This assignment aims to analyse my performance in care management, within an acute care setting, a scenario has been chosen and areas of clinical governance have been identified and applied to this case. It will conclude with a discussion of what I have learnt from analysing the scenario.
Clinical Governance is the application of ethical, legal and professional principles. It is a framework through which the NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in care can flourish (NHS Executive (1999) cited p57, Braine (2006) . Clinical Governance was first mentioned in the British Health Policy 1997 as a term used to describe the accountability process for clinical quality of care, this system evolved to respond and address a series of high profile media cases that highlighted poor quality patient care such as the Bristol inquiry (1997). Clinical Governance according to McSherry and Pearce (2008) was introduced as there was a rising patient/carer expectation and a perceived decline in clinical standards. Clinical Governance does not just relate to clinical treatment it is also about the quality of the patient experience of the delivery of patient care from entry into the health system to aftercare (National Health Service (NHS) 2007), so if a child needed an operation, from the moment the parents take their child to the doctors because they are concerned, to the moment they are discharged after surgery, through Clinical Governance the patient should received quality care and experience.
The Key themes of Clinical Governance according to Baines (2006) include clinical audit, patient involvement, use of information, education and training, staff and staff management, risk management, clinical effectiveness and research. How this clinical Governance is applied in an organisation depends on the contributions of each theme. Health care professionals are familiar with some of these activities such as clinical auditing for example, but what needs to be different is the effort that is needed to bind these ideas together. Health care organisations have a duty to maintain the quality and safety of care. According to the Royal College of Nursing (RCN) (2007) whatever structures, systems or processes the organisation has put in place there needs to be evidence that these standards are upheld.
From experience on a clinical ward I have learnt that Clinical Governance comes into place all the time, for example through the key theme of risk management it is important that medication doses are calculated correctly and administrated through the correct procedure. Through education and training it is no longer acceptable for any health professional to abstain from continuing education after qualification, as training quickly becomes outdated, so it is down to the trust as well as the health professionals to keep up to date.
An incident that arose while on clinical placement that will be discussed, involved a nurse in a neonatal unit, who did not adhere to hand washing guidelines, under the Clinical Governance framework the incident links with risk management, for the purpose of this essay I will be addressing risk management and accountability, these themes are relevantly linked as hand washing in a clinical environment is important to reduce hospital acquired infections through risk management, and the health care professional have a responsibility to adhere to guidelines and is accountable for their actions. According to a Local trust guideline (2007) good hygiene is the most efficient and effective way of minimising and reducing the spread of infection within the hospital. Hand washing is well researched and controversial due to bacterium infections such as clostridium difficile (c-diff) and...