Impact of clinical governance in nursing: a literature systematics review
DOI:
https://doi.org/10.29352/mill0227.40383Keywords:
health governance; nursing; hospital administrationAbstract
Introduction: Improving quality in health implies obtaining better results for patients, thus requiring the full involvement of professionals and the health organization. Through Clinical Governance, health organizations are responsible for the continuous improvement of the quality of their services and results.
Objective: To analyze whether Clinical Governance in Nursing has an impact on care practice.
Methods: Systematic review of the literature, carried out in March 2023, in a chronological scope of 2018-2022 with the underlying question PIO, with the descriptors "clinical governance" and "nursing" in English, Portuguese, and Spanish.
Results: A total of 8 articles were included in this review. Leadership is the most important factor for the structural environment, and the literature shows that Clinical Governance has a positive impact on the care practice of nurses, enabling the improvement of quality, greater professional autonomy, enabling the improvement of quality, greater professional autonomy, improvement of articulation relations between health services, and greater professional satisfaction.
Conclusion: Hospital governance through the participation and involvement of nurses in management and decision-making processes significantly impacts the provision of quality care.
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Abd-El Aliem, S. M. F., & Abou Hashish, E. A. (2021). The relationship between transformational leadership practices of first-line nurse managers and nurses' organizational resilience and job involvement: A structural equation model. Worldviews on Evidence-Based Nursing, 18(5), 273–282. https://doi.org/10.1111/wvn.12535
Amaral, A., Jesus, É., & Roque, S. (2015). Estudo RN4Cast em Portugal: Ambientes de prática de enfermagem. Revista Investigação em Enfermagem, 26–44. http://hdl.handle.net/10400.14/19776
Barden, A. M., Griffin, M. T., Donahue, M., & Fitzpatrick, J. J. (2011). Shared governance and empowerment in registered nurses working in a hospital setting. Nursing Administration Quarterly, 35(3), 212–218. https://doi.org/10.1097/NAQ.0b013e3181ff3845
Braithwaite, J., & Travaglia, J. F. (2008). An overview of clinical governance policies, practices and initiatives. Australian Health Review, 32(1), 10–22. https://doi.org/10.1071/AH080010
Brennan, D., & Wendt, L. (2021). Increasing quality and patient outcomes with staff engagement and shared governance. OJIN: The Online Journal of Issues in Nursing, 26(2), Manuscript 3. https://doi.org/10.3912/OJIN.Vol26No02Man03
Biscaia Fraga, F. (2014). Políticas e sistemas de saúde [Trabalho académico]. Academia.edu. https://www.academia.edu/9895608/Pol%C3%ADticas_e_Sistemas_de_Sa%C3%BAde
Carvalho, M. C., & Lucas, P. R. (2020). The effectiveness of the clinical nurse leader practice - systematic review. Millenium - Journal of Education, Technologies, and Health, 2(11), 57–64. https://doi.org/10.29352/mill0211.06.00274
Forsdike, K., Murphy, T. A., & Hegarty, K. (2018). Supporting primary care nurses to work at an advanced level through changing practices' organisational governance. Australian Journal of Primary Health, 24(2), 171–176. https://doi.org/10.1071/PY17120
Fraga, F. B. (2014). Qualidade em saúde e governação clínica [Curso de Extensão Universitária]. Academia.edu. https://abrir.link/Dqwtt
Guerra, M., Jesus, É., & Araújo, B. (2021). Liderança e participação do enfermeiro na governação hospitalar: Impacto na qualidade e segurança dos cuidados prestados – protocolo de scoping review. Gestão e Desenvolvimento, (29), 423–438. https://doi.org/10.34632/gestaoedesenvolvimento.2021.10211
Kanninen, T., Häggman-Laitila, A., Tervo-Heikkinen, T., Hess, R. G., Robert, G., & Kvist, T. (2021). Professional governance in Finnish nursing – Measured by the Index of Professional Nursing Governance. Scandinavian Journal of Caring Sciences, 36(1), 245–254. https://doi.org/10.1111/scs.12983
Koroglu Kaba, N., & Ozturk, H. (2022). Nurses’ perceptions of clinical governance climate. Journal of Education and Research in Nursing, 19(2), 198–207. https://doi.org/10.5152/jern.2022.54289
Kutney-Lee, A., Germack, H., Hatfield, L., Kelly, S., Maguire, P., Dierkes, A., Del Guidice, M., & Aiken, L. H. (2016). Nurse engagement in shared governance and patient and nurse outcomes. The Journal of Nursing Administration, 46(11), 605–612. https://doi.org/10.1097/NNA.0000000000000412
Leone, C. (2011). Competências de gestão dos profissionais de saúde: Estudo das perceções dos directores executivos dos agrupamentos dos centros de saúde no contexto da reforma dos cuidados primários. [Dissertação de mestrado, Universidade Nova de Lisboa]. RUN - Repositório da Universidade Nova. https://run.unl.pt/handle/10362/7516
Melnyk, B. M., Fineout-Overholt, E., Stetler, C., & Allan, J. (2005). Outcomes and implementation strategies from the first U.S. evidence-based practice leadership summit. Worldviews on Evidence-Based Nursing, 2(3), 113–121. https://doi.org/10.1111/j.1741-6787.2005.00020.x
Nishio, E. A., Lazarini, L. F., Salvador, M. E., & D’Innocenzo, M. (2021). Avaliação do modelo de gestão de enfermagem em hospitais gerenciados por organização social de saúde. Revista Brasileira de Enfermagem, 74(Supl. 5), e20200876. https://doi.org/10.1590/0034-7167-2020-0876
Ordem dos Enfermeiros. (2011). Regulamento dos padrões de qualidade dos cuidados especializados em enfermagem à pessoa em situação crítica. Ordem dos Enfermeiros. https://abrir.link/UidHX
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Systematic Reviews, 10(1), 89. https://doi.org/10.1186/s13643-021-01626-4
Pan, N., Luo, Y. Y., & Duan, Q. X. (2022). The influence of PDCA cycle management mode on the enthusiasm, efficiency, and teamwork ability of nurses. BioMed Research International, 2022, 9352735. https://doi.org/10.1155/2022/9352735
Pierre, J., & Peters, G. (2000). Governance, politics and the state. St. Martin’s Press.
Segundo, J. (2018). A satisfação do paciente como importante indicador de qualidade em saúde [Dissertação de mestrado, Escola de Comando e Estado-Maior do Exército]. https://bdex.eb.mil.br/jspui/handle/123456789/1243
Hu, X., Xiang, M., Yang, L., Zhuang, Y., Qu, Y., Wu, Q., Zhu, C., & Wang, X. (2021). Nursing councils' effectiveness and nurses' perceptions of shared governance in Chinese Magnet® and non-Magnet® hospitals: A cross-sectional study. Nursing Economic$, 39(6), 304–310. https://doi.org/10.62116/NEC.2021.39.6.304
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