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opportunitynowhere
How will I
think or act
differently as a result of
this session?
It may seem a
strange principle
to enunciate as
the very first
requirement in
a hospital that
it should do the
sick no harm.
One
in 10
One
in 300 Vincent C et al. (2001 Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001 322:517–519.
“The recommendations I am making today
represent not the end but the beginning of a journey
towards a healthier culture in the NHS where
patients are the first
and foremost consideration of the system and all those who work in it.”
Our vision is
one of a Welsh
NHS which
is safe and
compassionate.
.
Compassion alone
is not enough;
care without compassion
is unacceptable;
care without knowledge
is dangerous;
care without responsibility
is reckless.
Legal
Accountability
Professional
Accountability ...relates to the additional obligation of the
professions not to abuse trust and to be
able to justify their professional actions.
...relates to the obligation of citizens to obey the
laws of the country and to be able to defend their
actions through the court if required to do so.
As a professional, you are
personally accountable for
actions and omissions in your
practice and must always be
able to justify your decisions.
Accountability
- a more positive perspective
‘...an inherent confidence that
allows nurses and allied
health professionals to take
pride in being transparent
about the way they have
carried out their practice.’ (Caulfield, 2005)
Autonomy in Healthcare
...the freedom and
the authority to act
independently. It implies control over one’s
practice, and it applies to
both decisions and actions.
Professional autonomy means
having the authority to make
decisions and the freedom to
act in accordance with one's
professional knowledge base.
(Skår, 2010)
To gain autonomous practice,
nurses and allied health professionals
must be competent and have the
courage to take charge in situations
where they are responsible.
MAIN THING for you as graduating nurses
preparing for a career in healthcare?
Make the
CARE OF
PEOPLE your first concern,
treating them as
individuals and
respecting their dignity
Fundamentals of Care
aims to improve the quality
of health & social care
Failure to deliver
the fundamental
components of care
can bring down an
NHS board faster than
either financial or
performance failures.
(Machell et al, 2009).
Applying
skills &
knowledge
Effective
communication
Leadership &
responsive
care
Continuous
care across
teams
Person-
centred care Safety
Accountability
&
responsibility
Dignity,
humanity
& equality
Applying
skills &
knowledge
Effective
communication
Leadership &
responsive
care
Continuous
care across
teams
Person-
centred care Safety
Accountability
&
responsibility
Dignity,
humanity
& equality
Applying
skills &
knowledge
Effective
communication
Leadership &
responsive
care
Continuous
care across
teams
Person-
centred care Safety
Accountability
&
responsibility
Dignity,
humanity
& equality
They make clear exactly what quality nursing
care looks like and provide a framework for
supporting the evaluation of care through
the development of useful measures.
The Principles of Nursing
Practice describe what
everyone can
expect from
nursing.
Dr Peter Carter - Chief Executive & General Secretary, Royal College of Nursing
Please share a positive example
of how the principle is ‘lived’
in your area of practice.
What would you like to do
differently regarding the
principle you’re discussing?
What would you expect to see, hear
or feel if the principle was being
‘lived’ in your area of practice?
What is
Clinical
Leadership?
When clinicians, such as
nurses, lead themselves
and others to provide
quality care and deliver
service improvement
Clinical
Leadership
Everything we do
should be benchmarked
against the difference
it makes to patient care
Who are the
Clinical Leaders?
Lots of ordinary nurses
are leaders – it is in the
very nature of the job.
Good care involves winning
your patient’s confidence,
convincing them to keep to their
treatment regimes and inspiring
them to battle their way back to health. (Crouch, 2002)
If management is efficiency
in climbing the ladder…
…then leadership determines
whether the ladder is leaning
against the right wall.
Challenges to Changing
& Developing Practice
“The greatest difficulty in the world is not for
people to accept new ideas, but to make them forget their old ideas!”
John Maynard Keynes ‘Are you kidding? I like it here!’
Sister
Thomas - a great
mentor &
clinical leader
Who is
your
Sister
Thomas?
“If you
want to see
change…
…be the
change
you want
to see”
The most important
task of leadership is to
define and nurture a
SHARED
VISION
that energises and brings
out the best in people
To make people happy
To enable people & businesses throughout
the world to realize their full potential
To experience the emotion of competition,
winning & crushing competitors
To be the world’s favourite airline
& the undisputed leader in world
travel for the millennium
What is my
VISION for my
NURSING
CAREER? CARE?
Final
Thoughts
How will I
think or act
differently as a result of
this session?
An example from
clinical practice
1150
…and
finally
A patient is the most
important person in our hospital.
They are not an interruption to our work.
They are the purpose of it.
They are not an outsider in our
hospital. They are part of it.
We are not doing them a
favour by serving them.
They are doing us a favour by giving
us the opportunity to do so.
Clinical
Leadership
& Caring
Ian Govier
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