Clinical governance, leadership and health care quality : A Scoping Review

Abstract

ABSTRACT Purpose: The need to improve health care quality is one of the faces of the same currency that gives rationalization visibility and improves, also, the reduction of resources. Clinical Governance provides a framework for assessing and improving clinical quality and the most appropriate use of resources by creating an environment conducive to excellence. Leadership as a quality assumption is an important contribution to achieve the best health outcomes and better health care quality. Identifying the relationship among clinical governance, leadership and health care quality. Design/methodology/approach: Development of a Scoping review by Joanna Briggs Institute (JBI) with the question: "Does clinical governance and leadership influence health care quality? The question was based on the elements of the PCC (Population, Concept and Context). The search expression: "Quality of health care” AND "leadership" OR "clinical governance". All descriptors MeSH. Research on the EBSCOhost platform (CINAHL, MedicLatina, Medline and Nursing & Allied Health Database). 5-year chronological drawing (2015-2019). Based on JBI PRISM we select the found articles. In analyzing the reliability of the selected articles, we mobilized the methodological evaluation instrument "DATA EXTRACTION INSTRUMENT". Findings: In the synthesis of the results, the evidence demonstrates the need for a design focused on the efficiency and effectiveness of health care, awareness and control. Clinical governance plays a central role in determining the continuous improvement of the quality of health care. Conclusion: The scoping review allows mapping the outcomes of the studies identified through a transparent process. Originality / value: Clinical Governance it achieved health gains by improving quality of health care.