CQUniversity Unit Profile
NURS20169 Nursing and Clinical Governance
Nursing and Clinical Governance
All details in this unit profile for NURS20169 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student).
The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.
General Information

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

Career Level: Postgraduate
Unit Level: Level 8
Credit Points: 6
Student Contribution Band: 7
Fraction of Full-Time Student Load: 0.125

Pre-requisites or Co-requisites

Students must be enrolled in CL22 Master of Clinical Nursing or CL16 Graduate Certificate in 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 - 2022

Online

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).

Class and Assessment Overview

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

Bundaberg, Cairns, Emerald, Gladstone, Mackay, Rockhampton, Townsville
Adelaide, Brisbane, Melbourne, Perth, Sydney

Assessment Overview

1. Workplace Project
Weighting: Pass/Fail
2. Presentation
Weighting: Pass/Fail

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.

Unit Learning Outcomes
On successful completion of this unit, you will be able to:
  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. 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.

NA

Alignment of Learning Outcomes, Assessment and Graduate Attributes
N/A Level
Introductory Level
Intermediate Level
Graduate Level
Professional Level
Advanced Level

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Workplace Project - 0%
2 - Presentation - 0%

Alignment of Graduate Attributes to Learning Outcomes

Graduate Attributes Learning Outcomes
1 2 3 4
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
Textbooks and Resources

Textbooks

There are no required textbooks.

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
  • Access to MIMS through the university library
  • CQ university Library resourses for research
  • Zoom account (Free)
  • Zoom app on your smart phone or access to Zoom on your laptop
  • CQUniversity Library Nursing Resources
  • Zoom (both microphone and webcam capability)
Referencing Style

All submissions for this unit must use the referencing style: American Psychological Association 7th Edition (APA 7th edition)

For further information, see the Assessment Tasks.

Teaching Contacts
Leanne Jack Unit Coordinator
l.jack@cqu.edu.au
Julie Shaw Unit Coordinator
j.m.shaw@cqu.edu.au
Lisa Wirihana Unit Coordinator
l.wirihana@cqu.edu.au
Pauline Calleja Unit Coordinator
p.calleja@cqu.edu.au
Justine Connor Unit Coordinator
j.connor@cqu.edu.au
Lorraine Thompson Unit Coordinator
l.m.thompson@cqu.edu.au
Schedule
Week 1 Begin Date: 11 Jul 2022

Module/Topic

Module 1 Nursing and clinical governance

Chapter

Events and Submissions/Topic

Zoom - Welcome and Unit Introduction

Week 2 Begin Date: 18 Jul 2022

Module/Topic

Module 1 Nursing and clinical governance

Chapter

Events and Submissions/Topic

Zoom - Nursing and clinical governance

Week 3 Begin Date: 25 Jul 2022

Module/Topic

Module 2 Australian Commission on safety and Quality in Health Care

Chapter

Events and Submissions/Topic

Self-directed learning

Week 4 Begin Date: 01 Aug 2022

Module/Topic

Module 2 Australian Commission on safety and Quality in Health Care

Chapter

Events and Submissions/Topic

Zoom - Clinical governance and the Australian Commission on Safety and Quality in Health Care

Week 5 Begin Date: 08 Aug 2022

Module/Topic

Module 3 Clinical governance across clinical settings

Chapter

Events and Submissions/Topic

Self-directed learning and assessment preparation

Vacation Week Begin Date: 15 Aug 2022

Module/Topic

Chapter

Events and Submissions/Topic

No timetabled learning activities.

Please use this week to progress your assessments.

Week 6 Begin Date: 22 Aug 2022

Module/Topic

Module 3 Clinical governance across clinical settings

Chapter

Events and Submissions/Topic

Zoom - Clinical governance across clinical settings and Assessment 1 questions

Week 7 Begin Date: 29 Aug 2022

Module/Topic

Module 4 The quality improvement cycle

Chapter

Events and Submissions/Topic

Self-directed learning


Workplace Project - Audit Plan Due: Week 7 Wednesday (31 Aug 2022) 5:00 pm AEST
Week 8 Begin Date: 05 Sep 2022

Module/Topic

Module 4 The quality improvement cycle

Chapter

Events and Submissions/Topic

Zoom - Quality improvement

Week 9 Begin Date: 12 Sep 2022

Module/Topic

Module 5 Clinical audits in practice

Chapter

Events and Submissions/Topic

Self-directed learning

Week 10 Begin Date: 19 Sep 2022

Module/Topic

Module 5 Clinical audits in practice

Chapter

Events and Submissions/Topic

Zoom - Conducting clinical audits and Assessment 2 questions

Week 11 Begin Date: 26 Sep 2022

Module/Topic

Module 6 Identification of deviation from best practice and the improvement of patient car

Chapter

Events and Submissions/Topic

Self-directed learning

Week 12 Begin Date: 03 Oct 2022

Module/Topic

Module 6 Identification of deviation from best practice and the improvement of patient care

Chapter

Events and Submissions/Topic

Zoom - Identifying deviation of evidence-based practice and questions to finish the semester


Clinical Audit Report (Oral Presentation) Due: Week 12 Wednesday (5 Oct 2022) 5:00 pm AEST
Review/Exam Week Begin Date: 10 Oct 2022

Module/Topic

Chapter

Events and Submissions/Topic

Exam Week Begin Date: 17 Oct 2022

Module/Topic

Chapter

Events and Submissions/Topic

Assessment Tasks

1 Workplace Project

Assessment Title
Workplace Project - Audit Plan

Task Description

Aim

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

Instructions:

In this assessment, you are required to develop an audit plan on one nursing practice in your clinical workplace. Your audit will demonstrate your understanding of clinical governance theories, requirements and how they are enacted in your workplace. To complete this assessment, you are asked to:

  • Consult with your unit nursing leaders, i.e., Nurse Unit Manager, Clinical Nurse Consultant, Nurse Educator, Service/Clinic to identify one nursing practice to audit using the principles of clinical governance,
  • Include links to the relevant National Safety and Quality Health Service Standard (NSQHSS), and
  • Outline the process/es (steps) you will implement to actively undertake your chosen clinical audit in your workplace.

