Accountability in Nursing and Midwifery by Stephen Tilley, Roger Watson PDF
By Stephen Tilley, Roger Watson
Responsibility is a key hindrance for nurses and midwives within the NHS at the present time. specialist accountability--being answerable for your activities and for the results of those actions--is a part of the framework of scientific governance, which goals to supply high quality, least expensive, evidence-based care.The moment version of responsibility in Nursing and Midwifery addresses present concerns and key issues in responsibility, targeting responsibility within the 4 major branches of nursing (adult, baby, studying disabilities and psychological health), in addition to in midwifery, group nursing, and nursing administration. In an more and more litigious society, the moral and criminal implications of responsibility are turning out to be and it's important that nurses comprehend the results for daily perform.
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Extra resources for Accountability in Nursing and Midwifery
Therefore, nurses aren’t really accountable to patients. However, who nurses are ‘accountable-for-patients’ to remains undeﬁned. Watson (1995) acknowledges that these concepts of accountability are complex, confused, 26 Accountability and Clinical Governance in Nursing contradictory and perhaps unhelpful to good nursing practice. The next section of this paper attempts to bring some clarity to the discussion by summarising theories and research pertaining to the issue of accountability. Accountability A number of authors have attempted to structure the concept of accountability.
The conﬂicting and contradictory concepts associated with accountability in nursing can be found reﬂected in the introduction to Watson (1995). He starts by identifying the concept of accountability with the purchaser-provider distinction in the NHS and then goes on to present Prentice’s suggestion (1994) that accountability was ‘answering, 22 Accountability and Clinical Governance in Nursing responsiveness, openness . . not to mention participation and obedience to external laws’. According to Watson accountability is something hierarchical, structural and institutional; something about markets, reporting and performance measurement.
170–80). The old state registration party was opposed to the College of Nursing. They believed that it was only a matter of time before the Government accepted the necessity for state registration and they were not prepared to accept a voluntary system. Mrs Fenwick, in particular, would not countenance the involvement of hospital managers in the professional affairs of nurses. For many years her vision had been of an independent nursing profession, governed by an independent general nursing council.
Accountability in Nursing and Midwifery by Stephen Tilley, Roger Watson