Overview
In this unit you will have the opportunity to explore clinical governance, its application to nursing and the health care setting. You will apply a specific governance framework to your clinical setting and evaluate its effectiveness. You will also examine the use of clinical audits as part of a quality improvement cycle as a means for measuring clinical effectiveness and improving patient care.
Details
Pre-requisites or Co-requisites
Students must be enrolled in CL22 Master of Clinical Nursing to undertake this unit.
Important note: Students enrolled in a subsequent unit who failed their pre-requisite unit, should drop the subsequent unit before the census date or within 10 working days of Fail grade notification. Students who do not drop the unit in this timeframe cannot later drop the unit without academic and financial liability. See details in the Assessment Policy and Procedure (Higher Education Coursework).
Offerings For Term 1 - 2019
Attendance Requirements
All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).
Recommended Student Time Commitment
Each 6-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.
Class Timetable
Assessment Overview
Assessment Grading
This is a pass/fail (non-graded) unit. To pass the unit, you must pass all of the individual assessment tasks shown in the table above.
All University policies are available on the CQUniversity Policy site.
You may wish to view these policies:
- Grades and Results Policy
- Assessment Policy and Procedure (Higher Education Coursework)
- Review of Grade Procedure
- Student Academic Integrity Policy and Procedure
- Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
- Monitoring Academic Progress (MAP) Policy and Procedure – International Students
- Student Refund and Credit Balance Policy and Procedure
- Student Feedback – Compliments and Complaints Policy and Procedure
- Information and Communications Technology Acceptable Use Policy and Procedure
This list is not an exhaustive list of all University policies. The full list of University policies are available on the CQUniversity Policy site.
Feedback, Recommendations and Responses
Every unit is reviewed for enhancement each year. At the most recent review, the following staff and student feedback items were identified and recommendations were made.
Feedback from Discussion with students when visiting partnering hospital health services.
Students enjoyed the assessment items - presentation in the workplace
Maintain assessment item.
Feedback from Discussion with students when visiting partnering hospital health services after presentation of audit findings.
Students stated that they learnt about auditing and nursing governance by actually doing an audit in the workplace and then entering findings in the quality register.
Maintain assessment format.
- Explain the concept of clinical governance and justify its relevance to the clinical setting and nursing practice
- Apply a framework derived from the National Commission on Safety and Quality in Health Care to evaluate clinical governance in a clinical setting
- Evaluate a clinical governance infrastructure within a health service
- Explain the use of clinical audits as part of a quality improvement cycle to improve nursing practice and patient care
- Identify deviations from best practice and discuss areas for improvement.
NA
Alignment of Assessment Tasks to Learning Outcomes
Assessment Tasks | Learning Outcomes | ||||
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1 | 2 | 3 | 4 | 5 | |
1 - Presentation - 0% | |||||
2 - Report - 0% |
Alignment of Graduate Attributes to Learning Outcomes
Graduate Attributes | Learning Outcomes | ||||
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1 | 2 | 3 | 4 | 5 | |
1 - Knowledge | |||||
2 - Communication | |||||
3 - Cognitive, technical and creative skills | |||||
4 - Research | |||||
5 - Self-management | |||||
6 - Ethical and Professional Responsibility | |||||
7 - Leadership | |||||
8 - Aboriginal and Torres Strait Islander Cultures |
Alignment of Assessment Tasks to Graduate Attributes
Assessment Tasks | Graduate Attributes | |||||||
---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | |
1 - Presentation - 0% | ||||||||
2 - Report - 0% |
Textbooks
There are no required textbooks.
IT Resources
- CQUniversity Student Email
- Internet
- Unit Website (Moodle)
All submissions for this unit must use the referencing style: American Psychological Association 6th Edition (APA 6th edition)
For further information, see the Assessment Tasks.
j.hendricks@cqu.edu.au
Module/Topic
Concepts relating to clinical governance
Exploration of relevant aspects of clinical governance in clinical nursing practice
Chapter
The history of clinical governance
The four pillars of Clinical Governance
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service
Module/Topic
Components of clinical governance
Application of relevant principles
Chapter
Good clinical governance
Shared governance as a principle
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service
Module/Topic
Australian Commission on Safety and Quality in Health Care (ACSQHC)
Relevance to clinical practice
Chapter
Broad and specific areas within the ACSQHC
Working with specific Observation and Response Charts (ORCs)
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service.
Module/Topic
Framework definitions and uses
Evaluation using a governance framework
Chapter
Conceptual framework, conceptual models and models of care
Critical thinking skill development
Events and Submissions/Topic
Work through learning materials and readings.
Work with local heatlh service.
