Nursing Assignment: Shared, Clinical, and Self Governance Report

This report delves into the critical aspects of nursing governance, encompassing shared, clinical, and self-governance. The assignment begins by exploring shared governance, emphasizing the importance of collaboration, communication, and accountability among healthcare professionals to enhance patient care and productivity. It highlights the author's personal experiences in a multidisciplinary team, showcasing how effective communication and the use of computerized systems contribute to efficient teamwork. The report then examines clinical governance, defining the author's role in ensuring quality service and continuous improvement through self-reflection and the application of models like the SAO model to improve clinical practice and patient safety. The importance of risk management and adherence to medical ethics are also discussed. Finally, the report discusses self-governance, emphasizing continuous professional development and learning as essential components for staying updated with advancements in the medical field. The author shares examples of personal learning experiences and highlights how engagement in regular training and development contributes to positive clinical outcomes and a culture of innovation. The report concludes by emphasizing the importance of committed professional development for positive clinical functionality and encouraging other professionals to understand its significance.

NURSING ASSIGNMENT

Shared Governance
As per personal practical experience, shared governance allows collaboration
of all medical staff to work with team spirit, accountability and problem-solving
approach providing quality and productivity in clinical scenario (Levett-Jones and
Bourgeois, 2015).
As a professional in clinical practice working in a multidisciplinary team, I try
to practice proper communication with patients, staff and visitors at all levels of the
organisation. This proper communication involves speaking, listening, clarifying and
reflection on all aspects of my practice. Being a part of the coronary care unit most
contemporary requirement is to be prominent in computerised means of
communications like emails, patient records etc. In recent placement practice, my
knowledge of updated computerised system helped me to remain updated, accurate,
and efficient in a cooperative manner with my team. This can be considered as my
potential example of working with shared governance in my working zone.
I try my best to implement collaborative working from bedside activities to
boardroom decision-making participation. With my grounded confidence, I can assure
holistic and quality nursing care in a professional manner that is required to develop
nursing engagement in shared governance. I implement equality and accountability
towards my patient, staff and services in my professional practice. Lastly, I am always
in a mode of learning to enhance my intelligence, practice and experience by gaining
knowledge from my colleagues that are considered as the most important requirement
for a professional involved in shared governance.
Clinical Governance
As a part of organisation’s clinical governance, I have understood that my role
is to ensure quality services with constant ability to improve them. As per Levett et al.
(2015) studies, clinical governance for professionals is to develop a state of mind
taking responsibility for their own practice and outcome. Therefore, I practice in a
manner questioning myself about my performance and attaining measures of
improvement. By taking accountability for my own work I contribute to a safe and
healthy working culture. This self-reflection makes my clinical practice more

efficient. For example, using Situation, Action, Outcome model (SAO model) in my
regular clinical practice like performing ECG of the patient, educating patient about
the process and properly communicating the results helps to critically analyse my
practice and improve my mistakes in future practices.
I work sensitively and responsibly to assure that working system runs
smoothly with a clear understanding towards my roles and responsibilities. I try to
adapt counselling and supportive alternates in disputed situations as well as use a
proper mechanism to report any incidence for patient safety and managing situations.
Further, I keep an intense analysis of existing processes quality to ensure safety and
overcome loopholes in the clinical governance system. Porter et al. (2013) indicated
that clinical staff needs to have an analytical approach in terms of their competency
and scope of practice. I am always ready to share responsibilities for ensuring best
patient safety and quality.
Jonsen et al. (2013) indicated that clinical governance is highly dependant on
the risk management components for quality assurance. This involves risk to the
practitioner, patient and organisation. As a clinical practitioner, I follow proper
medical ethics and rules to ensure patient safety at my level. Further, I try to ensure
that my colleagues also follow these medical ethics, remain immunised to infections
and practice safely to ensure quality assurance. Lastly, I try to coordinate and
cooperate with the on-going working process in a manner to grow my practice as well
as enhance the quality of the working process.
Self Governance
Henderson et al. (2012) stated that clinical functionality is the outcome of self-
governance performed by each professional individual involved in medical structure.
The contemporary state of fast-paced technical and professional development in
medical field requires constant growth and update for proper self-governance.
Therefore, I consider constant professional development with continuous learning as a
very important component of self-governance. Further, Jonsen et al. (2013) stated that
continuously developing professional’s practising self-governance help them to
remain updated, understand trends, techniques and treatments that enhance care
quality. For example, I have learned the process of ECG at my coronary care unit as a

part of self-development along with my on-going clinical practice.
Levett et al. (2015) indicated that self-governance is a self-management skill
that highly dependant on regularly updating oneself and managing self-competencies.
By performing self-reflection I constantly try to update myself and develop
competencies to positive patient outcomes. Further, Jokelainen et al. (2011) studied
that professional development initiates at the beginning of learning phase and end
with the professional career. Hence, learning is the process of self-governance.
I consider engagement in regular learning in form of different nursing courses
or training sessions as a very important part of self-governance and therefore I look
forward to getting involved in such opportunities regularly in my professional career.
Further, continuous professional development and learning ability will help me to
develop a culture of innovation at my workplace. This can be considered as very
important for positive clinical governance in the medical profession. Lastly, I would
make efforts to let other professionals also understand the importance of committed
professional development for positive clinical functionality.

References
Books
Levett-Jones, T. and Bourgeois, S., 2015. The Clinical Placement-E-Book: An
Essential Guide for Nursing Students. Elsevier Health Sciences.
Journals
Henderson, A., Cooke, M., Creedy, D.K. and Walker, R., 2012. Nursing students'
perceptions of learning in practice environments: a review. Nurse education
today, 32(3), pp.299-302.
Jokelainen, M., Turunen, H., Tossavainen, K., Jamookeeah, D. and Coco, K., 2011. A
systematic review of mentoring nursing students in clinical placements. Journal of
clinical nursing, 20(19‐20), pp.2854-2867.
Jonsen, E., Melender, H.L. and Hilli, Y., 2013. Finnish and Swedish nursing students'
experiences of their first clinical practice placement—A qualitative study. Nurse
Education Today, 33(3), pp.297-302.
Levett-Jones, T., Pitt, V., Courtney-Pratt, H., Harbrow, G. and Rossiter, R., 2015.
What are the primary concerns of nursing students as they prepare for and
contemplate their first clinical placement experience?. Nurse Education in
Practice, 15(4), pp.304-309.
Porter, J., Morphet, J., Missen, K. and Raymond, A., 2013. Preparation for high-
acuity clinical placement: confidence levels of final-year nursing students. Advances
in medical education and practice, (4), pp.83.