Clinical effectiveness and evidence-based practice.

An essential component of clinical governance is clinical effectiveness, which is achieved through evidence-based practice. This has enormous implications for the way nurses work, and the qualitative approach often taken by nurse researchers can be difficult to incorporate into the new systems. Clinical governance should have benefits for patients and NHS staff alike. If the goals are to be achieved, a multidisciplinary approach will be needed, with greater encouragement being given to creative research methods. In addition, nurses will have to become more powerful inside healthcare organisations.