NRS 430 Professional Accountability as it pertains to Nursing
NRS 430 Professional Accountability as it pertains to Nursing
Outline the concept of professional accountability as it pertains to nursing. Provide examples of how a nurse demonstrates professional accountability in clinical expertise, the nursing process, and evidence-based practice.
Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750‐1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:
- Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
- Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN‐prepared nurses.
- Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
- Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health‐illness continuum.
- Discuss how nurses can assist in effectively managing patient care within an evolving health care system.
Re: Topic 4 DQ 2
Accountability involves accepting responsibility for one’s own and others’ actions. To be held accountable, nurses must adhere to an ethical code founded on the moral principles of faithfulness, loyalty, honesty, beneficence, and respect for the dignity, worth, and autonomy of patients (Smith &Karakarshian, 2018). Accountability assists nurses in enhancing patient care, adhering to evidence-based practice, and honing clinical abilities. By promoting a good work environment, it also assisted in overcoming obstacles and giving direction to work. For instance, if a critical fall patient is required to be in CT by the allocated door time, it is the responsibility of the nurse to ensure that the patient is in CT IMMEDIATELY to avoid significant problems resulting from a delay in care. In addition to communicating effectively with their patients and being attentive to their needs and concerns, nurses display their professional responsibility. For instance, to rule out a urinary tract infection (UTI), an incontinent patient must be cathed straight for clean pee; however, some patients refuse to this procedure due to the inconvenience and unknown. To guarantee a positive patient outcome, the nurse is responsible for properly explaining the technique to the patient, adhering to the scope of practice, emphasizing the importance of a clean sample, and giving the patient with support throughout the treatment.
Smith, N., &Karakarshian, A. (2018, April 6). Accountability in Nursing Practice. https://www.ebscohost.com/assets-sample-content/NRCP_EBCS_Accountability-in-NursingPractice.
Bonnie, you are right. Accountability is associated with various advantages in nursing practice such as improvement of quality of patient care, fosters evidence-based practice, improves clinical skills, creates good working environment, and provides direction of work. Therefore, it is undeniable that accountability is a vital component of nursing practice and patient safety. Fundamentally, accountability aims at safeguarding the patients, health care providers, and employers from consequences of poor, negligent, and unsafe clinical practices. As such, accountability is a valuable part of health care, which can potentially lead to public trust in nursing practice (Dekker, 2018). Accountable nurses strive to create patient trust for an individual and the entire nursing profession as well. In turn, patients earn the trust of the nursing profession by observing nursing collaborating to ensure quality and positive patients’ outcomes. However, accountability connotes an intricate issue and nurses should strive to assess the professional practice relative to the requirements of patients and the critical nursing roles in health care system.
Re: Topic 4 DQ 2
The concept of professional accountability as it pertains to nursing can be viewed as taking responsibility for a set of activities and for explaining or actions one’s actions (Emanuel & Emanuel, 1996). A nurse not reporting an adverse reaction or withholding care is not providing professional accountability as it pertains to nursing. Nurse’s accountability guides them to do the right thing by providing the highest patient care.
An example that can be seen in the nursing process with pic lines brings in clinical expertise, nursing process, and evidence-based practice. The procedure has to be done properly by infection control, washing hands, and following preventive measures of evidence-based practice (Sawyer et al., 2010). If the proper guidelines are not practiced the nurse needs to know she or he can be held responsible where the professional accountability comes into play. Hand washing, barrier protection, decontamination, and antibiotic stewardship are examples of guidelines for the prevention of infections set by The Joint Commission National Patient Safety Goals and the World Health Organization, and the Centers for Disease Control. Best practice can be seen when nurse-to-nurse shift change, prevention of infection, and patient care and discharge (“Handoffs: Implications for nurses – Patient safety and quality – NCBI bookshelf,” n.d.). Without proper communication, great mistakes can be made by nurses unaware of the current patient’s condition (“Patient Safety and Quality: An Evidence-Based Handbook for Nurses,” n.d.).
Indeed, professional accountability in nursing plays a central role in directing nurses to provide appropriate care and ensure the provision of the highest patient care. Therefore, the organization should ensure the establishment of a culture of accountability to help in optimizing the benefits of accountability in professional nursing practice.
Accountability should be a process within the organization that supports staff to accomplish it. It is imperative for nurses in leadership positions to consider a thorough reflection of accountability to help in setting the tone of the clinical setting and prompt an individual nurse to understand oneself better. The organization should set an environment that support nurses who make mistakes instead of finding faults to foster an environment where accountability can grow (Semper et al., 2016). Bringing punitive actions creates a barrier in creation of trust and sense of collaboration with peers. Accountability tends to thrive well with support, trust, and encouragement.
Semper, J., Halvorson, B., Hersh, M., Torres, C., & Lillington, L. (2016). Clinical nurse specialists guide staff nurses to promote practice accountability through peer review. Clinical Nurse Specialist, 30(1), 19-27.
