Free Custom Essay on «Clinical Leadership and Governance»

Clinical Leadership and Governance

In the health care sector, a registered nurse has to play a significant role of a team leader in order to maintain the standards of the healthcare service effectively. These functions are geared towards achieving the delivery of quality and safe patient care in the healthcare sector. In addition, these roles are played by all registered nurses, and care must be taken in order to ensure that all the provisions are followed to a single letter. This paper seeks to discuss the leadership roles of a registered nurse critically in terms of ensuring the delivery of a quality and safe patient care. In doing this, the paper analyzes the role of a registered nurse and criticizes the application of principles and process of the clinical risk management in the health care domain. Moreover, the paper reflects on the importance of the continuous professional development in preparation for the transition to the role of a Registered Nurse. Finally, the specific knowledge and skills that a registered nurse is required to have are also analyzed.

The Registered Nurse's Role as a Leader in the Health Care Team

The role of a registered nurse is to screen the patient in order to ascertain the problem that needs the patient care service. Moreover, the registered nurses involve themselves in advocacy and training of other health practitioners. This role can be effectively achieved through the creation of some guidelines and standards based on the reliable experiential evidences (DHS, 2008). In addition, the registered nurse manages all the health care resources and facilitates the other services pertinent to the patient care delivery. They coordinate all the activities in the healthcare domain in order to realize a smooth follow-up process in the transition of a registered nurse. In addition, the registered nurse assesses and stratifies the risks associated with the patient care delivery. They also communicate all the matters relating to the healthcare sector and later evaluating the post-transition process of a registered nurse (Heyrani et al. 2012).

Critique of the Principles and Processes of the Clinical Risk Management and Their Application in the Healthcare Domains

Today the principles and processes of the clinical risk management do more harm than good to the patient care provision. They create a slowdown in the realization of the role of a registered nurse in the patient care delivery. The only solution to the slow pace of the patient care delivery is preventing the conflict between the clinical risk management principles and general professional requirements of the registered nurses in terms of the health care sector (Jeffs, Lo, Beswick & Campbell 2013). First, the principles of the clinical risk management are biased and subjected to numerous external factors such as autonomy, justice, and nonmaleficence. Moreover, the cross inter-disciplinary nature makes it an interdependent practice that cannot be carried out on its own. Its primary aim is to advocate the support of patients, who tend to be object-oriented in their goals. In addition, it is aimed at creating privacy, confidentiality, and safety of a patient through the processes that slow down the patient care services (McSherry et al. 2012). Moreover, it is a requirement for the managers implementing them to have a competence needed for providing a quality patient care (Johnstone & Kanitsakis 2007).

Likewise, it is laborious and time-consuming; it creates the bottlenecks and bureaucracy, thus, delaying the patient care delivery. Moreover, the nine phases followed in providing the patient care are long. It is because they are focused on the support system of a patient (Ausserhofer et al. 2013). The processes are ineffective; thus, they diminish the role of a registered nurse. Similarly, the initiation of the principles of clinical risk management duplicates the work of the registered nurses and makes the critical role played by them irrelevant (Lawton et al. 2012). Moreover, such principles create a backlog of duties and roles in the health sector leading to extremely high costs of providing the patient care in the health sector. In addition, the clinical risk management principles and processes are against the clinical governance requirement for the health care stakeholders to share their roles, responsibility, and accountability (Anderson 2006).

The Importance of the Continuous Professional Development in Preparation for the Transition to the Role of a Registered Nurse

Continuous professional development in preparation for the role of a registered nurse requires commitment. In addition, it creates good mentors and leaders; thus, it fills in the shortage of the nurse educators (McTier, Botti & Duke 2014). Some of the continuous professional development practices involve lecturing and educating the fellow nurses as opposed to simply joining a registered nurse. Moreover, the educational advancement for achieving a graduate qualification is advised for those who seek to venture into the teaching role (ANMC 2007). Moreover, continuous professional development creates a real course development for a registered nurse. As the nurse progresses to the role of a registered nurse, a lot of curriculum and course development is available to him or her. The program ensures that every aspect of a registered nurse is clearly understood and put into practice (Rozenblum et al. 2013). Moreover, the content of what is taught in class is essential for shaping a clinical expertise of registered nurses. Additionally, the experience and proper assessment are made available to them. Therefore, some assistance is made available for a registered nurse that is seeking transition (Andre & Heartfield 2007).

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Discipline-Specific Knowledge and Capabilities

The discipline-specific knowledge and capabilities related to the nursing profession comprise both teaching and other essential skills; thus, they provide a registered nurse with an opportunity to tackle the real-world health care problems professionally. This proficiency can be achieved through the involvement of the adult knowledgeable trainers who use effective methods of seeking for the answers and apply new information (DHS, 2011). The specific knowledge and skills that a registered nurse must have include knowledge, experience, and personal attribute skills, as well as curriculum and course development skills. These skills are important in creating motivation and will-to-work in a registered nurse; thus, they ensure the timely delivery of patient care in the healthcare domain (Chang & Daly, 2012).


Communication is a critical role of a registered nurse in providing the healthcare services to the public. It is achieved through a proper choice of the communication channel. Consequently, a nurse will be in a position to establish the problem of a patient and then proceed ahead to give a professional solution. This communication should be confidential between the patient and nurse and should only be used for the benefit of the patient. In addition, it should be timely and accurate in order to provide a permanent and effective solution to the patient (Som 2011). Oral communication is effective in the process of accessing the medical history of the patient and other critical information. On the other hand, the written communication provides a reference for any future medication required. Developed interpersonal skills motivate a registered nurse in an effective communication (Daly, Speedy & Jackson 2015).

Digital Literacy and Critical Thinking Skills

With the increasing technological advancements in the health care sector, the registered nurses are expected to keep pace with technology through the acquisition of the digital literacy. This literacy helps the registered nurses find the relevant information required for the dissemination of their role in the health care sector. Similarly, the critical thinking skills are important for an effective dissemination of the roles and duties of a registered nurse in the patient care sector. These skills help a nurse evaluate critically the condition of a patient and estimate the best professional care to be given. Moreover, critical thinking provides some answers to the question that are not usually asked and those that the patient may feel shy about or refuse to answer. It is also a paramount skill that helps a registered nurse relate the story provided by the patient to his or her medical condition (Levett 2015).

Problem Solving and Self-Management Skills

The nursing profession is always associated with dynamic and unique problems requiring immediate solutions. In addition, the problem may be complex to the extent that the services of a more experienced registered nurse are required. In such a situation, problem-solving skills become a prerequisite requirement for a registered nurse in order to carry out effectively their role of providing the patient care (Stonehouse 2013). Moreover, self-management skills help a registered nurse become responsible and reliable health officers. These skills are particularly significant in assisting the registered nurse to acquire the personal traits that will enable him or her work independently through an individual learning process. By acquitting oneself with the self-management skills, it is easy to take responsibility for own actions; thus, they contribute to a responsible and dedicated registered nurse in terms of the efficient patient care (Panesar et al. 2014).

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The role of a registered nurse is essential in the patient care delivery. Several specific skills and knowledge must be possessed by a registered nurse in order to ensure that an effective health care is delivered to the patients. Moreover, the continuous professional development must be given priority in creating an effective and skilled registered nurse through his or her transition up the career ladder. It calls for the implementation of all the professional development in the case an effective patient care delivery is to be prioritized. On the other hand, little should be done in terms of the clinical risk management principles and practices since they duplicate the role of the registered nurses and create bottlenecks in the effective patient care.

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