Clinical governance: implementing a change in workplace practice.
The development of a draft guideline on confirming placement of nasogastric tubes laid the basis for a senior nurse to use the principles of clinical governance to lead an improvement in practice. Key factors included risk management, dissemination of draft guidelines reflecting current evidence and changing practice. Good communication was vital to the project.
Reid
Wendy
W
Medicine and Cardiovascular Group, Tayside University Hospitals NHS Trust, Ninewells Hospital, Dundee.
D019985:Benchmarking; D002983:Clinical Competence / Q000592:standards; D003142:Communication; D003659:Decision Making, Organizational; D019317:Evidence-Based Medicine; D006801:Humans; D007400:Interprofessional Relations; D007441:Intubation, Gastrointestinal / Q000451:nursing* / Q000592:standards; D007857:Leadership; D009731:Nursing Audit / Q000458:organization & administration*; D009740:Nursing Staff / Q000193:education / Q000523:psychology; D009936:Organizational Innovation; D017410:Practice Guidelines as Topic / Q000592:standards; D012308:Risk Management / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration*; D017132:Workplace