Re: Topic 4 DQ 2
I believe professional accountability in the nursing field entails taking full responsibility for your patients as it relates to their total care and yourself as it relates to your actions. As a nurse, we are responsible for our nursing actions and decisions. We are responsible for patient care therefore we have a duty to be well versed with the nursing process. We have an obligation to continue education on our critical thinking and judgement skills. Nursing’s critical thinking is the ability to apply the nursing process effectively and purposefully to solve a problem (Green, 2018). These thinking skills permit us to focus on cause and effect of illnesses and diseases, which leads to improved patient care.
Accountability also refers to upholding ethical practices in nursing. Eight healthcare ethics are Autonomy, Beneficence, Fidelity, Justice, Nonmaleficence, Privacy, Confidentiality, Respect, and Veracity (Green, 2018). Autonomy is supporting a patient’s right to self-determination and supporting their own choices and values. Beneficence is doing good and taking care of our patients. Fidelity is being a loyal nurse and maintaining promises. Justice is avoiding favoritism and treating every patient with love and respect. Nonmaleficence is avoiding intentional harm to a patient. Privacy and Confidentiality are respecting a person’s private information and not sharing it with others. Respect is treating every patient equally and worthy. Veracity is being honest and truthful. (Green, 2018). Nurses must uphold these ethical principles with every single patient to gain professional accountability. We are also liable for ourselves. As professionals, we must make it a duty to care for ourselves so we can care for our patients. Nurses should make sure they have an adequate sleep, nutrition, and exercise schedule. Nurses should consistently educate themselves on nursing research and evidence-based practice. Education leads to improved nursing skill and application.
It is indisputable, Danielle, that nurses should get ongoing training in critical thinking and judgment in order to encourage accountability in clinical practice. Critical thinking exemplifies independent and interdependent decision making. It requires questioning, analysis, synthesis, comprehension, inductive and deductive reasoning, application, and originality. In essence, critical thinking in nursing is an essential component of nursing excellence and professional responsibility. Critically thinking nurses typically exhibit self-assurance, originality, an open mind, adaptability, contextual awareness, inquisitiveness, reflectiveness, and tenacity. In addition, nurses who think critically possess the cognitive talents of analysis, implementation of standards, information seeking, foresight, rational reasoning, and transformational knowledge (LoBiondo-Wood & Haber, 2017). These characteristics are essential for fostering professional nursing accountability.
Regarding nursing, professional accountability is nurses’ obligation to pursue the highest standards of safety, care, and ethical practice. A nurse must take responsibility for their individual professional decisions and outcomes (Abu Dawass, Khrais, Rayan & Jaber, 2023). This includes demonstrating clinical expertise in their field, following the nursing process when dealing with patients and families, and incorporating evidence-based practice. Examples of a nurse demonstrating professional accountability in clinical expertise include staying informed on proper procedures or changes in regulations or policy. They should also be committed to continuing education opportunities that address current practice needs.
They should also ensure they understand patient histories well and any potential risks that may arise during treatment. The nursing process involves assessing a patient’s condition based on subjective reports from patients and family members and objective findings from tests or other forms of documentation, such as laboratory results or imaging studies. Nurses are responsible for providing an evidence-based plan of care while considering the patient’s needs and preferences (Aldridge, 2021). They also need to monitor progress throughout this process by evaluating the effectiveness of interventions toward meeting their desired goals with input from other members involved in care delivery, such as physicians or specialists, if necessary. Evidence-based practice requires nurses to use research findings when deciding how best to treat patients since relying solely on personal experience can lead to dangerous outcomes if critical information is missed during care delivery (Franjić, 2020). Nurses need skillsets that allow them to access better evidence-based interventions to improve outcomes for those under their supervision. Incorporating self-care into daily routines can help nurses remain mentally healthy while providing care for patients, which is important since burnout is common among practitioners due to poor stress management or a lack of proper self-care practices put into place before working long shifts that take up time individuals would normally reserve for vital activities like exercising, meditating, reading, etc.,
With spiritual well-being a key factor behind high performance when there are challenging tasks at hand one might face while working, it is important one takes time out regularly to recharge energies through spiritual practices like praying, maintaining a journal, etc., The Bible encourages believers to take time out of life’s hustle and bustle and nurture themselves physically and mentally spiritually because, ultimately, God wants us to live lives full of joy, peace, and great contentment, which come bearing the fruit of His presence in life.
Abu Dawass, M., Khrais, H., Rayan, A., & Jaber, M. (2023). The functionality of unit practice councils and its relationship with nurses’ accountability: A cross‐sectional study. Nursing Open.
Aldridge, M. (2021). Leadership and Management in Professional Nursing Practice.
Franjić, S. (2020). Professionalism in Nursing. Saudi J. Nurs. Health Care, 3, 241-245.