Get Accountability in Nursing and Midwifery PDF

By Stephen Tilley, Roger Watson

ISBN-10: 0470777478

ISBN-13: 9780470777473

ISBN-10: 0632064692

ISBN-13: 9780632064694

Responsibility is a key trouble for nurses and midwives within the NHS at the present time. expert accountability--being chargeable for your activities and for the results of those actions--is a part of the framework of scientific governance, which goals to supply quality, within your means, evidence-based care.The moment variation of responsibility in Nursing and Midwifery addresses present matters and key matters in responsibility, targeting responsibility within the 4 major branches of nursing (adult, baby, studying disabilities and psychological health), in addition to in midwifery, neighborhood 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 is vital that nurses comprehend the results for daily perform.

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Extra resources for Accountability in Nursing and Midwifery

Example text

The election of a Labour Government in 1997 saw the explicit rejection of the internal market and the purchaser-provider split developed under the Tories and a move towards the use of phrases such as ‘integrated care’ and quality. The definition of the Labour NHS policy initiatives can be found in the White Paper The New NHS (Department of Health, 1997). Central themes of the White Paper were partnership, local delegation, efficiency, integration, technology, the desire to cut administrative costs and improve efficiency, and clinical governance.

Department of Health, 1997, p. 82) Initially the idea of clinical governance was an extension of earlier models of quality assurance and clinical audit. However, it was also deeply influenced by the experience of the Bristol enquiry into paediatric cardiac surgical deaths and the exposure of the general practitioner Harold Shipman who was found guilty of the unlawful killing of many of his elderly patients. Therefore one central theme has been the problem of ‘bad apples’ and the identification of adverse events, especially associated with hospitalisation.

According to Watson accountability is something hierarchical, structural and institutional; something about markets, reporting and performance measurement. However, it is also evident that the concept of accountability is intrinsically linked to the concept of professionalism. Watson (1992) suggests that accountability is the very essence of professionalism. Nurses are accountable to the general public for their practice. However, in practice this does not involve giving an account to the public or to patients but rather registration (and possibly regulation) by a professional body – the Nursing and Midwifery Council (NMC).

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Accountability in Nursing and Midwifery by Stephen Tilley, Roger Watson


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