NURS20169 Nursing and Clinical Governance

Assessment 1: Workplace Project - Audit Plan

Type: Workplace Project

Due date: 5pm (AEST) Wednesday 27^th April (Week 7) for all students

Weighting: PASS/FAIL

Length: 1000 words

Unit Coordinators: Dr Lisa Wirihana & Justine Connor

Aim

The aim of this assessment is for you to demonstrate an applied understanding of clinical governance in your workplace.

Instructions

You will produce an audit plan, on one nursing practice and in collaboration with your unit nursing leaders i.e., Nurse Unit Manager, Clinical Nurse Consultant, Nurse Educator, Service/Clinic, that demonstrates your understanding of clinical governance theories and requirements and how they are enacted in your workplace. You will include links to the relevant National Safety and Quality Health Service Standard (NSQHSS) and outline the steps you will implement in actively undertaking the chosen clinical audit in your workplace. This assessment will be the basis for Assessment 2 where you will report the results of the audit. Therefore, Assessment 1 is the plan for the audit you have chosen to undertake, and Assessment 2 presents the results of the audit.

Please follow the steps below to complete your assessment task- these relate to the template that follows these instructions (also available on Moodle as a word document):

1. Provide an overview of clinical governance in healthcare organisations

Your overview will be informed by current literature to provide a description and explanation of clinical governance including how clinical governance impacts clinical risk and influences safety and quality in nursing practice. Then apply this information to how your organisation addresses clinical governance including risk and nursing-initiated audits.

2. Choose a nursing practice for audit and select the relevant National Safety and Quality Health Service (NSQHS) Standards needed to undertake the audit.

Discuss what nursing practice audits need to be undertaken in your clinical workplace with your unit nursing leaders i.e., Nurse Unit Manager, Clinical Nurse Consultant, Nurse Educator, Service/Clinic Manager. Collaboratively decide on an audit for you to undertake. Identify the relevant National Safety and Quality Health Service Standards (2017) for this nursing practice audit. 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.

3. Review the relevant audit:

Work with your unit nursing leaders to access the audit tool or create an audit tool (if a tool does not exist for the nursing practice that you want to audit). Review the audit to identify what measures of compliance are used to audit the nursing practice within the selected Standard. If you have to create your own audit tool, ensure that the tool is reviewed by your management support and check in with the NURS20169 unit coordinator (Dr Wirihana or Assoc. Prof. Calleja). Briefly describe the audit and its components.

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. This background should also include the clinical risks associated with the identified nursing practice.

5. List the steps you will need to implement to undertake this plan.

Literature and references

In this assessment use at least 5 contemporary references (≤10 years) to substantiate your information. You may also use seminal scholarly literature where relevant. Suitable references include peer-reviewed journal articles as well as textbooks and credible websites. When sourcing information, consider the 5 elements of a quality reference: currency, authority, relevance, objectivity, and coverage. Grey literature sourced from the internet must be from reputable websites such as from government, university, healthcare organisations, or peak national bodies: for example, the Australian College of Nursing.

Presentation requirements

1. Use the template.

2. Include page numbers on each page in a footer.

3. You should write in the third person.

4. Use formal academic language.

5. The word count is all the words in the table excluding the reference list but includes in-text references and direct quotations.

6. Use the seventh edition American Psychological Association (APA) referencing style. The CQUniversity Academic Learning Centre has an online APA Referencing Style Guide.

Resources

7. National Safety and Quality Health Service (NSQHS) Standards

8. You can use unit provided materials and other credible sources (e.g. journal articles, books) to reference your argument. The quality and credibility of your sources are important.

9. We recommend that you access your discipline specific Nursing Resource Guide

10. For information on academic communication please go to the Academic Learning Centre Moodle site. The Academic Communication section has many helpful resources including information for students with English as a second language.

11. Submit a draft before the due date to review your Turnitin Similarity Score before making a final submission. Instructions are available here.

Learning Outcomes Assessed

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.

Submission

Submit your saved word assessment document via the Assessment portal in the unit Moodle site.

Marking Criteria

Refer to the marking rubric below for more detail on how marks will be assigned. To achieve a passing grade for this unit you are required to pass this assessment item. If you do not pass this assessment item, you may have an opportunity to re-attempt. If you are required to re-attempt, you can only achieve a maximum of 50% of the available marks for this.

Template for Assessment 1 (also available as word document on Moodle)

NURS20169 - Nursing and Clinical Governance

Assessment 2: Clinical Audit Report (oral presentation)

Type: Presentation

Due date:

Weighting: PASS/FAIL

Length: 5-minute oral presentation using 1 PowerPoint slide only

Unit Coordinators: Dr Lisa Wirihana & Justine Connor

Learning Outcome Assessed

3. Explain the use of clinical audits as part of a quality improvement cycle to improve nursing practice and patient care.

4. Identify deviations from best practice and discuss areas for improvement.

Aim

The aim of this presentation is to demonstrate your applied understanding of clinical audit, and the associated quality standards, as part of the quality improvement cycle. Your analysis of the audit results will include compliance with, or deviations from, best nursing practice in your clinical area, as you identified in Assessment One, the significance of the selected nursing practice and what will happen next as a result of the audit findings.

Instructions

This assessment is to be undertaken in the clinical setting where you currently practice and builds on Assessment One. Based on the National Safety and Quality Health Service (NSQHS) Standard selected in Assessment One, and in collaboration with your local nursing team, undertake a clinical audit and present your findings. 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 or will be done as a result of the audit findings.

Please follow the steps below to complete your assessment task:

1. Using the plan from Assessment One:

· Review the audit tool

· In collaboration with your nursing management team/support determine the sample size for your audit (see explanation video on Moodle)

· Review the implementation steps

· Determine timeframe for the audit, ensuring enough time to write your report

2. Ensure you have the NSQHS Standard selected in Assessment One for comparison or benchmarking to achieve compliance.

3. Report on the audit through a five-minute oral presentation at your local HHS if you are in a partnered program, or by recording yourself and submitting through Moodle if you are not in a partnered program.

· Present a 1-slide PowerPoint summary of the audit - including data collection, findings and recommendations (this does not include your notes for you to deliver a 5 minute presentation)

Literature and references

In this assessment use at least 5 contemporary references (≤10 years) to support your discussion. You may also use seminal scholarly literature where relevant. Suitable references include peer-reviewed journal articles as well as textbooks and credible websites. When sourcing information, consider the 5 elements of a quality reference: currency, authority, relevance, objectivity, and coverage. Grey literature sourced from the internet must be from reputable websites such as from government, university, or peak national bodies: for example, the Australian College of Nursing.

Requirements

1. Use a conventional legible font.

2. Use the seventh edition American Psychological Association (APA) referencing style. The CQUniversity Academic Learning Centre has an online APA Referencing Style Guide.

Resources

3. National Safety and Quality Health Service (NSQHS) Standards

4. You can use unit provided materials and other credible sources (e.g. journal articles, books) to reference your argument. The quality and credibility of your sources are important.

5. We recommend that you access your discipline specific Nursing Resource Guide

6. For information on academic communication please go to the Academic Learning Centre Moodle site. The Academic Communication section has many helpful resources including information for students with English as a second language. There are also Oral Presentation resources.

7. For information on using PowerPoint please go to the Academic Learning Centre Computing section – How to use PowerPoint.

8. Submit a draft before the due date to review your Turnitin Similarity Score before making a final submission. Instructions are available here.

Submission

Submission instructions are related to if you are in a partnered program or not.

Marking Criteria

Refer to the marking rubric below for more detail on how marks will be assigned.

Student name: _____________________________