Clinical Governance Improving the Continuing Education of Nurses

Clinical Governance Improving the Continuing Education of Nurses Myth or Reality? Nurse Management MSc Practice Development breast feeding Practice Route Faculty of Community Studies, Law and Education The Manchester metropolitan University Jean Rogers Tutor Mary Shaw Submission Date 8th wondrous 2005 Word Count Nursing has changed radically over the last two decades and is proceed to do so. Some would say for the better others for the worse (Rushford and Ireland 1997).The occasion of this assignment is to offer a critical analysis of clinical validation as it applies to breast feeding and the effect it has had on nurses on going continuing commandal needs. By the term critical analysis I do not mean that I shall attempt to discredit clinical brass instrument, or claim that it is harmful to patients or staff. Instead, I pass on attempt to do its nature in a rigorous way and examine how it has lead to a change in the way callingals and patients in health dish out are con ceptualised and how this has had an effect on the on going continuing education of nurses.The introduction of clinical governance has resulted in change not still in nurse recitation but also in the subjectiveness of nurses and their educational needs. Staff do appear to be embracing the tactile sensation of clinical governance, however there appears to be very few changes sheer at the level of patient care (Brown and Crawford 2001). The major changes appear to pick out their attitudes, and how they conceptualise themselves and their work. In addition, the introduction of clinical governance appears to involve encouraging a new kind of consciousness on the part of patients, amongst whom a greater degree of responsibility is demanded.In reviewing the literature on clinical governance in nursing it appears that there prolong not been many critics. Indeed, meddling the main electronic databases which cover topics which relate to nursing the Cumulative index number to Nursin g and Allied Health (CINAHL), Psycinfo and Medline and numerous books has not revealed material which adopts a critical stance towards clinical governance and evidence based practice which are currently buzz words in the nursing profession and the broader network of health care provision in the United country (UK) as a whole.There has been some criticism in relation to nursing research This omission is surprising as Brown and Crawford (2001) maintain the efforts of commercialised organisations to change their culture and urge this change on their workforce is similar to those changes being encouraged in the health care system and have been subject to considerable debate and critical analysis (Du Gay, 1997, Casey, 1999).Yet overwhelmingly the nursing literature has concentrated on how the process of clinical governance merchantman be facilitated rather than anything else (Lilley, 1999 McSherry and Haddock, 1999). In order to critically analyse these concepts it is intoxicating t o define clinical governance. Clinical governance has been promoted as a way of managing the organisation, resourcing and de receivery of health care in the UK for several years straightway and it is a process which has grown in strength and popularity during that time.The standard commentary of clinical governance which is promoted in the literature is from the paper a premier class service (Department of Health (DH), 1998) is that it is a Framework through which home(a) Health Service (NHS) organisations are accountable for continuously improving the calibre of their run, and safeguarding high standards of care, by creating an environment in which excellence in clinical care will flourish. (Page )In addition to this, the precise pathways under which this was to be achieved were elucidate in an earlier document The New NHS Modern and Dependable (DH, 1997) which outlined three major strands in the strategy. First, there was to be a roach of clear national standards, delivere d through national service frameworks (DH, 1999) and the National initiate for Clinical Excellence (NICE). Second, the local delivery of tonus services was to be undertaken via the mechanism of clinical governance and a statutory duty of quality and this was to be supported by heartlong learning programmes and professional self-regulation.Thirdly, the services themselves were to be monitored via the Commission for Health Improvement (CHI) and the NHS Performance Framework (Lilley, 1999). However, very often these bodies and mechanisms of control are rather remote from everyday life in the ward and, staff and patients are made increasingly dependent on their own powers of self control in order to live up to these political and managerial imperatives (Holmes, 2001).It is the second strand that this assignment will be concentrating on. Conclusion Whatever nursings response to clinical governance, it is vital that nurses are aware of the kinds of changes which it will involve for th eir consciousness and subjectivity as practitioners in order to ensure they retain their professional license in the light of these new policies.