Accountability in Nursing and Midwifery 2nd Edition by Stephen Tilley, Roger Watson – Ebook PDF Instant Download/Delivery. 9780470777473 ,0470777478
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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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