Clinical Governance - Introduction
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Added on 2021-06-16
Clinical Governance - Introduction
Added on 2021-06-16
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Clinical Governance 1 THE IMPORTANCE OF CLINICAL GOVERNANCE by Course title Professor Institution and State Date
Clinical Governance 2Clinical governance is a system whereby National Health Service (NHS) firms are accountable for standardizing the quality of the services and safeguarding proper healthcare by creating a supportive environment in which there is proper clinical management (Brownson, 2017).The system ensures that everyone is accountable to patients and the community for assuring the delivery of safe, effective and high quality services (McSherry & Paddy, 2011). Being accountable to members of the society means that clinical governance has an obligation to provide justification and be held responsible for its actions. Accountability has three componentsnamely; professional accountability for the quality of work done, accountability of health professionals within the organizations in which they work and accountability as senior members of staff for organizations’ performance and more widely for provision of local services.Clinical governance has various elements such as clinical audits, risk management, patient involvement, lifelong learning and evidence-based practice (Burgess, 2011). The patient-professional relationship is considered very important to high-quality healthcare. The above elements are supported by attitudes shared by health care experts. Such elements were; ownership, teamwork, leadership, communication and systems awareness. Their opinions were centred on patient-professional relationship.OwnershipOwnership is the activity of participating in design and implementation of health care by professionals. Thereby the health professionals share an obligation of quality improvement. In order to deliver quality, the health professionals need a free environment where they can share their opinions without fear or favor. The 23 experts who conducted the Delphi study managed to gather some perception on ownership. The panelists said that the role of health care professionals
Clinical Governance 3was very crucial for Clinical Governance. They advocated for innovation for each and every professional but then another expert commented that teamwork was a core element and not independence of the healthcare professionals (Makar, 2012).TeamworkTeamwork is working together among healthcare professionals. It is contributive towards high-quality patient care through joint learning and more knowledge and skills. Delphi study panelists perceived teamwork as a driver to organizational and cultural change. Aspects like sharing responsibilities and maintaining good relationships were perceived as very important. Even if teamwork was advocated for, it was not completely trusted to move Clinical Governance beyondthe quality improvement methods (David & Richard 2013). One expert commented that teamwork was not a unique Clinical Governance aspect as there were other more quality initiatives that emphasized on learning. For teamwork to be supported and a working environment be enabled, leadership is necessary (White, 2010).LeadershipThe quality of healthcare is better of when leaders talk about it. The Delphi expertise were also in support of leadership but said that the leaders needed knowledge on clinical practice. Leaders were also advised to work towards creating an open and a participative environment. Leadership was also perceived to bring about changes by facilitating professional development. According to the experts, it was important for leaders to come together and share responsibilities among healthcare experts, the board and the managers. The panelists did not approve the elements that considered authoritarian approaches leadership (Haxby, Hunter & Jagger, 2010).
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