Accountability in Nursing and Midwifery 2nd Edition by Stephen Tilley, Roger Watson ISBN 9780470777473 0470777478

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Product details:
ISBN 10: 0470777478
ISBN 13: 9780470777473
Author: Stephen Tilley, Roger Watson

Accountability in Nursing and Midwifery 2nd Edition Table of contents:

1 Introduction

Historical perspective

An accountant looks at nursing

Accountability and clinical governance

Accountability and the law

A policy perspective

An NHS trust perspective

A manager speaks

Caring for children

Learning disabilities

Midwifery

Community nursing

Mental health nursing

Research

Conclusion

2 The Development of Nursing as an Accountable Profession

Introduction

Historical perspective

The British Nurses’ Association

Mrs Bedford Fenwick

Professional registration

Matrons’ Council of Great Britain and Ireland

Political perspective

Early registration bill

The war

Registration Act 1919

Conclusions

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

Introduction

Accountability

Accountability and reform

Clinical governance

Conclusion

4 Accountability and Clinical Governance

Introduction

Clinical governance

Why do we have clinical governance?

Poor care

Short cuts

Trust

Conclusion

5 The Legal Accountability of the Nurse

Introduction

The concept of accountability and the new NHS

Accountability is not irrelevant

Labels can obscure meanings

Ideas behind the label

This chapter

Legal accountability

Interests, rights and duties: the role of the law

The Ms B. case

Dispute resolution, compensation and punishment

Establishing nursing negligence

Vicarious liability

The aim of the law: compensation

Clinical negligence law today: all change?

Regulation, deterrence and education: the role of the law

Evidence-based healthcare and the courts

The scandals of recent years

The law affects all aspects of nursing

The various forms of accountability

Accountable to whom?

Accountability and sanctions

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

A con.ict of accountability

The role of the law: legal accountability

Cases of resource and negligence

Conclusion

6 Accountability and Clinical Governance: a Policy Perspective

Introduction

Background: the NHS pre-1997

The Labour Government’s challenge

Practising within an era of increasing accountability

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

Accountability and clinical governance

Organisational accountability

Reflections on the broader policy context

Conclusion

7 Accountability in NHS Trusts

Introduction

Clinical governance

Responsibilities of trusts

Professional self-regulation

A systematic approach to decision making

Implications for practice

Conclusion

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

Introduction

Background context

Clinical governance as a concept

The meaning of clinical governance

Our interpretation of clinical governance

Has clinical governance made a difference?

Clinical governance and its impact at board level

Clinical governance structures as a vehicle for change

Clinical governance and people governance

Clinical governance and its impact on nursing

Clinical governance and cultural change

Sharing good practice

Evidence-based practice – the reality

9 Working with Children: Accountability and Paediatric Nursing

Introduction

Definition of paediatric nursing

Ability

Obligations

Involving parents

Autonomy of children

Authority

Free will and choice

Power and political action

Responsibility

Responsibilities for treatment

Consequences of responsibility

Responsibility of parents and children

Conclusion

10 Accountability and Clinical Governance in Learning Disability Nursing

Introduction

Clinical governance in learning disability nursing and guidelines for practice

Consent

Interdisciplinary working

Evidence-based practice

Advocacy

Autonomy

Relationships

Confidentiality

Risk assessment and management

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

Fragmented partnership working

User and carer involvement

The spectrum of need

Quality of life

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

Conclusion

11 Where does the Buck Stop? Accountability in Midwifery

Introduction

What is meant by accountability?

To whom is the midwife accountable?

Institutional accountability

Accountability to the woman

Personal accountability

Professional accountability

Hierarchy of accountability

Accountability and autonomy

What are the prerequisites for accountable midwifery practice?

What are the implications of the midwife being accountable?

Conclusion

12 Accountability in Community Nursing

Introduction

Organisational and policy issues affecting the accountability of community nursing

Current issues in community nursing

Resource allocation and skill mix

Delegation and skill mix

Legal and professional issues in community nursing

Clinical governance

Clinical effectiveness and evidence-based practice

Role developments

Nurse prescribing

Primary healthcare and public health nursing

Conclusion

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

Introduction

Review of themes from Tilley (1995)

The centrality of the topic

Accounts

Accounting

Accountability

Accountability and clinical governance

The role of the mental health nurse in clinical governance

14 Accountability in Nursing Research

Introduction

Research as a responsibility of an accountable profession

Accountability in nursing research

Nurse researchers as nurses

The importance of accountability in research

To whom are nurse researchers accountable?

Accountability to the sponsor

Accountability to research ethics committees

Accountability to research participants

Accountability to research ‘gatekeepers’

Accountability to (and of) the profession

Accountability to the wider public

Tensions of multiple accountability

Conclusion

Appendix Code of Professional Conduct (Reproduced with permission of the Nursing and Midwifery Counc

References

Index

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