1. NURS7028 Leadership In Clinical Practice
Answers:
Introduction
The Aboriginal and Torres Strait Island (ATSI) people face several safety and quality
problems in the healthcare system, because of which they fail to attain an effective
healthcare service. The disjuncture regarding knowledge is proven in the healthcare
disparities that are faced by the TSI and Aboriginal individuals (Fraser et al., 2020). They
make the inclusion regarding barriers which they encounter to gain the accessibility to
primary and tertiary healthcare in both remote and urban regions of Australia (Fraser et al.,
2020). The main aim of the essay is to highlight the lack of safety and quality problems
which are faced by the Aborginal and TSI people in terms of the healthcare provision. The
implementation of change management is required to deal and mitigate this issue. The
barriers that might be faced to implement the change is to be noted. To mitigate the safety
and quality problems in healthcare that are encountered by TSI and Aboriginal individuals
in healthcare, the application of clinical and organisational leadership is required to be
done.
Discussion
Availability of the healthcare services is a crucial contributor to the wellbeing and health of
the individuals. This has a particularly significant impact on the health status of the TSI and
Aboriginal individuals, which develops their overall poorer aspect of health and their
increased requirement to get healthcare services in comparison to the non-Indigenous
individuals. A lack regarding resources developed a double burden for women via whom
the health of them gets jeopardised by their incapability to get adherence to the care
suggestions and the ineffective quality of connectivity between the patient and the provider,
generating the outcome of deterred care provision (Wilson et al., 2019). There is the
presence of health inequity between the TSI as well as Aboriginal Australians and the
cultural barriers are the most important factors to address the health inequity of the
Aboriginals. The TSI and Aboriginals are termed as financially, politically, culturally and
socially disadvantageous individuals. The indigenous individuals of Australia face an
increased rate of mortality and morbidity because of addiction (Dale et al., 2019). Making
sure the accessibility regarding the healthcare services needs not only a monetary and
2. topographical health system, but also there is a requirement regarding the presence of
cultural support.
Cultural issues in the healthcare system indicate the barriers which the ATSI people might
encounter that consist of varied language, medical systems or the aspects regarding
sexuality and gender. These are the issues that can generate the rise of severe
miscommunication between the people coming to the healthcare services from varied
cultural backgrounds. These are termed as the vital reason behind the unsatisfactory results
regarding health services among the ATSI people. These are the issues which lead to the
accessibility of unequal healthcare provision that are received by the ATSI people.
Cardiovascular issues, diabetes, cancer as well as respiratory issues are the vital diseases
that are affected by the ATSI people that contribute to the undesired gap that is associated
with the expectancy of life. The social disadvantages which are structurally entrenched,
income and health inequities, have led to the development of racism in the chronic form
(Dudgeon, Bray & Walker, 2020). To critically analyse, it can be stated that there are both
advantages and disadvantages regarding the system of healthcare services that are attained
by the ATSI. The presence of effective communication between the healthcare agencies can
be termed as a crucial enabler to the access of healthcare and advancement regarding the
standard of healthcare that is essential. However, it is dependent on the healthcare
members to make sure that there is the presence of interagency meetings. The
implementation regarding Closing the Gap PBS Co-payment and the subsidies connected
with travelling, have enhanced the adherence of medication to the ATSI patients, who would
otherwise be incapable of buying their medicines.
However, it is found that the Indigenous people might face intersecting and numerous
issues to gain the access regarding urban healthcare provision of services. This includes
discrimination, racism and the presence of care that are culturally unsafe. There is the
impact of racism regarding the accessibility and administration associated with the health
surrounding that are culturally unsafe for the patients in the hospital settings, particularly
for the Indigenous Australians and emphasis must be provided regarding the aspects of
cultural diversity within the village health works region (Malatzky & Glenister, 2018).
Therefore, these are the various quality and safety related issues that are faced by the ATSI,
to mitigate with which, it is of vital importance to implement a change. The change that can
be proposed is the implementation regarding the clinical governance framework that can
lead to the improvement of quality and safety of healthcare. In the attempt to serve safe
healthcare at the level of primary health care, the emergence regarding the clinical
governance concept has taken place (de Vasconcelos et al., 2019). The assurance regarding
clinical quality can be provided by the clinical governance as clinical governance places
clinical quality in the core of the healthcare service provision. Clinical governance makes
sure the delivery regarding optimal quality of care by the decrease of failure as well as
shared learning capabilities. To maintain this framework, it is required to make the
3. appointment of an effective leader who can abide by the clinical governance framework and
help to improve the quality of healthcare for ATSI people.
There are several researches which have accessed the clinical governance implementation
in several healthcare settings as well as healthcare systems in Australia. There is the
presence regarding several administrative concerns like transforming organisational
culture and the issues that are associated with clinical care (Cowan et al., 2019). It is
researched and found that there are several barriers which can make it difficult for the
health professionals providing healthcare to ATSI to implement the proposed change of
clinical governance. The healthcare professionals of the concerned region are found to be
present with inadequate information and attitude towards clinical governance. There is the
barrier oriented with lack of resources, the presence regarding insufficient data technology
system, resistance regarding the implementation of change, requirement regarding
professional boundaries and cultural transformations are the main barriers which are
encountered.
