with each other to restore and maintain health. Health care organizations are a crucial element of a healthcare system, and nurses working in diverse practice settings hold the responsibility of engaging in a learning culture that differentiates the settings from others. A learning organizational culture has been described differently by different scholars. Some argue it to be the cumulative result of learning in teams and the collective knowledge gathering occurring in the setting. Such learning culture has also been linked with an increase in organizational efficiency and effectiveness through mutual understanding and shared knowledge. The overall impact is therefore on the performance of the organization on a regular basis (Gagnon et al., 2015). Tsai (2014) in this regard gave the viewpoint that learning culture is to be considered as a system-level phenomenon forming a characteristic of the organization irres pective of the changes faced by professionals who are a part of it. Organizational learning is altered context-specific learning by team members to translating knowledge into practice and successfully evaluating those for creating shared knowledge amongst themselves. Individual and team learning has been reported to complement organizational learning (Ammouri et al., 2015). Contribution of nurse to a learning culture A registered nurse can play a primate role in enabling a leaning culture in the organization he is working in so that the same can address the evolving needs of healthcare. By promoting a learning culture, a nurse can understand the dynamic systems of healthcare and improve patient care (Masters, 2015). In this context, I would bring into focus two strategies through which I have the potential to lead to a learning culture in my workplace. The first and most important method would be to engage in reflective practice. As stated by Howatson-Jones (2016) reflective practice enables a nurse to critically reflect on own practice and analyze own experiences in the context of present situations. Logical implications are to be drawn through reflections that give the opportunity to act in a different manner in future. Reflective practice is the artistic process that would enable me to engage in thinking about a certain activity that allows the professional to challenge assumptions about prese nt practices. The second strategy to contribute to a learning culture is to promote continuous research directed towards knowledge enhancement. As opined by Maters (2015) nursing research helps in learning advancements in the nursing domain, and I would, therefore, be better placed to deliver better quality care. Translation of nursing research into practice, in the form of evidence-based practice, would be crucial in this regard. Professional practice as a registered nurse Role conflict in nursing domain refers to the conflicting situation when demands exceed the practice activities involving a professional fulfilling more than one role. Role conflict has been pointed out to be the situation where a nurse has to play two dissimilar roles that are not companionable with each other. Multiple roles usually include care provider, resource manager and educator, and role changing between these lead to role conflict. Such role conflicts are common in settings where there is much demand for care services against huge consumer population (Kearney-Nunnery, 2015). Schmidt et al., (2014) argued that role conflict in nursing has multiple organizational and personal effects, the latter being of much importance. Under situations when a nurse experiences role conflict, it is inevitable that the professional would suffer frustration, tension, dissatisfaction and showcase tendency to withdraw from the collaborative team. The levels of occupational stress and emotional e xhaustion experienced by nurses are noteworthy. This leads to poor productivity performance as compared than the expected limits without role conflict (Almost et al., 2016). Role conflict is primarily of qualitative nature. Different nurses tend to react differently to role conflict. This implies that role conflicts have a dissimilar impact on each individual. Self-care strategies for nurses Nurses are prone to suffer stress and burnout due to role conflicts, and they must address to issue to ensure safe and satisfactory practice. Self-care strategies are beneficial in reducing emotional and physical burnout imposed by role conflict. Such strategies ensure that a peaceful and relaxing environment is created that helps in restoration of lost energy and zeal (Masters, 2015). Two self-care strategies for nurses are participation in relaxation exercises and taking breaks between shifts. These techniques have been proved to be powerful to reduce stress and augment nurses overall being wellbeing. Further, these methods act as a guiding vehicle for physical healing. Self-hypnosis, guided imagery, and progressive relaxation in combination with deep breathing have been commonly practised by nurses as beneficial relaxation techniques. The aim of taking breaks between shifts all these techniques is to enhance the relaxation response of the body that enables a feeling of well-being. A nurse can engage in multiple recreational activities during such breaks that can divert the mind from occupational stress on a temporary basis which is praiseworthy. It is to be highlighted that nurses are to be encouraged by the respective care organizations to adhere to such practices for supporting optimal care delivery (Cherry Jacob, 2016). References Almost, J., Wolff, A. C., Stewart?Pyne, A., McCormick, L. G., Strachan, D., D'souza, C. (2016). Managing and mitigating conflict in healthcare teams: an integrative review.Journal of advanced nursing,72(7), 1490-1505.DOI: 10.1111/jan.12903 Ammouri, A. A., Tailakh, A. K., Muliira, J. K., Geethakrishnan, R., Al Kindi, S. N. (2015). Patient safety culture among nurses.International nursing review,62(1), 102-110. DOI: 10.1111/inr.12159 Chen, Y., Zhao, J. Y., Shan, X., Han, X. L., Tian, S. G., Chen, F. Y., ...Luo, A. (2017). A point-prevalence survey of healthcare-associated infection in fifty-two Chinese hospitals.Journal of Hospital Infection,95(1), 105-111. DOI: https://doi.org/10.1016/j.jhin.2016.08.010 Cherry, B., Jacob, S. R. (2016).Contemporary nursing: Issues, trends, management. Elsevier Health Sciences. 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