Clinical Governance Assignment PDF

Nursing: Clinical Governance

Table of Contents
Introduction......................................................................................................................................2
Analysis...........................................................................................................................................2
Recommendations............................................................................................................................6
Conclusion.......................................................................................................................................6
Reference List..................................................................................................................................7
Appendices......................................................................................................................................8
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Introduction
Clinical governance is considered a set of patient care responsibilities, which are established to
ensure healthy clinical outcomes. Moreover, it ensures the exact execution of the clinical
services for the aged people and can provide a formidable, high quality and safe care delivery.
The pillars of the clinical governance are impactful on the healthcare development of the aged
people. Continence management is considered as a foremost criterion for the risk assessment
part of the clinical governance. It provides an effective behavioural treatment and tangible care
for the behavioural improvement of the old aged people. The continence management is highly
effective in the aged care as the aged population requires a sympathetic outlook, quality care and
expects a caring behaviour from the caregivers in order to support their behavioural change. The
existing contingency management of the aged care was not as effective as the aged patients were
not getting effective care .Thus, this study will aim to unfold the importance of the effectiveness
of the clinical governance framework to develop the existing care policies for the aged
population. The pillars of the clinical governance framework will be analysed in this study in
order to establish effective policies for the development of contingency management. The
strategic change under the clinical governance framework to implement the strategies will be
depicted in the study on the context of the healthcare setting. The barriers to the strategic
implementation to develop the proposed policies will be discussed. The recommendations will be
provided based on the identified barriers. The concluding part of the study will summarize the
whole concept and will refer an overall recommendation for the successful implementation of the
clinical governance for the continence management in the aged care.
Analysis
Issue analysis and ineffective aged care policies
The identified issues are associated with the risks attached to continence management for aged
care (Robinson, 2017). The existing infrastructure of the aged care organisation is inefficient to
provide quality care to the aged patients. The staffs were incapable of delivering indiscriminate
care to the patients. The staffs are reluctant in maintaining the healthcare records of the patients.
This delays the quality care process of the aged patients (Robinson, 2017). The management is
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ineffective in performance monitoring and providing a culturally safe environment for the aged
people.
The ineffectiveness of the management has been the key reason, for the systematic breakdown of
the aged care organisation. Moreover, the failure of the caregivers to perform their duty signifies
the inefficiency of healthcare training (Mostashari, 2014). The ethical perspective of quality care
is to provide quality care according to the policies for the aged care. The inability of the
healthcare personnel to develop effective communication with the patient results in a decline in
the healthcare conditions of the aged people. The long unreviewed aged care guidelines are the
considerable reason for the breakdown of aged care structures (Wigzell, 2017). The policies are
not followed stringently by the healthcare organisations.
Proposed solution based on the Clinical governance framework
The existing aged care policies issues of the aged care organisation can be resolved by the proper
application of clinical governance framework for strategic change. The clinical governance
framework is capable to provide assistance by involving strategies to satisfy the healthcare
requirement of the aged people(Brennan & Flynn, 2013). The quality care facility and
communication with the aged people must be developed. Moreover, quality care equipment
should also be provided (Wigzell, 2017). There must be sufficient resources to satisfy all the
aged care needs. Proper training for aged care staffs is also required. The Australian Commission
regarding safety and quality in healthcare has developed the Clinical governance framework to
develop the health service quality standard ("Australian Commission on Safety and Quality in
Health Care", 2018).
Strategic change
The clinical government framework is an effective component to ensure quality healthcare
delivery to all the stakeholders attached to the aged health care. The strategic change includes the
appointment of the chief executive officer for the performance analysis of the aged care staffs, a
review of the existing strategies and plans, allotting more budgets to provide training for the
ethical aged care education and ensuring the quality improvement (Brennan & Flynn, 2013).
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The strategic change can be implemented with the effective utilisation of resources quality aged
care, aged treatment equipment, training, a managerial change and overall structural
development. The resources can be helpful to develop the existing care setting of the aged care
organisation(Yu & Qian, 2018). The holistic development of the aged care setting would reduce
the complexity of the healthcare facilities by reducing the risks associated with care services
(Haslinger-Baumann, 2018). Proper training can be provided to the caregivers of the aged care
organisation to develop nursing care knowledge of the nursing care staffs. They can also be
trained to fill up the bladder chart by storing sufficient healthcare information regarding aged
care patients (Haslinger-Baumann, 2018). The proposed changes can be used by the aged care
organization to improve the declining quality of the healthcare provided by the aged caregivers.
The effectiveness of the proposed plan based on the clinical governance pillars
The pillars of the clinical governance ensure a formidable outcome of the strategic change in
aged care. The pillars of the clinical governance are; clinical effectiveness, clinical audit, risk
management, proper education and training, patient and public involvement, information and IT
system and Staff management (Haslinger-Baumann, 2018).
Clinical effectiveness: The clinical effectiveness defines the capability of providing quality aged
care. The caregivers must ensure that the aged people are provided quality care, cultural respect
and proper communication(Yu & Qian, 2018).
