Importance of Individual Accountability in Clinical Practice
Discuss about the Nursing and Midwifery Board of Australia for Accountability.
Individual accountability in clinical practice means being accountable for the purpose and decisions made during the course of professional practice (Nunes, Rego & Nunes, 2013). The midwives and nurses are answerable to the responsible authority both by professionally and legally for the consequence of the decisions that they have made in their practice because from this they could understand their mistakes and introduce effective strategies to maintain the rules and regulation regarding the standard of nursing practice provided by the NMBA in order to improve their skills (Masters, 2015). In the case of nursing and midwifery board of Australia v Jones is related to the complaint against the nurse Jones who has failed to provide effective service to the patient and fulfil the responsibilities of a nurse. According to the case the nurse failed to comply with proper medication and provided dishonest answer during the inquiry of Registered nurse. The nurse counterfeited the initials of another nurse on drug chart regarding the drug administration to the patient and misled that nurse for the initials. Other complaint includes dishonest respond to the nursing agency, made false respond to the AHPRA investigator, theft cash from a patient and application for enrolled nurse to NMBA with false information. Such actions of the nurse have violated the code of conduct and standard provided by the NMBA for the registered nurses (Griffith, 2015). It is important for the registered nurse to use ethical framework for making a decision during their professional practice (Faden et al., 2013). Timely documentation, assessment of risk and medication, planning, action and evaluation of their activity is important in order to comply with their responsibility and provide effective service considering the safety of the patient (Dekker, 2016). The action regarding the failure to provide proper medication to the patient has lead to the utmost violation of such guideline provided by the NMBA standard code of conduct, as providing safe, appropriate and responsive quality of nursing is one of the important standard of practice (nursingmidwiferyboard.gov.au, 2016). Every nurse should maintain their liberty during providing service in the workplace (Kelly, Magill & Ten, 2013). Misleading the information regarding the drug assessment of the patient was an incident of violation of ethical conduct as it could lead to the health related risk and even death of the patient (Runciman, Merry & Walton, 2017). Such action has lead to the failure to protect the health of the public and reduce the patient safety in the health care organization. The action of the nurse regarding the false and dishonest statement during the investigation process has lead to unsatisfactory professional conduct (Holloway & Galvin, 2016). The case of theft from the patient by the nurse has lead to ultimate action of dishonest in the profession and professional misconduct (Schneeweiss, 2014). The nurse was involved in different kind of dishonest actions during the practice session. Such actions could be termed as the gross negligence at individual level as the nurse seems to be aware of the rules and regulations provided by the governing authority (Sugarman & Califf, 2014).
The Case of Nursing and Midwifery Board of Australia v Jones
In the case of Nursing and Midwifery Board of Australia v Jones, the accountability related to the actions of other health professionals is important because the nursing professionals work as a team in order to meet the requirements of the patients through providing effective care service (Straus, Tetroe & Graham, 2013). The dishonest actions committed by the nurse in this case could be countered through the effective participation of other health professionals. Every nursing team is leaded by a head nurse that monitors the performance of the individual nurses and provides responsibility according to their ability (Faden, Beauchamp & Kass, 2014). The misconducts could have been identified by the senior nurses or the head of the department from the beginning and effective steps regarding such misconducts could prevent the nurse from doing such dishonest activities during clinical practice (Martin, Tavaglione & Hurst, 2014). The action of forged the initials of another registered nurse and providing false information regarding the initials to another nurse has provided the evidence of lack of monitoring in the health organization. The incident has rise question regarding the lack of effective leadership in the health organization. The continuous negligence regarding the mistakes or dishonest actions of the nurse has increased the courage of the nurse in order to conduct such activities ((Burkhardt & Nathaniel, 2013). Proper training related to the practice could prevent the irresponsibility of the nurse (Faden, Beauchamp & Kass, 2014). Strict rules and regulation provided by the head nurse or the regarding the performance of the nurse in the team and penalty in case of misconduct or poor performance could help to prevent such activities of the nurse (Hunter, 2016). The case has provided the evidence regarding the presence of loophole in the management and the deliberate actions of the nurse has indicated to the lack of accountability to the governing authority.
It is the responsibility of every health organization to ensure the quality of the service provided by the staffs. The image of the organization depends on the service provided to the people with need. It is important to provide effective management and monitor the quality of the service in order to satisfy the patients through efficient care service (McFadden, Stock & Gowen, 2015). The case of Nursing and Midwifery Board of Australia v Jones has indicated the pinpoints of the responsibilities of the health organization regarding the ignorance of accountability and lack of maintenance of ethics and standard of practice. The organization should not tolerate such irresponsible activities of the nursing staffs and the incident is related to poor leadership in the organization (Kumar, 2013). It is the duty of the health service providers and the facilities to ensure the safety of the patient and provide them adequate care service according to their needs (Basole, Bodner & Rouse, 2013). The health organization should not neglect the activity regarding inappropriate medication as it hampers the safety barriers of the organization (James, 2013). Negligence related to the registration of the nurse has been found in this case. Jones has provided falsified certificate of nursing training to the organization. The lack of inquiry regarding the certificate of the nurses has resulted to such activities. It is important to examine the certificates of the health professionals during the time of engaging them as a staff of the organization in order to ensure the originality of the certificate (Bowling, 2013). False application was provided by Jones for being enrolled nurse under the registration of NMBA. The rules and regulations provided by the NMBA are breached by such deliberate activities (Skegg & Paterson, 2015). Such actions are threat for the protection of the patients in the health organization. The nurse has stolen money from the wallet of the patient two times. Such action has provided evidence regarding the negligent of the responsible authority of the organization, which proves that the organization has failed to provide efficient protection to the property of the patient (Lillemoen & Pedersen, 2013). Thus, the organization needs to introduce effective protection measure in order to address such issues. Proper monitoring tool such as CCTV need to be located to every possible place in the organization to monitor such misconduct and provide effective penalty to the responsible person. It is the responsibility of the organization to gain the trust of the patient through effective service (Basole, Bodner & Rouse, 2013). Such allegation related to the staff of the organization could affect the image of the organization (Drummond et al., 2015). The health organization should pay attention to such professional misconducts and illegal activities of the staffs (Griffith & Tengnah, 2017). The health facilities should monitor the mistakes of the staffs from the grass root and report about such activities to the higher authority in order to take effective professional and legal steps to mitigate such actions in the health organization.
Significance of Ethical Decision-Making in Clinical Practice
Reference:
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