Accountability in Nursing and Midwifery

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ISBN: 9780632064694 | 0632064692
Cover: Paperback
Copyright: 7/23/2004

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The second edition of Accountability in Nursing and Midwifery addresses current issues and key concerns in accountability, focusing on accountability in the four main branches of nursing (adult, child, learning disabilities and mental health), as well as in midwifery, community nursing, and nursing management. In an increasingly litigious society, the ethical and legal implications of accountability are growing and it is important that nurses understand the implications for everyday practice.

Contributors

Preface

xiii

1 Introduction

(8)

Roger Watson and Stephen Tilley

Historical perspective

(1)

An accountant looks at nursing

(1)

Accountability and clinical governance

(1)

Accountability and the law

(1)

A policy perspective

(1)

An NHS trust perspective

(1)

A manager speaks

(1)

Caring for children

(1)

Learning disabilities

(1)

Midwifery

(1)

Community nursing

(1)

Mental health nursing

(1)

Research

(1)

Conclusion

(1)

2 The Development of Nursing as an Accountable Profession

(12)

Susan McGann

Introduction

(1)

Historical perspective

(1)

The British Nurses' Association

(1)

Mrs Bedford Fenwick

(2)

Professional registration

(1)

Matrons' Council of Great Britain and Ireland

(2)

Political perspective

(1)

Early registration bill

(1)

The war

(2)

Registration Act 1919

(1)

Conclusions

(2)

3 Accountability and Clinical Governance in Nursing: a Critical Overview of the Topic

(17)

Kerry Jacobs

Introduction

(5)

Accountability

(4)

Accountability and reform

(2)

Clinical governance

(4)

Conclusion

(2)

4 Accountability and Clinical Governance

(9)

Roger Watson

Introduction

(1)

Clinical governance

(1)

Why do we have clinical governance?

(3)

Poor care

(1)

Short cuts

(1)

Trust

(1)

Conclusion

(2)

5 The Legal Accountability of the Nurse

(17)

John Tingle

Introduction

(2)

The concept of accountability and the new NHS

(1)

Accountability is not irrelevant

(1)

Labels can obscure meanings

(1)

Ideas behind the label

(1)

This chapter

(1)

Legal accountability

(6)

Interests, rights and duties: the role of the law

(1)

The Ms B. case

(1)

Dispute resolution, compensation and punishment

(1)

Establishing nursing negligence

(1)

Vicarious liability

(1)

The aim of the law: compensation

(1)

Clinical negligence law today: all change?

(1)

Regulation, deterrence and education: the role of the law

(2)

Evidence-based healthcare and the courts

(1)

The scandals of recent years

(1)

The law affects all aspects of nursing

(1)

The various forms of accountability

(8)

Accountable to whom?

(1)

Accountability and sanctions

(1)

The allocation and management of healthcare resources: the nurse's role

(1)

A conflict of accountability

(1)

The role of the law: legal accountability

(1)

Cases of resource and negligence

(4)

Conclusion

(1)

6 Accountability and Clinical Governance: a Policy Perspective

(13)

Tracey Heath

Introduction

(1)

Background: the NHS pre-1997

(2)

The Labour Government's challenge

(4)

Practising within an era of increasing accountability

(1)

Towards a modern and dependable NHS: the Labour Government's response

(2)

Accountability and clinical governance

(4)

Organisational accountability

(4)

Reflections on the broader policy context

(2)

Conclusion

(1)

7 Accountability in NHS Trusts

(10)

Stephen Knight and Tony Hostick

Introduction

(1)

Clinical governance

(9)

Responsibilities of trusts

(4)

Professional self-regulation

(2)

A systematic approach to decision making

(1)

Implications for practice

(2)

Conclusion

(1)

8 Accountability and Clinical Governance in Nursing: a Manager's Perspective

(12)

Linda Pollock

Introduction

(1)

Background context

(1)

Clinical governance as a concept

(3)

The meaning of clinical governance

(1)

Our interpretation of clinical governance

(2)

Has clinical governance made a difference?

