Shared Governance, Clinical Governance and Self-Governance in Nursing

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

1
NURSING
Shared Governance: Excellent communication skills and interpersonal skills
Shared Governance is a framework where the professional ideals of nursing translate
into realities of structuring of the organizational and environmental design that enables
comprehensive participation of the nurses by increasing the provision of autonomy,
empowerment, leadership, decision-making process and accountability (Ott & Ross 2014).
Under shared governance, the main practice that I would like to highlight in excellent
communication skills and the interpersonal skills. During my clinical experience, I was
working under a senior nurse. My main responsibilities were to assist the senior nursing
professionals in delivery the care to the patients. My excellent display of both verbal and non-
verbal communication skills helped in establishing a healthy relationship with my senior
colleagues. Moreover, my excellent communication skills helped me to participate fully in
the process of planning, organising and delivery of patient care. According to Parker et al.
(2014), the concept of shared governance highlights improvement of the organizational
culture by working effectively under the negative work-environment by setting goals and
establishing healthy relationships with the team mates. My effective interpersonal
communication skills helped to generate a friendly relationship with by seniors and thereby
helping me to deliver work in pressure under their (seniors) guidance. Effective
communication skills and interpersonal communication skills falls under the scope of the
standard 2 of the registered nurse standard for practice made by the Nursing and the
Midwifery Board of Australia (NMBA) (2019). According to the standard 2, a nurse must
engage in therapeutic and professional relationships in order to improve the overall outcome
of care.

2
NURSING
Clinical Governance: Contribute to Safety and Healthy Working Environment
The concept of the clinical governance is slowly emerging in Australia under the
framework of safe systems thinking. It is cohesive approach for the management of risk. It is
important for the nursing professionals to understand where the framework of the clinical
governance has rise and why it is important under the nursing practice (Travaglia et al. 2011).
According to the Australian Commission on Safety and Quality in Healthcare (2018), the
main standards of the clinical governance includes governance of safety and quality in
healthcare service; partnering with consumers; prevention and controlling of the healthcare
associated infections, medication safety., proper identification of patient and procedure
matching, production of clinical handover; managing blood and blood products; preventing
and managing pressure injuries; recognising clinical deterioration and prevention falls. Under
of framework of the clinical governance, I would like to highlight my clinical experience
when I was assisting one senior registered nurse under emergency settings. I was asked to
check the blood pressure of the few accident victim patients. Both before and after checking
of the blood pressure, I would always wash my hands with proper disinfectant in order to
prevention cross-contamination through hand leading to noscomial infection. This practice of
mine coincided with the Nursing and Midwifery Board of Australia (NMBA) (2019) standard
one, which states that a nurse must think critically and analyse the proper nursing practise. I
delivered proper nursing practice under this context by thinking critically about the process of
execution of hand hygiene and thereby increasing the quality and safety of the healthcare
service (Twigg, Duffield & Evans 2013).
Self-Governance: Ability to work under pressure
The term self-governance is used to describe how the nursing profession governs
itself. In order words, it is used to describe how a nurse manages his or her own professional