Robert McSherry is professor of nursing and practice development at Teesside University; Wilfred McSherry is professor in dignity of care for older people at Staffordshire University; Paddy Pearce is an independent healthcare clinical governance consultant based in Yarm, Stockton on Tees.
THIS ARTICLE WILL TELL YOU ABOUT
- What is clinical governance
- How to identify where cultural change is needed
- How to implement changes to the culture
YOU WOULD BE LIKELY TO REFERENCE THIS ARTICLE IF YOU WERE RESEARCHING
Clinical governance or how to implement change in a healthcare setting. This article could also be useful to reference in essays about effective leadership.
IN WHAT SITUATIONS WILL THIS ARTICLE BE USEFUL FOR ME?
This article could be useful for you when starting a new placement. It gives advice and recommendations for gauging the culture of healthcare settings. Although, as a student nurse, you may not be in a situation to change this culture, it is useful to have an understanding of the culture within healthcare teams and to be able to identify how this affects patient outcomes.
QUESTIONS FOR YOUR MENTOR/TUTOR
Have you ever had to escalate concerns?
Are there any barriers to doing so?
STUDENT NT DECODER
A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish (Scally and Donaldson, 1998).
In this situation, the word ‘escalation’ refers to staff raising concerns about patient care or colleagues’ practice with those higher up than themselves.
Mid Staffordshire public inquiry
The inquiry, led by Robert Francis QC, in to care failings at Mid-Staffordshire trust between January 2005 and March 2009. The subsequent report is known as “The Francis Report”. There is an earlier report which came out in 2010 which is also known as the Francis report which is Mr Francis’ report of an earlier independent inquiry held behind closed doors. This specifically looked at the failings of the trust. The second 2013 report is the report of a public inquiry which does refer to some of the evidence gathered at the independent inquiry. The public inquiry was a wider far-ranging inquiry which put the failures in a wider NHS context.