Nurse leadership and the challenges of clinical governance in emergency settings: a theoretical and reflective analysis
DOI:
https://doi.org/10.56294/nds2025407Keywords:
leadership, clinical governance, quality improvement, nurses, emergenciesAbstract
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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Copyright (c) 2025 Débora Dias, Joana Reis, Nísia Nunes, Sara Ruxa, Sandy Severino, Luís Sousa (Author)
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