The agreement is made by the majority of the senior managers who are associated with
healthcare that there is employee shortage and the presence of restricted resources are the
main barriers that are associated with the clinical governance implementation. In the
circumstance, the term barrier indicates a broad range regarding the preventive measures
that comprise working processes, protection devices, security system, emergency plan,
supervision and many more. For example, the requirement regarding clear employee
responsibilities and roles within the team that is clinically integrated is recognised in the
form of a potential barrier to the provision of effective healthcare (Thornicroft et al., 2019).
It is believed by them that these are the barriers which leave most of the healthcare
managers encountering issues to efficiently conduct the program. Moreover, particular
barriers like reduction of help is obtained from the medical employees and physicians, there
is the existence of legal issues and the model of quality improvement model associated with
parallel quantity. There is the presence of enhanced workload and the presence of parallel
activities in varied domains in insufficient supporting procedure in the procedure of clinical
governance implementation. The barriers which are connected with the effective
implementation regarding care plan in the mentioned settings is the lack of organisational
culture, strategic planning problems, and resource management and workload issues.
Mitigation of these barriers through the usage of efficient healthcare facilitators can be
effective at the time of clinical governance implementation.
The vital attributes of clinical leaders are empowerment, approachability and the
encouragement regarding being visible in healthcare practises. The conceptualisation
regarding leadership in the nursing field acts in the form of a formal and influencing role
which permits the application of the emerging aspects like clinical leadership into the wide
scope associated with nursing leadership (Miles & Scott, 2019).
The clinical leaders are required to be clinically knowledgeable and competent and should
4. be present with effective beliefs and values. The leaders must be present with efficient
interaction skills, can cope effectively with the transformation, should be supportive,
integrative and inspire the required confidence among the ATSI patients. Leadership is the
capability to provide encouragement to the individuals to perform towards the attainment
of common objectives to ensure that the display of extraordinary performance is done by
the individuals (Sousa & Rocha, 2019). Leadership attributes and skills can be regarded as
two connected but separate concepts, which when used in an interchangeable manner, can
be termed as quite different. One identifies the capability to conduct a work and perform
the work well. On the other hand, it relates to characteristics and qualities. Both support the
clinical team towards a shared objective.
The significance regarding efficient clinical leadership is to provide a healthcare system that
is of high quality which can serve consistently efficient and safe care. The presence of
clinical leadership is important to advance the safety and quality in the healthcare sector
and the supervision of the ATSI patients. The identification regarding clinical governance
can be termed as the major driver regarding the performance of health services. The
considerable advancement in practises can be attained only and only if the patients and the
clinical leader gets actively involved with the procedure. The improvement regarding the
safety of patients in the healthcare firms needs the presence of effective leadership at all the
standards (Boamah et al., 2018). The attributes of clinical leadership can be mentioned as
skill driven; situational, collective, value oriented, vision oriented, co-produced, collective,
making the involvement regarding exchange connectivity and should be spanning the
boundary. Quality and safety associated with the patient care is identified as the major
priority for the healthcare firm on a global basis.
The skills that clinical leaders should have to make the implementation of clinical
governance should have effective advocacy skills and the capability to implement the
proposed change. The systems of healthcare are increasingly holding that it is the
responsibility of the nurses for the several clinical results with several results being
documentable to the accreditation as well as governance bodies and the public (Fulton et
al., 2019). To critically analyse, retention is the constant concern which is faced by the
clinical leaders.
The efficient clinical leaders should have the skill to administer and facilitate healthier
working regions through driving cultural transformation among all the professionals
associated with healthcare in the healthcare setting for the ATSI people. Changes within the
healthcare structure will impact clinical leadership (Degeling et al., 2020). With the
objective to serve effective care at the level of primary health care, the emergence regarding
the clinical governance concept took place. The description of this term is done in the form
of a framework via which the healthcare firms become responsible to develop incessant
improvement regarding the quality of the services that they provide and safeguarding
optimal care standards.
5. Clinical governance is the set of administration technologies which should be implemented
in the healthcare settings in Australia, to serve quality healthcare (de Vasconcelos et al.,
2019). The clinical leaders should have the skills regarding clinical competence; they must
have the capability to develop leadership to the team and should be ready to challenge the
status quo that is the essential skills which must be present in the clinical leaders. The
healthcare decision creators enhance efficiency and leverage the functions (Foglia et al.,
2019). The provision regarding particular training programs can develop an important role
to make the improvement of people to make them prepared to perform leadership in the
future. These training can serve aspirations to them to attain effective leadership
opportunities (Schiller et al., 2020).
Conclusion
To conclude, it can be stated that there is a lack regarding safety and quality in the
healthcare settings that serve care to the ATSI people. To deal with this issue, the
implementation of the clinical governance framework should be done. The barriers which
might be faced to implement the proposed solution are stated. The skills and attributes that
the clinical leaders must have to apply the proposed change is highlighted.
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