By Stephen Tilley, Roger Watson

Responsibility is a key main issue for nurses and midwives within the NHS this day. specialist 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-cost, 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 felony implications of responsibility are transforming into and it is vital that nurses comprehend the consequences for daily perform.

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Additional info for Accountability in Nursing and Midwifery

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This concept of professional accountability being a personal accountability is also found in Clark (2000), which was one of the key papers from the Second WHO Ministerial conference on Nursing and Midwifery in Introduction 25 Europe. Although Clark adopted the Lewis & Batey definition of accountability (formal obligation to disclose to others . . ) she defined professional accountability as follows: Professional accountability means that the professional takes a decision or action not because someone has told him or her to do so, but because, having weighed up the alternatives and consequences in the light of the best available knowledge, he or she believes that it is the right decision or action to take.

Equally what emphasis is placed on the forging of a visibility within the system of public administration, as compared to the creation of an external account? (Hopwood, 1984, p. 182) 30 Accountability and Clinical Governance in Nursing However, accounting for the self raises different kinds of questions. How do these accounts serve to enable the individual to make sense of their world, including their sense of self in the world (Munro & Mouritson, 1996, p. 6)? How are these accounts developed and how are they linked to practices or technologies such as confession and examination?

It is with these questions in mind that I turn to a discussion of the nature of accountability in the organisational and institutional context of the NHS and the clinical governance initiative. Accountability and reform In an analysis of public sector reform, particularly changes to healthcare, ideas of accountability seem to be writ large. 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.

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