Nurses’ personal and ward accountability and missed nursing care: A cross-sectional study

Srulovici, Einav; Drach‐Zahavy, Anat

doi:10.1016/j.ijnurstu.2017.08.003

Cited by 79 publications

(102 citation statements)

References 49 publications

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“…Only one recent study demonstrated a negative link between personal accountability and missed nursing care (Srulovici & Drach-Zahavy, 2017).…”

Section: Consequences Of Nurses' Personal Accountability: Missed Numentioning

confidence: 99%

“…Although theoretical models portray nurses’ personality characteristics such as philosophy of care, values, competence and beliefs as potential shaping factors of missed nursing care (Kalisch et al., ; Schubert, Glass, Clarke, Schaffert‐Witvliet, & De Geest, ), the empirical study of these factors lags well behind. Only one recent study demonstrated a negative link between personal accountability and missed nursing care (Srulovici & Drach‐Zahavy, ).…”

Section: Introductionmentioning

confidence: 99%

“…patient falls, pressure ulcers), failure to carry out necessary nursing tasks may lead to a role conflict and to ethical dilemmas for nurses (Papastavrou, Andreou, & Efstathiou, 2014). Only one study heretofore reported a negative relationship between personal accountability and missed nursing care (Srulovici & Drach-Zahavy, 2017). We propose to test an innovative mediating model suggesting that personal accountability mediates the relationship between personal trait attributions, in terms of the Big Five theory and missed nursing care (Figure 1).…”

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confidence: 99%

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The personality profile of the accountable nurse and missed nursing care

Drach‐Zahavy

Srulovici

2018

Journal of Advanced Nursing

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“…Only one recent study demonstrated a negative link between personal accountability and missed nursing care (Srulovici & Drach-Zahavy, 2017).…”

Section: Consequences Of Nurses' Personal Accountability: Missed Numentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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The personality profile of the accountable nurse and missed nursing care

Drach‐Zahavy

Srulovici

2018

Journal of Advanced Nursing

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“…The concepts can also be defined more broadly (Kline & Preston‐Shoot, ). Nurses can define accountability from an inner, personal perspective or externally based on input from their ward or organisation (Srulovici & Drach‐Zahavy, ). Inner accountability consists of the nurse's own values, which are a product of an individual's personality, professional education, socialisation into the profession and experience.…”

Section: Introductionmentioning

confidence: 99%

Hospital nurses' professional accountability while using the National Early Warning Score: A qualitative study with a hermeneutic design

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2019

Journal of Clinical Nursing

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Aim To explore general hospital ward nurses' experiences with the National Early Warning Score and to determine its impacts on their professionalism. Background The National Early Warning Score has broad appeal; it is a patient safety initiative designed to ensure early identification of and response to deteriorating patients in hospitals. However, it is still unclear how the tool impacts nurses' professionalism. Methods A qualitative study with a hermeneutic design was conducted in autumn 2017; the study consisted of semi‐structured, in‐depth interviews with 14 hospital nurses. The data were analysed thematically to understand and interpret the nurses' experiences. Methods are reported using COREQ guidelines (see Appendix S1). Results The study examined nurses' experience with the National Early Warning Score and its perceived impact on their professionalism. Four themes were identified: (a) the National Early Warning Score and clinical judgement in patient assessment, (b) responding to the National Early Warning Score standard, (c) involving the professional community and (d) adjusting the tool. Conclusion The National Early Warning Score may impact nurses' professionalism in diverse ways. Nurses are aware of the importance of incorporating all of their professional competence, comprising clinical judgement, discretion and accountability, with the National Early Warning Score to accurately assess patients' conditions. Findings indicated that the National Early Warning Score was beneficial to nurses' professional practice; however, accountability to this standard alone does not ensure quality care and patient safety. Relevance to clinical practice A greater understanding of the role of nurses' professional accountability when using the National Early Warning Score is needed to improve practice and ensure patient safety.

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“…Although personal accountability consists of the healthcare providers’ own core values in regard to accountability, shaped by personal values, education, and socialization into the profession processes and past experience, organizational accountability captures peer and management expectations and norms that together shape accountability (Hal et al., 2017; Leonenko & Drach‐Zahavy, ). There is some preliminary empirical evidence demonstrating that personal and organizational accountability affects nurses’ performance in tandem, namely that depicting personal or organizational accountability in a vacuum, without considering their joint effects, cannot fully depict their effects on nurses’ performance (Frink et al., ; Leonenko & Drach‐Zahavy, ; Srulovici & Drach‐Zahavy, ). Yet, only one measure that we are aware of differentiated between personal and organizational accountability (Sorensen, Seebeck, Scherb, Specht, & Loes, ).…”

Section: Introductionmentioning

confidence: 99%