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Bridging the accountability gap.

J E Johnson1

  • 1Washington Hospital Center, DC.

Journal of the Society for Health Systems
|January 1, 1991
PubMed
Summary

Improving patient care accountability requires collaboration between nursing and hospital administration. Organizational changes can enhance communication, clarify roles, and strengthen the nursing workforce.

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Area of Science:

  • Healthcare Management
  • Nursing Administration
  • Patient Care Quality

Background:

  • Accountability for patient care is a shared responsibility between nursing staff and hospital administration.
  • Historically, communication barriers and conflict between these groups have hindered institutional accountability.
  • Nursing focuses on patient outcomes, while administration handles managerial, strategic, and legal aspects.

Purpose of the Study:

  • To explore strategies for fostering collaboration between nursing and hospital administration.
  • To identify organizational changes that can improve institutional accountability for patient care.
  • To address historical conflicts and communication gaps in healthcare settings.

Main Methods:

  • Analysis of the shared responsibilities in patient care accountability.
  • Identification of organizational changes to promote communication and clarify roles.
  • Review of strategies to integrate nursing within the hospital environment.
  • Examination of workforce strengthening through improved compensation and benefits.

Main Results:

  • Redefining nursing roles to encompass their full scope and purpose is crucial.
  • Integrating nursing through forums and committees enhances information exchange and participation.
  • Recognizing patient care delegation as implicit in nursing practice is essential.
  • Strengthening the nursing workforce via better compensation and benefits is vital.

Conclusions:

  • Collaboration between nursing and hospital administration is key to achieving patient care accountability.
  • Organizational changes that promote communication, clarify roles, and support nurses are necessary.
  • Addressing historical conflicts through improved integration and support can lead to better patient outcomes.

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