The Role Of Clinical Governance Project Leader At ' Mokoia District Health Board ' Essay

Nurse Manager Alicia Hubbard, RN, MSN, NE-BC, is the Nurse Manager at Texas Health Plano, Neurology/Telemetry unit. She started her nursing career in 2003 as a LPN. She achieved her BSN and MSN from Arkansas State University. She holds a nurse executive certification (NE-BC), which is designed for current BSN or higher degree, currently holds a mid-level or higher for at least 2 years in the last 5 years (ANCC: American Nurses Credentialing Center, n.d.). She has applied to the DNP program at University of Houston to further her education. Alicia has been has a manager for total of 11 years at several different hospitals with the last three and a half at Texas Health Plano.

This author spoke with several nurses to discuss Summa’s shared governance. There were two that had two opposing views of it. One nurse, who was younger, felt that the shared governance was just for show to achieve Magnet status. The cons she found was that the recommendations that staff nurses made were just ignored. Another problem she found was that the work that was put into it was not being reimbursed financially. Problem with shared governance is that it is believed to exist where there is empowerment, but it is has more to do with traditional board governance with some staff input. The result is that it is not founded in the actions of the staff nurse, but the actions of administration (Joseph & Bogue, 2016). The other nurse, who was older, was very excited to discuss shared governance. Her department was the first at Summa to initiate shared governance. Some of the pros were nurses had a voice and a path to follow to institute change. She explained how she

Healthcare clinical workers have differing needs for supervision than administrative staff, this may be on account of clinical provider’s clinical knowledge and responsibilities that may not be shared by administrative leaders. The position of leaders to allow this autonomy is supported, Kerfoot (2003) states that poorly lead healthcare

Each organization must have a structure of the authority defined and distributed to help in the organization of the tasks and functions with the aim of achieving the objectives of the organization. An organization structure offers details of the formal structure of the authority in the organization. It is essential to study the organization structure of the organization in order to understand the functioning of the organization. This paper examines the organization structure of the nursing department in Kingston Centre hospital. The paper will look at the nursing and the nursing service management department in the hospital (Burke, 2013). The hospital is selected because I have been able to interact with the facility many times. I have been able to work in this department hence I understand the organization structure and the services offered in the department.

Hospitals have organizational structures that allows them to carry out their duties efficiently and successfully. What separates the organizational structure of a healthcare organization from a business, essentially that the hospital 's organization is chiefly founded on the amalgamation of medical and administrative staff (Carayon, et al., 2014). The organizational structure of the twenty-first century solutions in health care hospitals involves, both divisional and hierarchical structure. In the of the chain of command hierarchy, there are various levels of professional’s that fall under other levels within the facility, and each staff member is organized in regards to departments that are related to their (KSA’s) skills, attributes and job duties (Carayon, et al., 2014). Hospital organization philosophies is based on development of values and ethics, with the understanding on moral principles relating to human conduct. These systems are comprised with the processes in decision making and determining the best actions to consider between the difficult alternatives when pertaining to patient care.

E., & Friedman, L. H. (2011). Essentials of management and leadership in public health. Sudbury, MA: Jones and Bartlett Publishers.

Ellis Medicine is governed by a board of trustees that represents the community and service area. The board consists of two business leaders from SI group in Niskayuna, two healthcare representatives from Home Town Health, six physicians and a nursing representative. The board is responsible for policy determination and strategic planning according to the continuous changes and business updates in the surrounding area. Figure 12 shows the medical staff organization according to the (Shi and Singh) model.

“Running a health care organization is a team sport. It is very important that all members of the team-whether on the medical staff, in management or on the board-understand the role of governance and what constitutes effective governance” (Arnwine, 2002). Running a hospital is a difficult task. Several factors need to be seriously thought of and considered in every decision and undertaking. Unfortunately, all the three important factors in governing a hospital is not always in harmony. As likened to a team sport, if the three major components are not working with each other as a team, there will be tension and a great divide will be experienced. And often times, the patients will be in the middle and will be greatly impacted. This writer believes that there are several factors that contribute to the tension that usually exists among the medical staff, the board and administration. One factor is the disconnect, where each entity is not seeing each other eye to eye and their visions may be different from each other. Another factor may be the lack of communication in order to bridge the gap and to build a respectful and a relationship wherein there is trust for each end every member of the group. Often times, the medical staff is concerned with ensuring that patients are cared for in a manner that their practice is protected as well as the patients are getting the appropriate care. On the other hand, the board of trustees may be focused in ensuring that that

Health care systems are organizations that are formed to meet the overall health needs of the population. Health care is regarded as one of the leading cause in promoting not only physical and mental health but the well-being of the population. Legislation is implemented requiring government to offer services to all members of its society. The role of health services and the organizations that provide aid is to focus on the health of an individual and to uphold their human rights. According to WHO (2013), a “well-functioning health care system requires a robust financing mechanism, a well-trained and adequately-paid workforce, reliable information on which to base decisions and policies, and well maintained facilities and logistics to deliver quality medicines and technologies (World Health Organization; 2013).

While all of the four elements of HRET are important, this paper will focus on Community Health and Leadership and Governance (HRET, 2007:2). The reason for selecting these two categories of importance is because they are directly related. There is a growing trend in healthcare for providers of all kinds to

1. Governance: The governance of a hospital sets the framework for supporting quality patient care, treatment and services.

The leadership issue that I would love to discus in an upcoming research is the ophthalmic wards management. Every healthcare unit has an outpatient and inpatient section (Department of Health and Children, 2008). In patients live in wards and their welfare depends on the hands of ophthalmic nurses and practitioners. Therefore, the manners in which the wards are managed reflect directly on the healing and response to treatment of patients in the wards. The issue of choice in this report regarding leadership within the ophthalmology area of practice is ward management. This is because, in ophthalmology, there is the aspect of handling the patients, which requires planning, guiding, directing and control of events. This is necessary in both the handling of patients prior and post treatment. It also tackles the handling of resources and personnel in the field (du Toit, Hughes, Mason & Tousignant, 2011). Every effort of leadership should be positively directed towards making the patient as comfortable as possible. When leadership lacks, patients' confidence drains and they no longer have the faith in services offered to them. Leadership, therefore, is a fundamental issue in ensuring that patients receive the best care possible, with as much comfort as they can receive (BHALERAO, & SINGH, 2011).

It is important to do accountability because it is an only way of enhancing task incentive. This makes the organization's policies responsive and also effective. That is why different mechanisms of accountability have come up including hospital boards, public campaigns, and village health committees. These are being used to bring awareness publicly and also globally in implementation of health services and programs (Herzlinger 2006). They support a wide range of activities which include

The concept of governance within a health care organization must be well design and welcome cooperation (Berger, S. (2011). When those that make policies can understand how to apply cooperative regulatory structure in healthcare setting it is noted that self-interest is not the only way of motivating positive behavior. The concept of governance spells out who is responsible for ensuring and providing support and services to all members needing health resources (Berger, S. (2011).

This piece of work will critically explore the theories about management and leadership in health care. At the beginning it will provide a base understanding of both topics and accountability importance. It will then concentrate