Clinical Governance

Principles of clinical governance:Working in a critical care department with a 150-bed capacity was challenging for me as aclinical nursing manager. One of the struggles was controlling the infection rate in thedepartment it is need to be minting and working to reduce the high rate so is not easy toachieve. For example, the report for one of the infraction control indicators showed that therate of central line-associated bloodstream infection (CLABSI) was high. Clinical governance plays an important role in improving healthcare systems by enhancing and maintaining the continuity of the healthcare provided, creating an evidence-based framework for managing the healthcare provider, refining professional performance by providing scientific resources, and minimising the risk to the patient. It is also important to guarantee patient satisfaction (Kapur, 2009).Working with the clinical governance department lead to the idea for reducing the high rate of CLABSI by using bundles to monitor staff members during insertion of the central line and to make sure that is the blood instruction with the clean producer. The care bundles are providing the evidence based interventions by collecting the interventions in one protocol, that will help to get an excellent outcome (Fulbrook & Mooney, 2003). The result of implementing bundles was excellent, and the rate of CLABSI went down by 50% in the first month, and within three months the rate had dropped by more than 80%. Staff role in ensuring quality and safety:the quality of the nurses' work and safety of patients is essential toproviding excellent care to patients. nurses are the major part of health care providers andit is essential that they take care of preventing medical errors and maintain patient safety. The clinical manager has the role to ensure that bundles were properly implemented and supervised by using one staff member in each shift to check the bundles to verify that all of the health care providers were committed to the bundles instructions. This helped to ensure consistency in the quality of care provided to the patients.(Barbara et al., 2014) Empowering consumers:empowering nurses to take a more active role in their healthcare experience canlead to providing better healthcare. I believe that requiring continuing education allows thenurses to improve their expertise. Furthermore, having nurses share their knowledge isimportant because it helps them to become role models. Nurses must belief in their value andmake sure they apply what they belief in realty to provide better care for patients. Also,creating a positive communication environment is crucial to improving the relationshipbetween patients and nurses, which is reflected in the healthcare outcome. Improving thepersonal – central can have a significant impact on delivering excellent healthcare.The prerequisites for a professional nurse focus on the nurse's attributes and include beingprofessionally competent, having developed interpersonal skills, being committed to the job,being able to demonstrate clarity of beliefs and values, and knowing oneself (Tanya V.McCance, 2006). The empowerment is most successful when it is internal, ratherthan external. Therefore, nursing students must be taught how to empower themselves a supported. Empowering nurses can lead to promote health care and that will reflect in patient health.