Accountability in Nursing and Midwifery

Informationen zum Autor Stephen Tilley is a Senior Lecturer in Nursing Studies at the University of Edinburgh. Roger Watson is a Professor of Nursing in the School of Nursing, Social Work and Applied Health Studies at the University of Hull. Klappentext Accountability is a key concern for nurses and midwives in the NHS today. Professional accountability--being responsible for your actions and for the outcomes of these actions--is part of the framework of clinical governance, which aims to provide good quality, cost-effective, evidence-based care. 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. Zusammenfassung Addresses 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. Inhaltsverzeichnis Contributors xi Preface xiii 1 Introduction 1 Roger Watson and Stephen Tilley Historical perspective 1 An accountant looks at nursing 1 Accountability and clinical governance 2 Accountability and the law 2 A policy perspective 3 An NHS trust perspective 3 A manager speaks 4 Caring for children 4 Learning disabilities 5 Midwifery 5 Community nursing 6 Mental health nursing 7 Research 8 Conclusion 8 2 The Development of Nursing as an Accountable Profession 9 Susan McGann Introduction 9 Historical perspective 9 The British Nurses' Association 10 Mrs Bedford Fenwick 10 Professional registration 12 Matrons' Council of Great Britain and Ireland 12 Political perspective 14 Early registration bill 15 The war 16 Registration Act 1919 18 Conclusions 19 3 Accountability and Clinical Governance in Nursing: a Critical Overview of the Topic 21 Kerry Jacobs Introduction 21 Accountability 26 Accountability and reform 30 Clinical governance 32 Conclusion 36 4 Accountability and Clinical Governance 38 Roger Watson Introduction 38 Clinical governance 39 Why do we have clinical governance? 39 Poor care 42 Short cuts 43 Trust 44 Conclusion 45 5 The Legal Accountability of the Nurse 47 John Tingle Introduction 47 The concept of accountability and the new NHS 47 Accountability is not irrelevant 48 Labels can obscure meanings 48 Ideas behind the label 48 This chapter 48 Legal accountability 49 Interests, rights and duties: the role of the law 49 The Ms B. case 49 Dispute resolution, compensation and punishment 50 Establishing nursing negligence 50 Vicarious liability 51 The aim of the law: compensation 51 Clinical negligence law today: all change? 51 Regulation, deterrence and education: the role of the law 52 Evidence-based healthcare and the courts 54 The scandals of recent years 54 The law affects all aspects of nursing 55 The various forms of accountability 55 Accountable to whom? 56 Accountability and sanctions 57 The allocation and management of healthcare resources: the nurse's role 58 A conflict of accountabil...

List of contents

Contributors xi

Preface xiii

1 Introduction 1
Roger Watson and Stephen Tilley

Historical perspective 1

An accountant looks at nursing 1

Accountability and clinical governance 2

Accountability and the law 2

A policy perspective 3

An NHS trust perspective 3

A manager speaks 4

Caring for children 4

Learning disabilities 5

Midwifery 5

Community nursing 6

Mental health nursing 7

Research 8

Conclusion 8

2 The Development of Nursing as an Accountable Profession 9
Susan McGann

Introduction 9

Historical perspective 9

The British Nurses' Association 10

Mrs Bedford Fenwick 10

Professional registration 12

Matrons' Council of Great Britain and Ireland 12

Political perspective 14

Early registration bill 15

The war 16

Registration Act 1919 18

Conclusions 19

3 Accountability and Clinical Governance in Nursing: a Critical Overview of the Topic 21
Kerry Jacobs

Introduction 21

Accountability 26

Accountability and reform 30

Clinical governance 32

Conclusion 36

4 Accountability and Clinical Governance 38
Roger Watson

Introduction 38

Clinical governance 39

Why do we have clinical governance? 39

Poor care 42

Short cuts 43

Trust 44

Conclusion 45

5 The Legal Accountability of the Nurse 47
John Tingle

Introduction 47

The concept of accountability and the new NHS 47

Accountability is not irrelevant 48

Labels can obscure meanings 48

Ideas behind the label 48

This chapter 48

Legal accountability 49

Interests, rights and duties: the role of the law 49

The Ms B. case 49

Dispute resolution, compensation and punishment 50

Establishing nursing negligence 50

Vicarious liability 51

The aim of the law: compensation 51

Clinical negligence law today: all change? 51

Regulation, deterrence and education: the role of the law 52

Evidence-based healthcare and the courts 54

The scandals of recent years 54

The law affects all aspects of nursing 55

The various forms of accountability 55

Accountable to whom? 56

Accountability and sanctions 57

The allocation and management of healthcare resources: the nurse's role 58

A conflict of accountability 58

The role of the law: legal accountability 59

Cases of resource and negligence 59

Conclusion 63

6 Accountability and Clinical Governance: a Policy Perspective 64
Tracey Heath

Introduction 64

Background: the NHS pre-1997 64

The Labour Government's challenge 66

Practising within an era of increasing accountability 68

Towards a modern and dependable NHS: the Labour Government's response 68

Accountability and clinical governance 70

Organisational accountability 70

Reflections on the broader policy context 74

Conclusion 76

7 Accountability in NHS Trusts 77
Stephen Knight and Tony Hostick

Introduction 77

Clinical governance 77

Responsibilities of trusts 78

Professional self-regulation 82

A systematic approach to decision making 84

Implications for practice 84

Conclusion 86

8 Accountability and Clinical Governance in Nursing: a Manager's Perspective 87
Linda Pollock

Introduction 87

Background context 87

Clinical governance as a concept 88

The meaning of clinical governance 88

Our interpretation of clinical governance 89

Has clinical governance made a difference? 91

Clinical governance and its impact at board level 91

Clinical governance structures as a vehicle for change 92

Clinical governance and people governance 93

Clinical governance and its impact on nursing 95

Clinical governance and cultural change 96

Sharing good practice 97

Evidence-based practice - the reality 98

9 Working with Children: Accountability and Paediatric Nursing 99
Gosia Brykczyñ;ska

Introduction 99

Definition of paediatric nursing 100

Ability 101

Obligations 103

Involving parents 104

Autonomy of children 106

Authority 107

Free will

Report

'This interesting book would be an ideal reference source particularly for students and post graduate/ registration nurses undertaking professional studies in nursing.'

Journal of Neonatal Nursing

This book is enjoyable and thought provoking and would be of use to alI nurses, particularly those with an interest in clinical governance or those who are wishing to expand their clinical roles.

Nursing Standard

If you are looking for a book with opinions on accountability, this book is for you... A great reference for the library.

Journal of Advanced Nursing

"This book has attempted successfully to address the whole issue of accountability and clinical governance in a truly holistic way... It is a book that is neither simple nor abstruse but succeeds in placing all the threads together in order to clarify the truth behing accountability and clinical governance."

Journal of Psychiatric and Mental Health Nursing

Product details

• Authors: S Tilley, Stephen Tilley, Stephen Watson Tilley, Tilley Stephen, Roger Watson
• Assisted by: Stephen Tilley (Editor), Steve Tilley (Editor), Roger Watson (Editor)
• Publisher: Blackwell Scientific Publishers Ltd
• Languages: English
• Product format: Paperback / Softback
• Released: 02.04.2004
• EAN: 9780632064694
• ISBN: 978-0-632-06469-4
• No. of pages: 240
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Non-clinical medicine; Nursing, LAW / Medical Law & Legislation, MEDICAL / Nursing / General, Medicolegal issues