Nurse leadership and the challenges of clinical governance in emergency settings: a theoretical and reflective analysis

• Dias, Débora ^[1] ; Reis, Joana ^[1] ; Nunes, Nísia ^[1] ; Ruxa, Sara ^[1] ; Severino, Sandy ^[1] ; Sousa, Luís ^[1]
  1. [1] Universidade Atlântica

     Universidade Atlântica

     Barcarena, Portugal

     
• Localización: Nursing Depths Series, ISSN-e 3072-8118, Nº. 4, 2025 (Ejemplar dedicado a: Nursing Depths Series)
• Idioma: inglés
• DOI: 10.56294/nds2025407
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 1 Cita
• Resumen

  • Objectives: to analyze the articulation between nurse leadership and clinical governance in emergency settings, identifying strategies that promote care quality and the development of health and nursing management.Methods: theoretical-reflexive analysis, supported by a review of recent scientific literature, using Rodgers' approach to conceptual analysis.Results: an interdependence between leadership and clinical governance was identified, grounded in the principles of patient safety, quality, and accountability, fostering improvements in health outcomes. By requiring rapid decision-making, team coordination, and efficient resource management, leadership in emergency contexts aligns with the pillars of clinical governance: evidence-based practice, continuous audit, and risk management.Conclusions: nursing leadership constitutes a structural pillar of clinical governance. Its integration strengthens organizational and team resilience, improves clinical outcomes, and promotes patient-centered care, highlighting the importance of continuous training in leadership and governance for effective health management.

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