This assessment task will be the basis for Assessment Two where you will undertake and report the results of this audit. Assessment One is therefore the plan for the audit you have chosen to undertake, and Assessment Two presents the results of the audit.

Please prepare your assessment using the following steps and the audit template attached to this assessment task sheet (also available on this Unit's Moodle site 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) Standard 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/Clinical 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 you unit nursing leaders to access an audit tool currently used in your healthcare facility or ward. Alternatively, you can create an audit tool if a tool does not exist for the nursing practice that you want to audit. If you have to create your own audit tool, ensure that the tool is reviewed by your management support and check it with the NURS20169 unit coordinator (Dr Leanne Jack). Review the audit to identify what measures of compliance are used to audit the nursing practice within the selected Standard. 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. The background should also include the clinical risks associated with the identified nursing practice.
  5. Identify/list the steps you will implement to undertake this audit plan.

Literature and references

In this assessment use at least five contemporary references (7 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 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. Use Arial or Times New Roman font in size 12 font only.
  3. Use double line spacing only.
  4. Include page numbers on each page in a footer.
  5. You should write in the third person.
  6. Use formal academic language.
  7. The word count is all the words in the table excluding the reference list but includes in-text references and direct quotes.
  8. Use the seventh edition American Psychological Association (APA) referencing style. The CQUniversity Academic Learning Centre has an online APA Referencing Style Guide.

Resources

  1. National Safety and Quality Health Service (NSQHS) Standards.
  2. 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.
  3. We recommend that you access your discipline specific Nursing Resource Guide.
  4. 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.
  5. Submit at least one draft before the due date to review your Turnitin Similarity Score before making a final submission. Instructions are available here.


Assessment Due Date

Week 7 Wednesday (31 Aug 2022) 5:00 pm AEST


Return Date to Students

Week 10 Wednesday (21 Sept 2022)


Weighting
Pass/Fail

Minimum mark or grade
PASS

Assessment Criteria

No Assessment Criteria


Referencing Style

Submission
Online

Submission Instructions
Submit your saved Word assessment document via the Assessment One portal in the Unit Moodle site.

Learning Outcomes Assessed
  • 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

2 Presentation

Assessment Title
Clinical Audit Report (Oral Presentation)

Task Description

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 all of the given minor criteria, i.e., 3/6, 4/8.

PASS FAIL
STRUCTURE & PRESENTATION STRUCTURE & PRESENTATION
  • the plan is logical and coherent
  • the plan adheres to presentation requirements with no more than three errors
  • there are no more than three different spelling errors
  • there are no more than three different grammatical and three different punctuation errors
  • the plan has issues with logic and coherence
  • the plan does not adhere to presentation requirements and has more than three errors
  • there are more than three different spelling errors
  • there are more than three different grammatical and three different punctuation errors
CONTENT CONTENT
  • provides an overview of clinical governance
  • explains the processes and systems in place to identify clinical risk in the 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 relevant evidence-informed rationale/s for auditing the selected nursing practice
  • identifies the processes/steps taken to initiate the audit
  • an overview of clinical governance is not provided, or is incorrect
  • the processes and systems in place to identify clinical risk in the student’s health service are not explained clearly
  • 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 adequately justified
  • the associated clinical risks of the nursing practice to be audited are not adequately explained
  • the selection of the relevant NSQHSS is not adequately justified
  • evidence-informed rationale/s for auditing the selected nursing practice are not provided or are irrelevant or inaccurate
  • the steps/processes taken to initiate the audit are not adequately identified
REFERENCING REFERENCING
  • the presentation is substantiated with current, peer reviewed literature using the APA 7th edition referencing style (current CQUniversity abridged edition)
  • the literature cited is current, i.e., published in the last 7 years, reputable and may include seminal works
  • there are less than three different errors with in-text APA 7 referencing
  • there are less than three different errors in APA 7 referencing in the reference list
  • presentation is not substantiated with current, peer reviewed literature using the APA 7th edition referencing style (current CQUniversity abridged edition)
  • the literature cited is not current, i.e., published in the last 7 years, not from reputable sources and is not a seminal work
  • there are three or more errors with in-text APA 7 referencing and/or there are three or more errors with the APA 7 referencing in the reference list


Assessment Due Date

Week 12 Wednesday (5 Oct 2022) 5:00 pm AEST


Return Date to Students

Week 12 Friday (7 Oct 2022)


Weighting
Pass/Fail

Minimum mark or grade
PASS

Assessment Criteria

No Assessment Criteria


Referencing Style

Submission
Online

Submission Instructions
i) Students in a partnered program. Students will present their audit as organised by their partnered Graduate Program Coordinator. ii) Students not in a partnered program. Students will submit a one-slide PowerPoint presentation via the Assessment Portal on the Unit Moodle site and attend and present a five-minute oral presentation the audit summary.

Learning Outcomes Assessed
  • 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.

Academic Integrity Statement

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.

What can you do to act with integrity?