To read the full version of this content please select one of the options below:

Nursing experiences of clinical governance implementation: a qualitative study

Homayoun Sadeghi-Bazargani (Road Traffic Injury research centre, Department of statistics and epidemiology, Faculty of health, Tabriz University of Medical Sciences, Tabriz, Iran and WHO collaborating centre on Safe Community Promotion, Stockholm, Sweden)
Jafar Sadegh Tabrizi (Tabriz Health Service Management Research Centre, Department of Health Service Management, School of health Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran)
Mohammad Saadati (Iranian Center of Excellence in Health Management, Department of Health Service Management, School of health Management and Medical Informatics, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran)
Roya Hassanzadeh (Iranian Center of Excellence in Health Management, Department of Health Service Management, School of Health Services Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran)
Gisoo Alizadeh (Iranian Center of Excellence in Health Management, Department of Health Service Management, School of Health Services Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran)

Clinical Governance: An International Journal

ISSN: 1477-7274

Article publication date: 5 October 2015

Downloads
3356

Abstract

Purpose

Clinical governance (CG) was used as a driver to improve safety and quality of healthcare. CG implementing is a change in health system and all the stakeholders must be participating. The purpose of this paper is to study nurses’ experience about CG movement in Tabriz hospitals.

Design/methodology/approach

A qualitative study using Focus Group Discussions (FGD) was done. Purposeful Sampling was used to select the objectives including 65 participants. Actually seven FGD’s were held. Content analysis was used to extract the meaningful themes.

Findings

It is revealed that nurses are the focal point in CG implementation in hospitals. Low commitment of managers and lack of physicians’ contribution was experienced by nurses. However, personnel education and development and patient safety have got more attention. Blame culture and increased work stress was reported as challenges.

Originality/value

CG as a change in healthcare system, especially in low- and middle-income countries, is faced by several challenges and its implementation would have different experiences. Nursing staff, the major group in hospitals, would be having interesting experiences through CG. Their practical opinions could guide the policy makers to employ proper plans to effectively implement CG. Considering the result of this study in practice would lead to improve CG implementation.

Keywords

Acknowledgements

Disclosure: The authors report no conflicts of interest in this work.

The authors thank the nurses of the hospitals who involved in the study and treatment affair of Tabriz University of Medical Sciences, especially Nursing Management Office for their contribution. This study was supported by Tabriz Health Services Management Research center.

Citation

Sadeghi-Bazargani, H., Tabrizi, J.S., Saadati, M., Hassanzadeh, R. and Alizadeh, G. (2015), "Nursing experiences of clinical governance implementation: a qualitative study", Clinical Governance: An International Journal, Vol. 20 No. 4, pp. 183-190. https://doi.org/10.1108/CGIJ-03-2015-0009

Publisher

:

Emerald Group Publishing Limited

Copyright © 2015, Emerald Group Publishing Limited