Clinical Experience with Standards in Nursing

This assignment explains two standards, clinical governance and partnering with consumer standard with personal experiences in mental-health ward, aged-care and surgical/medical ward.

Running head: NURSING
Clinical Experience with Standards
Name of the Student
Name of the University
Author’s Note

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Table of Contents
Introduction-...............................................................................................................................2
Clinical Governance with Experience-......................................................................................2
Partnering with Consumers Standard with experience-.............................................................3
Conclusion-................................................................................................................................5
Reference-..................................................................................................................................6

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Introduction-
According to Nursing and Midwifery Board of Australia (2019), a nurse must provide
effective care to the patients in professional and therapeutic manner. She must provide a
patient-based approach for minimizing the risks of the patients. Australian Commission on
Safety and Quality in Health Care (2017) published National Safety and Quality Health
Service Standards for providing comprehensive care of patients and reducing their harm. A
healthcare professional must follow the guidelines for better quality care. In this assignment
two standards, clinical governance and partnering with consumer standard are explained with
my personal experiences in mental-health ward, aged-care and surgical/medical ward.
Clinical Governance with Experience-
The NSQHS standard of clinical governance guides the nurses to provide leadership
in organisational and clinical aspects, provide a safe environment for health care delivery,
effectively undergo clinical practice for patient safety and abide by policies, procedures for
improvement of quality of patient care. While I was placed in a rehab facility, I was given the
responsibility of Philip, a schizophrenic patient, who showed symptoms of auditory
hallucinations, delusions, had suicidal tendency and was aggressive during various phases. As
a mental health care nurse, according to NSQHS standards, I provided a safe environment,
whenever he has having delusional episodes. I complied with him and kept him calm and
composed to prevent escalation of his anxiety level. Svettini et al., (2015) agreed that a very
important part of treating schizophrenic patients is communicating effectively by calming
them to supress their aggression and escalating anxiety. On another instance, I was in aged-
care facility, providing care to Edna, a 86year old widow, of Aboriginal origin who was being
released from hospital, as she was unable to bear her cost of treatment. I took the initiative of

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providing Medicare facility to Edna, and during the processing of the same, I urged the
higher authority of the hospital to continue her treatment pro bono. Hereby, I delegated safety
and quality care to the patient, according to the clinical leadership standard of NSQHS. I also
followed the governing body standard of providing comprehensive care to Aboriginal people.
Knoff (2016) stated that nurses are frontline workers in healthcare facility and their
significant implementation of ideas and initiatives for pro-bono surgeries have helped
patients consecutively. During my posting in the colorectal ward of surgery, I was given the
responsibility of Mike, a post-operative colorectal cancer patient, undergoing adjuvant
chemotherapy with fluorouracil. He was consuming medicines like bevacizumab (for the
cancer), and neurofen (to deal with pain). Often during his chemotherapeutic rounds, he used
to feel nauseous and had dehydration and loss of appetite. During that state, I used to insert
intravenous saline (NS) drip. Additionally, I contacted a dietician to improvise his diet chart,
so that he can be given a lot of fibre-containing food. Paterson and Callahan (2015) revealed
that normal saline can help maintaining fluid balance (sodium), and acid-base balance of the
body (chloride), thus rehydrating the individual. O’ Keefe (2016) revealed that dietary fibres
reacting with gut microbes can help in butyrogenesis, and butyrate have anti-neoplastic
property. Here, I presented the property of clinical efficiency, risk management and evidence-
based care according to NSQHS guidelines.
Partnering with Consumers Standard with experience-
The NSQHS standard published many guidelines under partnering with consumers
standard that included providing clinical governance and improvement protocols for
collaborating with consumers, communicating with patients to formulate informed decisions,
and imparting health education to the patients among others. When I was taking care of
Philip, being a schizophrenic patient, he became socially isolated as he felt everybody hated

