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Accountability in Nursing:
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The concept of accountability is a concept closely aligned with public trust and confidence with a healthcare discipline. It is of vital importance to the discipline of nursing to define and examine the obligations and duties of professional nurse. The term is referred to and often defined through international and national professional codes of nursing and in standards of nursing practice documents. International and national codes of ethics and professional standards for nursing practice statements incorporate the concept of accountability. The emphasis of accountability is placed with the individual nurse. According to element 2 of the International Council of nurses (ICN) 2006 code of ethics, the nurse carries personal responsibility and accountability for nursing practice and for maintaining competence by continual learning. The American Nurses Association.
A well-educated, professional nursing workforce is essential to good health care outcomes. Although nursing education is being strengthened globally, considerable diversity persists in the level and standards of nursing education both within and across countries. An international framework of guidelines for nursing education has, therefore, been developed to promote greater international consistency and high-quality nursing education globally. In Journal of Professional Nursing.
A nurse who has such a “calling” will look at all the medicine bottles delivered to her for her patients, smell each of them, and, if not satisfied, taste each. Nine hundred and ninetynine times there will be no mistake, but the thousandth time there may be a serious mistake detected by her means. But if she does not do this for her own satisfaction, it is no use telling her.
Duty of care is a legal, ethical, and professional obligation and commitment for nurses to provide quality care and protect patient safety. Although ‘giving care’ and ‘to care’ has been discussed widely in nursing literature, less attention has been given to ‘duty of care’ as a fundamental basis for practice.
This narrative review, through a critical analysis of peer reviewed literature, legislation, codes, professional prescribed competencies, and cases upheld by commissions and courts of law, explores the historical origins and development of ‘duty of care’, alongside nurse’s legal, ethical and professional parameters associated with duty to care. Major concepts identified include legal and common law definitions of a duty of care which are relevant to nursing, medicine and midwifery; duty of care as an evolving principle; duty of care that goes beyond legal definitions to include a moral commitment to care; and the relevance of duty of care to nursing practice in New Zealand.
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