By Stephen Tilley, Roger Watson
Responsibility is a key situation for nurses and midwives within the NHS at the present time. specialist accountability--being accountable for your activities and for the results of those actions--is a part of the framework of medical governance, which goals to supply quality, least expensive, evidence-based care.The moment variation of responsibility in Nursing and Midwifery addresses present matters and key issues 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 becoming and it is vital that nurses comprehend the results for daily perform.
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Additional info for Accountability in Nursing and Midwifery
Trusts have an explicit responsibility for quality and chief executives are accountable for quality performance in the same way as for ﬁnancial performance. The difference in the Scottish system is that it is more explicitly focused on the trust with less emphasis on external agencies and reviews. NHS trust boards are expected to lead the development of clinical governance, each trust is required to establish a clinical governance committee and trust boards are accountable for quality and the essential monitoring of clinical quality, although there is the provision for national guidelines through the Clinical Standards Board for Scotland.
Humphrey et al. (1993) characterise the UK public sector reforms as a change in accountability and accountable management, which was underpinned by shifting concepts and deﬁnitions of accountability. In their gospel of managerial reform Osbourne and Gaebler (1992) used the term accountability to mean both ﬁnancial control and market competition. In their summary of the New Public Management Reforms Ferlie et al. (1996) devote an entire chapter to the issue of accountability. , 1996, p. 197); in effect a shift from public to managerial accountability.
Pyper, 1996, p. 1) Introduction Accountability is one of those delightfully paradoxical words because nobody is sure what it means. More accountability is self-evidently a good thing and something to be encouraged by the public, professions and the State. However, exactly how to deliver this accountability eludes everybody and the question of why accountability should make us all better off is never asked. Inevitably the term is captured by different interests and ideologies. The State wants inspection and control; nurses want self-development, increased autonomy and improved professional status; management want cost control and predictability; while the public want to know why they do not have personal one-to-one nursing 24 hours a day and the latest medical technology (after all, they do pay their taxes).
Accountability in Nursing and Midwifery by Stephen Tilley, Roger Watson