Nurse leadership and the challenges of clinical governance in emergency settings: a theoretical and reflective analysis
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Dias, Débora
[1]
;
Reis, Joana
[1]
;
Nunes, Nísia
[1]
;
Ruxa, Sara
[1]
;
Severino, Sandy
[1]
;
Sousa, Luís
[1]
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[1] Universidade Atlântica
Universidade Atlântica
Barcarena, Portugal
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- Localización: Nursing Depths Series, ISSN-e 3072-8118, Nº. 4, 2025 (Ejemplar dedicado a: Nursing Depths Series)
- Idioma: inglés
- Enlaces
- Dialnet Métricas: 1 Cita
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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.
