Accountability in Nursing and Midwifery by Stephen Tilley, Roger Watson

By Stephen Tilley, Roger Watson

Responsibility is a key obstacle for nurses and midwives within the NHS this present day. expert accountability--being liable for your activities and for the results of those actions--is a part of the framework of scientific governance, which goals to supply quality, low-priced, evidence-based care.The moment variation of responsibility in Nursing and Midwifery addresses present matters and key matters in responsibility, concentrating on 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 felony implications of responsibility are transforming into and it's important that nurses comprehend the results for daily perform.

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On a day-to-day basis nurses might be called to account by patients or family members and therefore be required to explain what they are doing and why. They may have to give an account of their practices or even of the practices of other clinical staff within the NHS. However, because this is informal and nurses are not ‘obliged’ to be accountable to patients Watson (1992) suggests that this is being accountable ‘for’ rather than ‘to’ patients. Therefore, nurses aren’t really accountable to patients.

In 1905, a Select Committee of the House of Commons reported in favour of state registration for nurses, and the following year the British Medical Association (BMA) voted almost unanimously in favour of state registration for nurses. Nurses were achieving legal status in other countries: first in South Africa in 1891, when the Cape Medical Council took on the responsibility for registering trained nurses; then in Natal in 1899, in New Zealand in 1901, in four states in the United States in 1903, and in the Transvaal in 1906.

It is only halfway through this second paper that they admit that they have limited their discussions to structural definitions of accountability (presumably a limitation also applying to the earlier paper), thereby invalidating the good and interesting work on accountability done by earlier authors and their own empirical evidence, which clearly shows that accountability can be understood in a much broader sense. The nursing directors they interviewed suggested that accountability was associated with a personal commitment, a professional disposition, commitment to a set of values and being ‘true to yourself’.

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