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

Débora Dias, Joana Reis, Nísia Nunes, Sara Ruxa, Sandy Severino and Luís Sousa

SAP Nursing Depths Series, 2025

Abstract: 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.

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:cwf:ndsart:nds2025407

DOI: 10.56294/nds2025407

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