1PROMOTING CLINICAL EXCELLENCENursing profession is one of the largest healthcare related workforce. Nurses analyse apatients’ needs and health demands, they execute care plans, and maintain medical records(Lindrooth et al. 2015).While working as an associate nurse, I was directly involved with thedelivery system of the hospital, focused on caring for my patients and their family. This essaywill present a reflective overview of an incident which occurred and will analyse the possiblemethods of clinical governance that could have produced a better patient outcome in the incident.I will use the Driscoll’s reflective framework to narrate the incident.What?The situation, which I will explore, occurred during my work as an associate nurse inIndia. The patient was Jyoti (name changed) had been admitted to the emergency departmentafter complains of nausea, chest pain, palpitations, trembling and dizziness. On assessing hermedical records I realized that she was on medications, for anxiety disorder prescribed by theGP. She was also suffering from depression. Her mother accompanied her and was extremelydistressed and for not being able to protect her daughter from mental issues. As a young girl shewas diagnosed with anxiety and oppositional defiance disease which often made her aggressive.Owing to the severity of her symptoms, I was immediately advised by the doctor-in-charge tokeep in a seclusion room. Seclusion and restraints should be the last resort of intervention tomanage behavioural emergencies in mentally ill patients. However, the doctor adopted thatmeasure to immobilize her (Sherwood and Barnsteiner 2017). She was confined in a room,which was poorly lit and drab. I was instructed to go there and introduce myself to her. Iapproached the room where she was and introduced myself. I tried to explain about her mentalhealth condition and assessment. However, she began to shout ' get out, go away'. I wasuncertain regarding my proceedings this response was completely unexpected. I therefore

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