Module/Topic
Clinical governance infrastructure
Current issues within health services
Chapter
Brief analysis of the governance of the Australian Health Care System
National Priorities for safety and quality
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service
Module/Topic
Chapter
Events and Submissions/Topic
Module/Topic
Detailed components of clinical governance infrastructure
Application of clinical governance principles to current issues
Chapter
Funding of the Australian Health Care System
Data analysis, evaluation and open data sources
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service - Assessment 1 presentation
Module/Topic
The quality improvement movement
Aims and goals of quality improvement
Chapter
Background to the development of the quality improvement cycle
Principles of the quality improvement cycle
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service
Module/Topic
Specific areas related to quality improvement
Clinical applications
Chapter
Examples from a range of clinical practice areas
Clinician developed quality projects
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service
Module/Topic
Clinical auditing principles
Background to clinical audits
Chapter
Preparation and collection of data, analysis, bench-marking and feedback
Eleven step process to guide clinical auditing
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service
Module/Topic
Specific auditing based on national framework
Audit practices
Chapter
The National Inpatient Medication Chart
Doing a clinical audit
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service
Assessment Task 1 - nursing and clinical governance - presentation Due: Week 10 Friday (24 May 2019) 11:45 pm AEST
Module/Topic
Concepts relating to deviations from best practice and improvement in care
Tools for learning from deviation
Chapter
Terminology and associated knowledge
Samples from clinical practice
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service
Module/Topic
Concepts relating to deviations from best practice and improvements in care
Tools for analysis of deviations to improve care
Chapter
Open disclosure principles
The clinician as second victim
Events and Submissions/Topic
Work through learning materials and readings.
Work with local health service - Assessment 2 - audit.
Module/Topic
No exam
Chapter
No exam
Events and Submissions/Topic
No exam
Module/Topic
no exam
Chapter
no exam
Events and Submissions/Topic
no exam
Assessment Task 2 - nursing and clinical governance - Clinical Audit Report Due: Exam Week Friday (21 June 2019) 11:45 pm AEST
Assessments for this unit will be undertaken in the Hospital Health Service at a date and time set by the Graduate Nurse Program Coordinator.
1 Presentation
NURS20169
Assessment One
ASSESSMENT 1 – 40% - Presentation of Research - This is to be undertaken in the clinical setting at your local health service. Although there are numerical values associated with this assessment item, this is only for your own personal guidance and development.
Weighting: This is a Pass/Fail assessment. A pass must be achieved in this assessment to PASS the unit.
Word count: Four (4) PowerPoint slides (maximum)
Due: Friday Week 10
This assessment addresses the following learning outcomes:
1. Explain the concept of clinical governance and justify its relevance to the clinical setting and nursing practice
2. Apply a framework derived from the National Commission on Safety and Quality in Health Care to evaluate clinical governance in a clinical setting
3. Evaluate a clinical governance infrastructure within a health service.
Choose an area for your clinical audit in conjunction with your local team. Choose from the following list from the latest National Safety and Quality Health Service Standards.
· Clinical Governance Standard
· Partnering with Consumers Standard
· Preventing and Controlling Healthcare-Associated Infection Standard
· Medication Safety Standard
· Comprehensive Care Standard
· Communicating for Safety Standard
· Blood Management Standard
· Recognising and Responding to Acute Deterioration Standard.
After choosing one of these Standards, research the clinical issues pertinent to the topic to support your choice of Standard and one of the relevant audits that measures compliance in the clinical setting to this Standard. This research will provide the basis of Assessment Two which involves presentation of an audit describing the issues surrounding the priority area you have selected.
Your research should find answers to:
(1) How and why the issue became to be a priority area; and,
(2) What processes and systems are in place to identify clinical risk and what role does a clinical audit in addressing risk in the Hospital Health Service.
The information sourced related to your Standard, as described above, is to be developed into presentation using ONLY four PowerPoint slides.
This presentation, saved in PDF format is to be uploaded to the discussion board no later than Friday on Week 10 in term.
Week 10 Friday (24 May 2019) 11:45 pm AEST
Assessment One - Poster Appraisal Rubric
A – Overall appearance
1. Attracts & holds the viewer's attention 1 2 3 4 5
2. Free of unnecessary detail 1 2 3 4 5
3. Readability 1 2 3 4 5
4. Appealing arrangement of script and graphic 1 2 3 4 5
Sub score = B – Content
1. Purpose of poster is clearly identified 1 2 3 4 5
2. Sound Rationale is offered with supporting literature and references 1 2 3 4 5
3. Applicable information relevant to its purpose 1 2 3 4 5
4. Clear strategy for improving clinical practice 1 2 3 4 5
5. The results or outcomes are highlighted and make sense 1 2 3 4 5 6. Recommendations for practice are offered 1 2 3 4 5
Summary Comments:
- Explain the concept of clinical governance and justify its relevance to the clinical setting and nursing practice
- Apply a framework derived from the National Commission on Safety and Quality in Health Care to evaluate clinical governance in a clinical setting
- Evaluate a clinical governance infrastructure within a health service
- Knowledge
- Communication
- Cognitive, technical and creative skills
- Research
- Ethical and Professional Responsibility
2 Report
ASSESSMENT TWO – 60% - Clinical Audit Report - This is to be undertaken in the clinical setting at your local health service. Although there are numerical values associated with this assessment item, this is only for your own personal guidance and development.
This is a Pass/Fail unit. You must PASS this assessment to pass the unit.
