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Decision-making in an emergency department: A nursing accountability model
Alfonso Rubio-Navarro1, Diego José García-Capilla, Maria José Torralba-Madrid2
1University Hospitals of Leicester NHS Trust, UK.
Nursing Ethics
|July 20, 2019
Summary
Emergency department nurses face burnout, impacting their accountability. Understanding factors influencing nursing accountability is key for shared responsibility between nurses and institutions.
Area of Science:
- Nursing Practice
- Healthcare Management
- Professional Ethics
Background:
- Emergency departments present high-pressure environments for nurses, increasing burnout risk.
- Nurses in these settings are vulnerable to accountability for pressured or hasty decisions.
Purpose of the Study:
- To identify factors influencing ethical, legal, and professional accountability in emergency department nursing.
- To analyze the dynamics of accountability in fast-paced clinical settings.
Main Methods:
- Qualitative ethnographic content analysis of data from 186 nurses.
- Participant observation, semi-structured interviews, and clinical policy analysis in a large English emergency department.
Main Results:
- Development of the clinical nursing accountability cycle model, illustrating accountability as a subjective, flowing concept between nurse and institution.
- Analysis of interrelations among accountability factors influencing decision-making.
Conclusions:
- Retrospective understanding of accountability factors is crucial for shared responsibility for direct and indirect consequences.
- Recognizing the interconnected factors affecting decision-making enables proactive institutional strategies and enhances nurse comprehension.
Keywords:
Accountabilityclinical ethicsdecision-makingemergency nursinghealthcare institutionlawmotivationnursevalueswork conditionsMore Related Videos
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