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him. Whenever he was in lucid state, I used to communicate with him and convinced him to
mingle with other inmates of the rehab facility to encourage him to be socially associated.
Higuchi (2016) suggested that hospitalized schizophrenic patients undergo improvement
while communicating with other patients of diverse mental disorders and schizophrenia,
because of sharing their mutual concerns and burden. Thereby, I followed the NSQHS
standard of collaborating and communicating with patients, and became accessible to him for
better patient-based approach. While I was on duty of Edna, the elderly patient in aged-care, I
came to know about her addiction to tobacco-smoking, since she was 15 years old. She was
hospitalized with acute bronchitis, and heart failure. I took initiative to educate the patient
about the negative aspects of tobacco addiction and how it is affecting her present clinical
conditions. I encouraged her to take Nicotine Replacement therapy (NRT) for her
improvement of health status. Pelkonen, Laatikainen and Jousilahti (2019) informed that
incessant smoke inhalation causes repeated irritation and damages the tissues of lungs and air
tracts, and soluble gases are adsorbed in the surface, while particulate by-products deposit in
the tissues. NRT can help with the process of discontinuation of smoking. Here, I followed
the NSQHS standard of imparting health education for the best interest of the health
consumer. I made her aware about the importance of health and health-education, as per the
guidelines. In the colorectal unit of surgical ward, when I was on duty of Mike, he was
experiencing symptoms of faecal incontinence during his chemotherapy phase. He conveyed
that he felt self-conscious and ashamed due to this, as each time some other hospital staff had
to help him clean himself. So, I informed the doctor about the issue, and asked if colostomy
was on option to recover Mike from his guilt. The doctor performed the operation
temporarily, and Mike felt relieved. Faury et al., (2017) revealed that the quality of life
improved in colorectal cancer patients, after being intervened with colostomy. In this

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instance. I communicated with the health consumer, and considered his rights regarding his
treatment before intervening, and respected his views, according to NSQHS guidelines.
Conclusion-
In conclusion, the NSQHS published various guidelines for the quality care of the
patients and for their comprehensive development. I was on duty in a psychiatric ward, in an
aged-care facility and in colorectal unit of surgical ward. During various incidences, I
followed the guidelines of the NSQHS, while providing patient care. I efficiently followed
the clinical governance guidelines and the protocol of partnering with consumers standard.

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Reference-
Australian Commission on Safety and Quality in Health Care. (2017). National Safety and
Quality Health Service. Access Date: 6th August, 2019. [Online]. Retrieved from:
file:///D:/August/1046239/nsqhs.pdf
Faury, S., Koleck, M., Foucaud, J., M’Bailara, K., & Quintard, B. (2017). Patient education
interventions for colorectal cancer patients with stoma: A systematic review. Patient
education and counseling, 100(10), 1807-1819.
Higuchi, M. (2016). Discovery of place to belong in recovery process of persons with
schizophrenia: combination of grounded theory approach and qda software atlas.
ti. Osaka Human Sciences, 2, 21-42.
Knoff, C. R. (2019). A Call for Nurses to Embrace Their Innovative Spirit. OJIN: The Online
Journal of Issues in Nursing, 24(1).
Nursing and Midwifery Board of Australia. (2019). National Competency Standards for the
registered nurse. Access Date: 6th August, 2019. [Online]. Retrieved from:
file:///D:/PPT%20Materials/australia%20nurse.pdf
O'keefe, S. J. (2016). Diet, microorganisms and their metabolites, and colon cancer. Nature
reviews Gastroenterology & hepatology, 13(12), 691.
Paterson, M. L., & Callahan, C. W. (2015). The use of intraosseous fluid resuscitation in a
pediatric patient with Ebola virus disease. The Journal of emergency medicine, 49(6),
962-964.

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Pelkonen, M. K., Laatikainen, T. K., & Jousilahti, P. (2019). The relation of environmental
tobacco smoke (ETS) to chronic bronchitis and mortality over two
decades. Respiratory medicine.
Svettini, A., Johnson, B., Magro, C., Saunders, J., Jones, K., Silk, S., ... & Schreiner, A.
(2015). Schizophrenia through the carers' eyes: results of a European cross‐sectional
survey. Journal of psychiatric and mental health nursing, 22(7), 472-483.