By Stephen Tilley, Roger Watson
Responsibility is a key main issue for nurses and midwives within the NHS this present day. expert accountability--being answerable for your activities and for the results of those actions--is a part of the framework of medical governance, which goals to supply quality, low-priced, evidence-based care.The moment variation of responsibility in Nursing and Midwifery addresses present concerns 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, group nursing, and nursing administration. In an more and more litigious society, the moral and criminal implications of responsibility are transforming into and it is vital that nurses comprehend the results for daily perform.
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Extra info for Accountability in Nursing and Midwifery
Following a paper by Miss Robb on the subject, to the Matrons’ Council, Miss Stewart proposed the formation of the League of St Bartholomew’s Nurses. The League, the ﬁrst of its kind in this country, was inaugurated in December 1899 (McGann, 1992, pp. 67–8). Over the next ten years ﬁve more Leagues were formed, based on training schools, and in 1904 a National Council of Nurses was set up, composed of delegates from the existing nurses’ societies and associations, to represent British nurses in the International Council of Nurses.
Clark, 2000, p. 2) Clark continues by arguing that this involves the nurse being able to ‘account for’ their action but this is not in a formal or structural sense. Essentially the action of professional accountability is an action of professional judgement where the nurse may be called to justify their decision but the primary test is their own values and conscience – what they believe is right. The NMC (2002), UKCC (1996a), Clark (2000) and Watson (1995) acknowledge that nurses are obliged to ‘account’ to other bodies and individuals.
Clinical governance, as such, is about the ‘governance’ of the Health Service, and thus about accountability and about structures and processes. . Clinical governance is not the sum of all these activities: rather it is the means by which these activities are brought together into a structured framework and linked to the corporate agenda of NHS bodies. In summary the clinical governance initiative in England and in Scotland can be seen as the establishment of new systems and lines of accountability.
Accountability in Nursing and Midwifery by Stephen Tilley, Roger Watson