Download Accountability in Nursing and Midwifery by Stephen Tilley, Roger Watson PDF

By Stephen Tilley, Roger Watson

Responsibility is a key crisis for nurses and midwives within the NHS this present day. specialist accountability--being liable for your activities and for the results of those actions--is a part of the framework of medical governance, which goals to supply high quality, comparatively cheap, evidence-based care.The moment version 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 criminal implications of responsibility are becoming and it's important that nurses comprehend the results for daily perform.

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Munro & Mouritson (1996) explore the idea of duality by suggesting that accountability should be understood as a broad concept that extends beyond formal accounts to embrace concepts of how individuals give account of and for their daily lives and, in doing so, 28 Accountability and Clinical Governance in Nursing produce and reproduce their individual and collective identities. To further explore the idea of accountability it is necessary to consider separately these two different elements or discourses of accountability.

They also confuse freedom and control as they conclude that ‘The principal consequence of autonomy is accountability’ (p. 17). They fail to see that in an organisational context it is the absence or limitation of autonomy that gives rise to accountability obligations, that reflect relationships of power and control. , 1990; Anthony & Govindarajan, 1998). Lewis & Batey carry forward and compound many of the mistakes made in the earlier paper. 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.

Therefore, for nursing, the concept of accountability becomes a rhetorical device in the argument over whether nursing is or isn’t a profession within the framework of theories of professionalisation (or perhaps deprofessionalisation). Central to a discussion of accountability in nursing, and to Watson (1995), was the work of Batey & Lewis (1982) and Lewis & Batey (1982). However, these papers are fundamentally flawed. They failed to engage with the literature on organisations, power, accountability and control.

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