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 2 - 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.
- 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 | ||||
---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | |
1 - Presentation - 0% | |||||
2 - Report - 0% |
Alignment of Graduate Attributes to Learning Outcomes
Graduate Attributes | Learning Outcomes | ||||
---|---|---|---|---|---|
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.m.shaw@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 1
Due Wednesday 25th September, 2019
Assessment Task 1 - nursing and clinical governance - presentation Due: Week 10 Wednesday (25 Sept 2019) 11:55 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 on Assessment 2 - audit.
Module/Topic
No exam
Chapter
No exam
Events and Submissions/Topic
No exam
Assessment 2
Due Wednesday 16th October, 2019
Assessment Task 2 - nursing and clinical governance - Clinical Audit Report Due: Review/Exam Week Wednesday (16 Oct 2019) 11:55 pm AEST
Module/Topic
no exam
Chapter
no exam
Events and Submissions/Topic
no exam
1 Presentation
Assessment One: Presentation
Weighting: 40% Scored: Pass/ Fail
Word Count: 4 PowerPoint slides (max)
Due Date: Wednesday 25th September 2019 (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
ASSESSMENT
The aim of this assessment is for the student to demonstrate an understanding of clinical governance in the work place by providing a succinct four slide, PowerPoint presentation on clinical governance. The presentation will include an overview of clinical governance, the role of nurse audit in clinical governance, the background to the nurse practice area that you have chosen to audit, the relevant National Safety and Quality Health Service Standard (NSQHSS), and the steps you have taken to initiate the audit. Assessment One will provide the basis for Assessment Two. The audit is to be undertaken in the clinical setting at your local health service.
Step 1: Provide an overview on clinical governance in health care organisations. Your overview will provide a description and explanation of clinical governance including how clinical governance impacts clinical risk and influences safety and quality in nursing practice. Your overview needs to be informed by current literature.
Step 2: Choose a nursing practice for audit and select the relevant National Safety and Quality Health Service Standard (NSQHSS) needed to undertake the audit. You will need to discuss your choice with your local nursing team. They may be able to suggest nursing practices in your clinical area that require review by audit. After deciding what nursing practice you will audit, select the relevant National Safety and Quality Health Service Standards (2017) in which this nursing practice sits. The standards are listed below.
⦁ 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.
Step 3: Select the relevant audit: Work with your local health team to decide on the most relevant audit that measures compliance of the identified nursing practice with the selected Standard.
Step 4: Describe the background of the identified nursing practice that is to be audited. To do this you will need to research current literature and your local health service policies and procedures, to This background should also include the clinical risks associated with the identified nursing practice.
Step 5: Develop a PowerPoint presentation consisting of four slides addressing the points below. Your presentation should be substantiated by the literature and include a reference list. You may wish to access the Academic Learning Centre (ALC) Computing Moodle site to review ‘pOWERpOINT AND Presentation Techniques’.
1. An overview of clinical governance.
2. The processes and systems in place to identify clinical risk in your health service.
3. A justification of the use of audit to address risk in your health service
4. The nursing practice to be audited and its associated clinical risks
5. A justification of the relevant NSQHSS
6. A rationale for auditing the selected nursing practice and the steps taken to initiate the audit.
Step 6: Save the PowerPoint presentation in a PDF format for uploading onto the unit Moodle site.
Before beginning this assignment please refer to the marking rubric.
Week 10 Wednesday (25 Sept 2019) 11:55 pm AEST
Submit in PDF Format via Moodle site
Week 12 Wednesday (9 Oct 2019)
Online
Assessment One: Presentation Rubric
To achieve a pass in this assessment students must be successful in at least 2 of the 3 major criteria.
To be successful in each of the major criteria students must be successful in one half of the given minor criteria i.e. 3/6; 4
PASS |
FAIL |
PRESENTATION |
PRESENTATION |
·
four
slides used ·
slides
attract and hold the viewer’s attention ·
slides
are free of unnecessary detail ·
font
type and size enhance readability of slide information ·
slides
are viewable from two metres ·
slides
contain an appealing array of relevant script and graphics |
·
more/less
than four slides used ·
slides
do not attract and hold the viewer’s attention ·
slides
contain unnecessary detail ·
font
type and size diminishes readability of slide information ·
slides
are not viewable from two metres ·
slides
do not contain an appealing array of relevant script and graphics |
CONTENT |
CONTENT |
·
provides
an overview of clinical governance. ·
explains
the processes and systems in place to identify clinical risk in student’s health
service. ·
justifies
the use of audit in addressing risk in the student’s health service ·
justifies
the selection of the nursing practice to be audited ·
explains
the clinical risks associated with the nursing practice to be audited ·
justifies
the selection of the relevant NSQHSS ·
provides
a rationale for auditing the selected nursing practice ·
identifies
the steps taken to initiate the audit. |
·
an
overview of clinical governance is not provided. ·
the
processes and systems in place to identify clinical risk in the student’s health
service are not explained. ·
the
use of audit in addressing risk in the student’s health service is not
justified ·
the
selection of the nursing practice to be audited is not justified ·
the
associated clinical risks of the nursing practice to be audited are not
explained ·
the
selection of the relevant NSQHSS is not justified ·
a
rationale for auditing the selected nursing practice is not provided ·
the
steps taken to initiate the audit are not identified. |
REFERENCING |
REFERENCING |
·
presentation
is substantiated with peer reviewed literature using the American
Psychological Association (APA) abridged guide Term 1 2019 ·
the
literature cited is current i.e. published in the last 10 years |
·
presentation
is not substantiated with peer reviewed literature using the American
Psychological Association (APA) abridged guide Term 1 2019 ·
the
literature cited is not current i.e. published in the last 10 years |
ALLOCATED GRADE
– PASS / FAIL
MARKER |
- 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 2: Clinical Audit Report
Weighting: 60% Scored: Pass/ Fail
Assessment Types: Presentation Word Count: 1 PowerPoint slide (max)
Due Date: Wednesday 16th Oct., 2019 (Exam Week)
This assessment addresses the following learning outcomes:
4. Explain the use of clinical audits as part of a quality improvement cycle to improve nursing practice and patient care
