Perspectives of Adult Health on The Importance of Clinical Governance and Quality Improvement Agenda

5B Summative Assessment (2 parts)
PART 1: 3000 word Essay (90% of marks)
Please read the clinical scenario (below) related to patient safety and use the ‘Essay Assessment Criteria’ as a guide to structure your essay (found in assessment section). The essay assessment / marking guidance will assist you with flow and structure and will help keep you on track as to the expected module content and learning. Please note that students can structure the essay in whichever way that suits their style of writing but all criteria should be considered.
All points made must be supported by referring to relevant literature (the reading list provides you with a broad range of literature although it is expected that students will also undertake their own literature search). Reference literature using APA 7th citation style.
This essay should be a continual piece of writing; please avoid using too many headings as this will impact on the quality and flow of your essay. Ideally, the essay should have an introduction, main body and conclusion.
Clinical Scenario related to Patient Safety
A frail patient, aged 84, with a history of falls, was admitted via Accident and Emergency with respiratory problems for which he was treated with Intermittent Positive Pressure Ventilation. He was taken directly to the Intensive Care Unit where he was ventilated overnight. His intubation was removed the next morning and he was subsequently transferred to the ward at 19.00 hours. The Ward was busy but after visiting their relative, the patient’s family asked for bedrails to be put in place and this was carried out. At 03.00 hours the patient was found to be lying on the floor and he suffered a fractured hip and subsequently died 2 days later.
PART 2: Reflective Summary (10% of marks)
In 500 words, we ask you to reflect on your learning from the module, considering how you will use what you have learned in your practice. As you reflect, cite three different online conversations that you posted (one of which could be a response you made to a peer). This may be a posting that helped you to develop your thinking, or perhaps even changed your views. You will need to attach screen shots of these three chosen conversations so we can follow the thread which has been effective in your learning.


MARKING CRITERIA
The Essay = 90% and the Reflective summary = 10%.
The 3000 word essay at level 9 should be structured in order to make it easy for your reader/marker to follow and understand. The headings and subheadings below are a suggestion as to content and structure; a good essay will integrate all the key points seamlessly.
The weighting (below) is important and will give you an indication of how to plan and structure your essay.
Clinical based Scenario: A frail patient, aged 84, with a history of falls, was admitted via Accident and Emergency with respiratory problems for which he was treated with Intermittent Positive Pressure Ventilation. He was taken directly to the Intensive Care Unit where he was ventilated overnight. His intubation was removed the next morning and he was subsequently transferred to the ward at 19.00 hours. The Ward was busy but after visiting their relative, the patient’s family asked for bedrails to be put in place and this was carried out. At 03.00 hours the patient was found to be lying on the floor and he suffered a fractured hip and subsequently died 2 days later.
Section Marking Criteria Student Guidance:
1. Introduction:

Outlines effectively and clearly what will be discussed in the assignment, including an outline of the content. You should also consider the context of clinical governance and quality improvement in complex, contemporary healthcare (10% weighting of the marks)
You should outline what you are going to discuss in the assignment.
Briefly introduce the importance of clinical governance and quality improvement agenda. Citing relevant government and health documents.
It is expected that this will supported by relevant literature.
2.Main Body: This is the main part of your essay. It is essential that all discussions are supported by relevant literature /evidence. There are 3 main sections to focus on:
Critique the process of risk assessments in complex care environments
(20%)
Discuss and analyse patient safety culture (20%)
The contribution of clinical nurse leadership to quality care provision (20%)
(note: this section can be more general and not specifically related to the scenario)
(60% weighting of the marks)
Critique the evidence base related to clinical decision making and professional judgement and accountability in relation to risk
Discuss the use of bedrails in relation to patient safety and justify your argument by referring to the literature.
In relation to the scenario provided identify which risk assessments should have been undertaken for this patient and support with relevant literature.
Critique initiatives that support patient safety such as the Scottish patient Safety Programme (SPSP)
Consider the importance of team work and situational awareness
Examine the literature in depth as to what constitutes a patient safety culture and discuss how this type of culture can be facilitated within a healthcare setting.
Critique the role of quality improvement in contemporary healthcare re the management of risk.
Discuss how a clinical nurse leader can influence quality and patient safety in complex clinical environments. Consider which styles of leadership support a safe patient culture.
3. Conclusion (7) &
Impact on future practice (3)
This section should summarise the main aspects of your essay. There should be no new points being made or references here. All 3rd person.
(10% weighting of the marks)
The conclusion should summarise what the key learning points are in your essay and provide some implications for future practice. You should not merely list the key learning points but discuss the learning and application to practice.
In addition discuss what has been learned in relation to this module and the impact of this on future nursing practice.
4. Presentation & Sequencing Assignment presented in accordance with University Guidelines
Logical sequencing of assignment
Accurate grammar & spelling
Accurate referencing using APA 7th
(5% weighting of the marks)
Do not write using 1st person – this is not a reflective essay
Arial, Font size 12, 1.5 line spacing
Any quotes used in text should include the page number within your essay. However, quotes should be kept to a minimum – for level 9 it is expected that you paraphrase using your own words.
Accurate spelling and grammar. Use spell and grammar checkers in ‘Word’ or ask a friend or colleague
5. References Accurate use of APA 7th in accordance with School of Health & Social Care referencing guidance.
( 5% weighting of the marks)
Should be relevant, up to date (ideally within last 10 years) and demonstrate wide reading.
You are required to use APA 7th. If you are unclear about what this means consult University WEB SITE or contact Library staff. http://libguides(dot)napier(dot)ac(dot)uk/shsc/ref
Remember to ensure all references in the text are written in full on the list.
Avoid plagiarism, by using the student drop box for checking student originality/similarity box. http://www2(dot)napier(dot)ac(dot)uk/ed/plagiarism/
References are not included in the word count.
Reflective summary section
500 words
1st person writing
Based on 3 of your own chosen online discussions write a reflection on how these have developed your thinking and development. This section should also indicate impact of learning on future practice.
Be creative and reflect insightfully. (10% weighting of the marks )
Choose and submit the 3 relevant screenshots ( note: 1 of these can be a response you made to another student)
A reflective model may be used.
This is a separate section to the above essay. For additional information please see marking rubric within the assessment section.
References can be cited in this section if required.
This section is to be written in 1st person