Clinical audit: The audit for the provided healthcare resources can be implemented to identify
whether the care process and equipment are properly maintained or not. Thus, the care staffs can
implement the care plans perfectly under the provision of the care management staffs (Haslinger-
Baumann, 2018).
Risk management: Risk management is the most important tool of clinical governance to
mitigate the risks associated with aged care. This is influential for the healthcare professional of
the aged care home to develop more risk management techniques by enhancing the training
(Haslinger-Baumann, 2018).
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Proper education and training: Proper aged care training must be provided to the healthcare
staffs to increase the effectiveness of quality. Effective training is capable to deliver a sustainable
aged care output (Haslinger-Baumann, 2018).
Patient and public involvement: It is required for the effective performance analysis of caring
the old people. The patient must be involved in the care process by providing sufficient
healthcare information for the proper implementation of the care process (Davey, 2013). The
public involvement can be processed through performance feedback option. This could be
helpful to monitor the performance flaws.
Information and IT system: The information regarding the patient must be conceptualised by
the caregivers to retain the accountability in the aged care. The development of the IT system can
be helpful to develop the system of aged care information (Sloan & Knowles, 2013). Online
evidence and database can be used for locating the patient care information.
Staff management: Efficient staffing is required for the infrastructural development of the aged
care setting. The staffing process should be unbiased and professional and should have proper
training (Davey, 2013).
Barriers to the strategy
The strategic barriers can be addressed by the holistic measurement of the proposed strategy. The
barriers are: Ineffective communication, Lack of efficient management to implement the
strategies, Lack of training and Lack of care knowledge(Sloan & Knowles, 2013).
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Recommendations
The recommended strategies to mitigate the barriers to the strategic implementation are as
follows:
 Development of verbal and non-verbal communication between the caregivers and aged
patients (Sloan & Knowles, 2013)
 Providing proper training regarding aged care techniques, knowledge and care ethics
 Respecting the social and cultural diversity of the aged patients
Conclusion
The effectiveness of the clinical governance to mitigate the continence management in the aged
care issues has been elaborated in this study. The existing problems in the aged home are the
ineffectiveness of their staffs in providing proper care, maintaining care ethics and improper
management. The clinical management framework and the strategic framework of clinical
governance pillars are proposed as strategies. Communication, care and training are considered
as strategic barriers that can be mitigated by effective training and knowledge.
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Reference List
Australian Commission on Safety and Quality in Health Care. (2018). Retrieved from
https://www.safetyandquality.gov.au/
Brennan, N., & Flynn, M. (2013). Differentiating clinical governance, clinical management and
clinical practice. Clinical Governance: An International Journal, 18(2), 114-131. doi:
10.1108/14777271311317909
Davey, T. (2013). Individual and Organizational Ethical Practices. Healthcare Management
Forum, 26(1), 51-53. doi: 10.1016/j.hcmf.2013.01.001
GOLD STANDARD PROGNOSTIC INDICATOR GUIDELINE TO IDENTIFY PALLIATIVE
CARE PATIENTS IN LONG-TERM CARE. (2016). The Gerontologist, 56(Suppl_3), 76-
76. doi: 10.1093/geront/gnw162.301
Haslinger-Baumann, E. (2018). Assessment of Healthcare Facilities for the Promotion of Health
Literacy - A Feasibility Study. Nursing & Healthcare International Journal, 2(2). doi:
10.23880/nhij-16000143
Mostashari, F. (2014). Health information technology and Healthcare. Healthcare, 2(1), 1-2. doi:
10.1016/j.hjdsi.2013.12.008
Robinson, A. (2017). INTERDISCIPLINARY DRIVERS FOR QUALITY AGED CARE: THE
WICKING TEACHING AGED CARE FACILITY PROGRAM. Innovation In
Aging, 1(suppl_1), 741-742. doi: 10.1093/geroni/igx004.2674
Sloan, A., & Knowles, A. (2013). Improving communication between healthcare providers and
cancer patients: A pilot study. Journal Of Communication In Healthcare, 6(4), 208-215. doi:
10.1179/1753807613y.0000000040
Wigzell, O. (2017). People-centred healthcare: What empowering policies are needed. OECD
Observer. doi: 10.1787/87f7b997-en
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Yu, P., & Qian, S. (2018). Developing a theoretical model and questionnaire survey instrument
to measure the success of electronic health records in residential aged care. PLOS
ONE, 13(1), e0190749. doi: 10.1371/journal.pone.0190749
Appendices
Appendix 1: a Corresponding action plan for clinical governance
Source: http://arthritisnsw.org.au/about/clinical-governance-and-research-governance-
frameworks/
Appendix 2: Strategic resources for a clinical governance action plan
Source:
https://www.myhealthrecord.gov.au/sites/g/files/net5181/f/clinical_governance_framework_
v2.1.pdf?v=1520465292
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