Accountability issues in an English emergency department: A nursing perspective

Rubio-Navarro, Alfonso; Garcia-Capilla, Diego Jose; Torralba-Madrid, Maria José; Rutty, Jane

doi:10.1016/j.ienj.2020.100881

Cited by 1 publication

(1 citation statement)

References 18 publications

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“…Nonetheless, nurses had overall high scores for accountability, especially for dimensions pertaining to personal accountability for their actions in following and implementing standards of care, monitoring standards of care, delivering nursing care to their patients, keeping their knowledge and skills up‐to‐date with current evidence, preparing their patients for discharge, and responding to any complaint arising from the patient and their families. The high scores highlight nurses' acknowledgement of the value of accountability in patient safety, prevention of harm, and quality of service delivery (Rubio‐Navarro et al, 2020 ). If nurses recognize that they are accountable for the results of their actions, they have the potential to create situations that protect their patients from injury and promote their health and well‐being.…”

Section: Discussionmentioning

confidence: 99%

The functionality of unit practice councils and its relationship with nurses' accountability: A cross‐sectional study

et al. 2023

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A positive and healthy work environment is considered an essential and crucial component to increase nurses' satisfaction; therefore, nurses used shared governance and its related Unit Practice Councils (UPCs) as a way to attain it. UPCs are innovative management and leadership process built on shared decision-making among all nurses and focused on nurses' practices and accountability of their care (Lamoureux et al., 2014).Engaging nurses at the service point in raising clinical and operational issues is linked to greater levels of empowerment and confidence pertaining to shared governance and its related UPCs (Al-Marri & Kehyayan, 2018;Brull, 2015). Implementation of professional governance structures can enhance the synergistic work environment between the management and frontline employees, and improve employee work conditions enhancing teamwork, openmindedness and the adventure of finding new solutions to old problems (Fuentes et al., 2019).One of the ways to implement shared governance is through the creation and institutionalization of UPCs which are groups of nurses within units who take lead in implementing, monitoring, evaluating standard and consistent practice among staff nurses and the wider multidisciplinary team (Sloan, 2020). UPCs should be well-structured and functional, with nurses aligning themselves with self-directed work teams and organizational leaders' competencies (Joseph & Bogue, 2016). Optimal functioning of UPCs has been shown to result in nursing empowerment, improved clinical practice, a healthy work environment, improved peer relationships, cultural change, improved perceptions of patients and employees, and improved patient outcomes and satisfaction (Gerard et al., 2016;Wessel, 2012).

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Section: Discussionmentioning

confidence: 99%