This assessment addresses the following learning outcomes:
- Explain the use of clinical audits as part of a quality improvement cycle to improve nursing practice and patient care
- Identify deviations from best practice and discuss areas for improvement.
You will only need to choose one small area to audit under the Standard selected, in assessment one, depending on the findings of your local clinical and administrative team.
Work with your local area team to determine the following:
· The area of audit required
· The sample size required
· The tools to be used for data collection
. The standard for comparison or bench marking to achieve compliance
· The time-frame for completion of data collection and reporting findings
. The reporting of findings
· Recommendations from audit findings
Report your findings at your local area. This report is to be:
A PowerPoint poster presentation to summarise data collection and findings. ONLY ONE SLIDE IS TO BE USED and the oral presentation is to be five (5) minutes in duration.
Note this presentation builds on assessment one. You are not required to repeat information from assessment one, unless brief detail is required to give context to your presentation. The intent of this presentation is to discuss the audit cycle and the steps that were undertaken to do the actual audit, the findings and what was done about the finding.
Exam Week Friday (21 June 2019) 11:45 pm AEST
As negotiated at your local health service
As negotiated at your local health service
NURS20169 Oral Presentation Rubric
4—Excellent | 3—Good | 2—Fair | 1—Needs Improvement | |
Delivery | • Holds attention of entire audience with the use of direct eye contact, seldom looking at notes • Speaks with fluctuation in volume and inflection to maintain audience interest and emphasize key points | • Consistent use of direct eye contact with audience, but still returns to notes • Speaks with satisfactory variation of volume and inflection | • Displays minimal eye contact with audience, while reading mostly from the notes • Speaks in uneven volume with little or no inflection | • Holds no eye contact with audience, as entire report is read from notes • Speaks in low volume and/ or monotonous tone, which causes audience to disengage |
Content/ Organization | • Demonstrates full knowledge by answering all questions with explanations and elaboration • Provides clear purpose and subject; pertinent examples, facts, and/or statistics; supports conclusions/ideas with evidence | • Is at ease with expected answers to all questions, without elaboration • Has somewhat clear purpose and subject; some examples, facts, and/or statistics that support the subject; includes some data or evidence that supports conclusions | • Is uncomfortable with information and is able to answer only rudimentary questions • Attempts to define purpose and subject; provides weak examples, facts, and/ or statistics, which do not adequately support the subject; includes very thin data or evidence | • Does not have grasp of information and cannot answer questions about subject • Does not clearly define subject and purpose; provides weak or no support of subject; gives insufficient support for ideas or conclusions |
Enthusiasm/ Audience Awareness | • Demonstrates strong enthusiasm about topic during entire presentation • Significantly increases audience understanding and knowledge of topic; convinces an audience to recognize the validity and importance of the subject | • Shows some enthusiastic feelings about topic • Raises audience understanding and awareness of most points | • Shows little or mixed feelings about the topic being presented • Raises audience understanding and knowledge of some points | • Shows no interest in topic presented • Fails to increase audience understanding of knowledge of topic |
Comments |
|
- Evaluate a clinical governance infrastructure within a health service
- Explain the use of clinical audits as part of a quality improvement cycle to improve nursing practice and patient care
- Identify deviations from best practice and discuss areas for improvement.
- Knowledge
- Communication
- Cognitive, technical and creative skills
- Research
- Ethical and Professional Responsibility
As a CQUniversity student you are expected to act honestly in all aspects of your academic work.
Any assessable work undertaken or submitted for review or assessment must be your own work. Assessable work is any type of work you do to meet the assessment requirements in the unit, including draft work submitted for review and feedback and final work to be assessed.
When you use the ideas, words or data of others in your assessment, you must thoroughly and clearly acknowledge the source of this information by using the correct referencing style for your unit. Using others’ work without proper acknowledgement may be considered a form of intellectual dishonesty.
Participating honestly, respectfully, responsibly, and fairly in your university study ensures the CQUniversity qualification you earn will be valued as a true indication of your individual academic achievement and will continue to receive the respect and recognition it deserves.
As a student, you are responsible for reading and following CQUniversity’s policies, including the Student Academic Integrity Policy and Procedure. This policy sets out CQUniversity’s expectations of you to act with integrity, examples of academic integrity breaches to avoid, the processes used to address alleged breaches of academic integrity, and potential penalties.
What is a breach of academic integrity?
A breach of academic integrity includes but is not limited to plagiarism, self-plagiarism, collusion, cheating, contract cheating, and academic misconduct. The Student Academic Integrity Policy and Procedure defines what these terms mean and gives examples.
Why is academic integrity important?
A breach of academic integrity may result in one or more penalties, including suspension or even expulsion from the University. It can also have negative implications for student visas and future enrolment at CQUniversity or elsewhere. Students who engage in contract cheating also risk being blackmailed by contract cheating services.
Where can I get assistance?
For academic advice and guidance, the Academic Learning Centre (ALC) can support you in becoming confident in completing assessments with integrity and of high standard.