Definition Of Clinical Governance And Accountability

This author spoke with several nurses to discuss Summa’s shared governance. There were two that had two opposing views of it. One nurse, who was younger, felt that the shared governance was just for show to achieve Magnet status. The cons she found was that the recommendations that staff nurses made were just ignored. Another problem she found was that the work that was put into it was not being reimbursed financially. Problem with shared governance is that it is believed to exist where there is empowerment, but it is has more to do with traditional board governance with some staff input. The result is that it is not founded in the actions of the staff nurse, but the actions of administration (Joseph & Bogue, 2016). The other nurse, who was older, was very excited to discuss shared governance. Her department was the first at Summa to initiate shared governance. Some of the pros were nurses had a voice and a path to follow to institute change. She explained how she

Accountability means:” being accountable for one’s own action”. The American Nursing Association (ANA) states in its code that the nurse will assume accountability for individual nursing judgments and actions. Professional nurses are accountable in several areas including accountability to the public, client, profession, employer, and self (Hood, 2010, p. 307). All professional nurses have the responsibility to work within their scope of practice to provide the best possible care to patients. Nurses’ should have a thorough knowledge about their accountability in specific areas of practice. The level of responsibility and accountability depends on professional levels. A nursing supervisor has more responsibility than a charge- nurse. A

There are a number of legal and ethical duties expected of nurses. Most of these involve care for patient’s autonomy and confidentiality despite the medical care. Failure to act regarding these can give rise to liability. One aspect of Patient’s autonomy involves giving or withholding his consent about treatment. This paper takes into account ‘consent’ as the aspect of law regarding nursing.

Every health professional has a legal obligation to patients. Nurses as part of the health care team share an important role in the quality and safe delivery of patient care. They have the major responsibility for the development, implementation and continuous practice of policies and procedures of an organisation. It is therefore essential that every organization offer unwavering encouragement and resources to support their staff to perform their duty of care in every patient. On the other hand, high incidences of risk in the health care settings have created great concerns for healthcare organizations. Not only they have effects on patients, but also they project threat to the socioeconomic status. For this reason, it is expected that all health care professionals will engage with all elements of risk management to ensure quality and safe patient delivery. This paper will critically discuss three (3) episodes of care from the case study Health Care Complaints Commission [HCCC] v Jarrett [2013] Nursing and Midwifery Professional Standards Committee of New South Wales [NSWNMPSC] 3 in relation to Registered Nurse’s [RN] role as a leader in the health care team, application of clinical risk management [CRM] in health care domains, accountability in relation to clinical governance [CG], quality improvement and change management practices and the importance of continuing professional development in preparation for transition to the role of RN.

Caramanica, L. (2004). Shared Governance: Hartford Hospital’s Experience. The Online Journal of Issues in Nursing, Vol. 9. Retrieved from http://www.nursingworld.org/mainmenucatefories/ANAmarketplace/ANAperiodicals/OJIN/tableofcontents/volume92004/No1Jan04/HartfordHospitalsExperience.aspx

Critically analyse how clinical governance can ensure accountability of individuals and teams and that nursing practice is safe and of a high standard?

Accountability and Responsibility are two of the most important skills that a clinical nurse can display. These skills are taught beginning in nursing school, when learning about the ethical framework behind the nursing profession. Nursing is a skillful combination of science and art that places patient preferences above everything else. Not everyone has the unique ability to be caring and medically savvy. The American Nurses Association defines accountability as the ability to be answerable to oneself and others for one’s own actions (Battie & Steelman, 2015). Accountability plays a huge role in patient care and the process of learning the skills of nursing. Student nurses learn that nurses should be accountable for all actions, delineation of tasks to supportive staff, as well as nursing interventions. Responsibility is also intertwined with this idea of being accountable for one’s own actions. Responsibility refers to the specific accountability or liability associated with the performance of duties of a particular role. Nurses can either accept or reject specific role demands based upon their education, knowledge, competence, and extent of experience (Code of Ethics, 2015). This paper will discuss accountability and responsibility of nurses delving into assessing one’s own competence, techniques of learning responsibility, and the future of nursing accountability.

Accountability: As an endorsed enrolled nurse my responsibility is to be accountable for my actions and know the legal and ethical requirements and ramification of care for my patients. It’s my own professional practise to accept accountability and responsibility for my own actions and know my own level of competence and accept delegation from an RN or others in the health care team but also choosing whether or not I feel competent and do so these tasks by demonstrating and recognising my own level of competence and providing safe and practical care for patients

“Running a health care organization is a team sport. It is very important that all members of the team-whether on the medical staff, in management or on the board-understand the role of governance and what constitutes effective governance” (Arnwine, 2002). Running a hospital is a difficult task. Several factors need to be seriously thought of and considered in every decision and undertaking. Unfortunately, all the three important factors in governing a hospital is not always in harmony. As likened to a team sport, if the three major components are not working with each other as a team, there will be tension and a great divide will be experienced. And often times, the patients will be in the middle and will be greatly impacted. This writer believes that there are several factors that contribute to the tension that usually exists among the medical staff, the board and administration. One factor is the disconnect, where each entity is not seeing each other eye to eye and their visions may be different from each other. Another factor may be the lack of communication in order to bridge the gap and to build a respectful and a relationship wherein there is trust for each end every member of the group. Often times, the medical staff is concerned with ensuring that patients are cared for in a manner that their practice is protected as well as the patients are getting the appropriate care. On the other hand, the board of trustees may be focused in ensuring that that

It is important to do accountability because it is an only way of enhancing task incentive. This makes the organization's policies responsive and also effective. That is why different mechanisms of accountability have come up including hospital boards, public campaigns, and village health committees. These are being used to bring awareness publicly and also globally in implementation of health services and programs (Herzlinger 2006). They support a wide range of activities which include

Professional nurses encounter a variety of legal ethical and bioethical issues on a daily basis. For this reason, it is essential that all nurses are aware of current state and national legislation, acts and guidelines and the implications of these for nursing practices as well as legal processes, principles of open disclosure and the role of a coroner in the health sector. In this way, nurses can adhere to the overarching guidelines for practice as well as working within the code of conduct, competency standards and scope of practice. This paper will provide an overview of legal and ethical parameters of professional nursing practice.

In any organisation particularly health care risk management affects everybody, and each individual should be clear about their responsibilities for managing risks. Responsibilities should therefore be specified in employee’s job descriptions or in relevant policies and procedural documents. The accountability frame work for risk

The concept of governance within a health care organization must be well design and welcome cooperation (Berger, S. (2011). When those that make policies can understand how to apply cooperative regulatory structure in healthcare setting it is noted that self-interest is not the only way of motivating positive behavior. The concept of governance spells out who is responsible for ensuring and providing support and services to all members needing health resources (Berger, S. (2011).

1. Administration – He or she carries full administrative responsibility and authority for the entire nursing service of the hospital. The policies and procedures as well as objectives of each unit is always verified by the nursing director so that it will be congruent with the whole organization’s reason for existence.

Accountability, as stated by Sullivan and Garland (2010) means accepting ownership for the results whatever they are. The NMC (2008) defines accountability as an important part of professional practice as nurses and midwives often have to make judgements in a wide variety of circumstances, using their