(5)

Clinical governance and its impact at board level

(1)

Clinical governance structures as a vehicle for change

(1)

Clinical governance and people governance

(2)

Clinical governance and its impact on nursing

(1)

Clinical governance and cultural change

(3)

Sharing good practice

(1)

Evidence-based practice - the reality

(1)

9 Working with Children: Accountability and Paediatric Nursing

(18)

Gosia Brykczyñska

Introduction

(1)

Definition of paediatric nursing

100

(1)

Ability

101

(2)

Obligations

103

(1)

Involving parents

104

(2)

Autonomy of children

106

(1)

Authority

107

(1)

Free will and choice

108

(1)

Power and political action

109

(2)

Responsibility

111

(1)

Responsibilities for treatment

111

(2)

Consequences of responsibility

113

(1)

Responsibility of parents and children

114

(2)

Conclusion

116

(1)

10 Accountability and Clinical Governance in Learning Disability Nursing

117

(15)

Bob Gates, Mick Wolverson and Jane Wray

Introduction

117

(1)

Clinical governance in learning disability nursing and guidelines for practice

118

(5)

Consent

120

(1)

Interdisciplinary working

120

(1)

Evidence-based practice

121

(1)

Advocacy

121

(1)

Autonomy

121

(1)

Relationships

122

(1)

Confidentiality

122

(1)

Risk assessment and management

122

(1)

The challenges of effectively implementing clinical governance in services for people with learning disabilities

123

(4)

Fragmented partnership working

125

(1)

User and carer involvement

125

(1)

The spectrum of need

126

(1)

Quality of life

126

(1)

Solutions to the barriers associated with implementing clinical governance in learning disability services

127

(4)

Conclusion

131

(1)

11 Where does the Buck Stop? Accountability in Midwifery

132

(11)

Rosemary Mander

Introduction

132

(1)

What is meant by accountability?

133

(1)

To whom is the midwife accountable?

134

(5)

Institutional accountability

135

(1)

Accountability to the woman

136

(1)

Personal accountability

136

(1)

Professional accountability

137

(1)

Hierarchy of accountability

138

(1)

Accountability and autonomy

139

(1)

What are the prerequisites for accountable midwifery practice?

140

(1)

What are the implications of the midwife being accountable?

141

(1)

Conclusion

141

(2)

12 Accountability in Community Nursing

143

(14)

Sarah Baggaley with Alison Bryans

Introduction

143

(1)

Organisational and policy issues affecting the accountability of community nursing

143

(2)

Current issues in community nursing

145

(2)

Resource allocation and skill mix

145

(1)

Delegation and skill mix

145

(2)

Legal and professional issues in community nursing

147

(1)

Clinical governance

148

(2)

Clinical effectiveness and evidence-based practice

149

(1)

Role developments

150

(2)

Nurse prescribing

152

(1)

Primary healthcare and public health nursing

153

(3)

Conclusion

156

(1)

13 Clinical Governance, Accountability and Mental Health Nursing: an Emergent Story

157

(13)

Stephen Tilley

Introduction

157

(1)

Review of themes from Tilley (1995)

158

(6)

The centrality of the topic

158

(2)

Accounts

160

(1)

Accounting

161

(1)

Accountability

162

(2)

Accountability and clinical governance

164

(3)

The role of the mental health nurse in clinical governance

167

(3)

14 Accountability in Nursing Research

170

(20)

Alison Tierney and Roger Watson

Introduction

170

(1)

Research as a responsibility of an accountable profession

170

(1)

Accountability in nursing research

171

(2)

Nurse researchers as nurses

172

(1)

The importance of accountability in research

172

(1)

To whom are nurse researchers accountable?

173

(14)

Accountability to the sponsor

174

(2)

Accountability to research ethics committees

176

(2)

Accountability to research participants

178

(4)

Accountability to research 'gatekeepers'

182

(3)

Accountability to (and of) the profession

185

(1)

Accountability to the wider public

186

(1)

Tensions of multiple accountability

187

(2)

Conclusion

189

(1)

Appendix Code of Professional Conduct

190

(8)

(Reproduced with permission of the Nursing and Midwifery Council)

References

198

(18)

Index

216

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Accountability in Nursing and Midwifery

Summary

Author Biography

Table of Contents

Supplemental Materials