5. Identify deviations from best practice and discuss areas for improvement.
ASSESSMENT
The aim of this presentation is to demonstrate your understanding of clinical audit, and the associated quality standards, as part of the quality improvement cycle by identifying deviations from best nursing practice in your clinical area, justifying an audit of a selected nursing practice and explaining what you did with the audit findings.
This assessment is to be undertaken in the clinical setting at your local health service.
This presentation builds on Assessment One. Based on the National Safety and Quality Health Service Standard (NSQHSS) selected in Assessment One, and in collaboration with your local nursing team, undertake a clinical audit and present your findings at your local Hospital and Health Service. You are not required to repeat information from Assessment One, unless brief detail is required to give context to your presentation. You are to present the audit cycle: the steps that were undertaken to do the actual audit; the findings; and what was done about the findings.
Step 1. Collaborate with your local area team to:
⦁ choose a small area to audit from the selected NSQHSS in Assessment One
⦁ determine the sample size
Step 2. Work with your local area team to determine:
⦁ the tools to be used for data collection
⦁ the time-frame to complete data collection and report findings
Step 3: Ensure you have the NSQHSS selected in Assessment One for comparison or benchmarking to achieve compliance
Step 4. Report on the audit through a five-minute oral presentation at your local health service.
⦁ provide one PowerPoint with a summary of the audit - data collection, findings and
recommendations
⦁ ONLY ONE SLIDE IS TO BE USED.
Before beginning this assignment please refer to the marking rubric.
Review/Exam Week Wednesday (16 Oct 2019) 11:55 pm AEST
As negotiated at your local health service
Exam Week Monday (21 Oct 2019)
As negotiated at your local health service
Assessment Two: Oral Presentation Rubric
To achieve a pass in this assessment students must be successful in at least 2 of the 4 major criteria.
To be successful in each of the major criteria students must be successful in one half of the given minor criteria i.e. 1/2; 2/4; 3/6; 4/8
PASS
|
FAIL
|
SLIDE PRESENTATION
|
SLIDE PRESENTATION
|
·
the slide is
aesthetically pleasing and hold the viewer’s attention
·
slide is well
balanced
·
figures, photos
and writing are well balanced in the slide
·
font size and
type enhance the readability of the slide
|
·
the slide is not
aesthetically pleasing and does not hold the viewer’s attention
·
slide is not well
balanced
·
figures, photos
and writing are not well balanced in the slide
·
font size and
font does not enhance the readability of the slide
|
CONTENT
(PowerPoint and oral presentation)
|
CONTENT
(PowerPoint and oral presentation)
|
·
provides clear
purpose and subject of presentation
·
identifies type
of audit and audit tools
·
outlines audit
process including working with local team & timeframe
·
provides
pertinent examples, facts, and/or statistics
·
explains the selected
National Safety and Quality
Health Service Standard for comparison
·
reports
findings
·
reports recommendations
·
demonstrates
knowledge by answering all questions with explanations and elaboration
|
·
does not provide
clear purpose or subject of presentation
·
does not identify
type of audit and audit tools
·
does not outline
audit process including working with local team & timeframe
·
does not provide
pertinent examples, facts, and/or statistics
·
does not explain the
selected National Safety
and Quality Health Service Standard for comparison
·
does not report
findings
·
does not report
recommendations
·
demonstrates lack
of knowledge by not answering all questions with explanations and elaboration
|
REFERENCING
|
REFERENCING |
· Presentation is substantiated
with peer reviewed literature using the American Psychological
Association (APA) abridged guide Term 1 2019 · The literature cited is current
ie published in the last 10 years |
·
Presentation
is substantiated with peer reviewed literature using the American
Psychological Association (APA) abridged guide Term 1 2019 ·
The
literature cited is current ie published in the last 10 years |
ORAL PRESENTATION
|
ORAL PRESENTATION
|
·
one slide used
·
adheres to time
limit
·
holds attention
of audience with the use of direct eye contact
·
speaks with
fluctuation in volume and inflection to maintain audience interest
·
seldom looks at notes
·
emphasises key points
·
demonstrates
enthusiasm about topic during presentation
·
engages audience
in presentation e.g. asks questions, seeks feedback about audit
·
answers questions
adequately
|
·
more than one
slide used
·
does not adhere
to time limit
·
does not hold
attention of audience with the use of direct eye contact
·
does not speak
with fluctuations in volume and inflections
·
consistently
looks at notes
·
does not
emphasise key points
·
does not
demonstrate enthusiasm about topic during presentation
·
does not engage
audience in presentation
·
answers questions
inadequately
|
ALLOCATED
GRADE – PASS / FAIL MARKER
|
- 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.