Autonomy and Accountability in Nursing Practices

The report discusses the importance of autonomy and accountability in nursing practices and how they impact the safe practice of registered nurses. It also explores the ways in which registered nurses can bring positive change through innovation and creativity.

DISCUSSION FORUM

TABLE OF CONTENTS
TASK 3............................................................................................................................................3
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Post 2............................................................................................................................................3
Post 3............................................................................................................................................4
Evidence based reasoning............................................................................................................5
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................6

TASK 3
INTRODUCTION
Content:
The overall report basically gives information regarding the overall autonomy as well as
accountability and their importance or relevance in the nursing practices and mainly how the
these impact and relate to the safe practice of the registered nurses in particular. Also, in the
discussion of the next online post, it is discussed regarding the ways in which a registered nurse
is expected to bring a positive change in the overall health care environment through innovation
and creativity as well.
Sequence:
The sequence of the report is first the discussion regarding the first post and the second
post are given below and then the response towards each of the post is given in the further
paragraphs of the report below.
Scope:
The report mainly aims at identification of the importance of leadership qualities in RN
and the ways through which they can contribute to the health care environment positively.
MAIN BODY
Post 2.
As per this online post in particular the concept of autonomy and also the concept of
accountability may entail for personal as well as for the professional roles as well as the
responsibilities (Maurits., (2019). Autonomy basically refers to giving the employees or the staff
that is working the freedom in a manner that is suitable for them in particular (Roshanzadeh. and
et.al., (2018)). The employees are in charge of deciding the time and the ways of working in this
situation (Melo. And et.al., (2016)). And accountability mainly refers to assurance that an
organization or an individual in particular will particularly be analysed or judged on the basis of
the performance regarding the things or the tasks they are responsible for. Precisely in nursing
autonomy is the capability for application of the professional knowledge regarding the patient
care and taking clinical decisions (Drach Zahavy. Leonenko. and Srulovici., (2018‐ ). And
accountability mainly refers to maintenance of the safeguarding as well as the competencies of
the outcomes of the patient care and the standards of the specific profession, and at the same time
being answerable to the people who are impacted by the nursing. Both of these are major

leadership qualities and play a relevant role in aspect of nursing (Chesterton. and et.al., (2021)).
Autonomy grants the nurses the freedom in working and in management as well. And
accountability builds trust, improves the performance, improves the morale and also decreases
the fear levels. Also, I think that for making the practice of the RN's safer such qualities play a
vital role. This is mainly because trust and reliability is one major aspect on the basis of which
the overall medical department works, and through these qualities as per me it is easy to attain
and enhance the levels of trust as well as reliability in particular. This also helps or allows
fostering the levels of confidence through providing freedom and the levels of responsibilities
also lead to increase in the efficiency and effectiveness in the decision- making processes.
Post 3.
One of the major requirements in the nursing department in the current or the present
times is the need for new and innovative changes that impact the overall department in a manner
that is considered to be positive (Kara., (2016). And as a registered nurse it is necessary to bring
positive innovations and changes within the heath care environment in particular. Innovation can
basically be referred to as the concept of invention, adoption and further diffusion (Lowen. and
et.al. (2017)). The overall approach of innovation gives a brief and novel idea, service or the
product that has major advantages (AYVAZ. AKYOL. and DEMİRAL., (2019). Also,
innovation will allow or ensure and further develop the quality of the care that is being provided
to the patients by the registered nurses or other professionals in particular. Innovation is basically
used in the field of nursing for the production of the information, protection of the health,
prevention of the diseases and mainly for offering the care that is personalized and in accordance
to the needs of the patient or the service user in particular. There are many ways through which
innovation can be implemented or can be applied in the field of nursing in particular. The new-
innovation concept is one major necessity of the nursing. The major innovation can be
technological. As the overall world is growing at a very fast pace in terms of the technological
aspects in particular. And it has become one major necessity for all the sectors operating in the
world. Similarly, the same applies to the nursing sector, if the technological advancements are
implemented and the registered nurses are technologically equipped and knowledgeable then the
overall sector of health care environment can enhance. This can also enhance the speed and make
recoveries from chronic diseases fast and less painful for the patient which will be better for the
patient as well as the professionals in particular.

Evidence based reasoning.
In case of autonomy if a patient is particularly transferred to the post operation care, they
particularly require an adjustment to the pain they have been facing in their medication of the
pain, the treatment procedure and plan, or the other relevant requirements that support the
process of comforting (Labrague. McEnroe Petitte. and Tsaras., (2019)‐ ). Nurses can particularly
provide the support without consulting any seniors or the doctors (Andrews. and et.al. (2020)).
This makes things and situations easy for the doctor as well as the nurses and also gives the
nurses a sense of authority and responsibility and also freedom due to which they work or
perform more efficiently and also have a sense of inclusion within the organization in particular
(Srulovici. and Drach-Zahavy., (2017)). In case of the accountability in healthcare, a hospital
premises can particularly improve the value and the quality of the patient care within the hospital
through increasing the usage of the medicines that are approved and are also reliable (Zolkefli.,
2022). Therefore, this is relevant for the legal purposes as well as the management purposes in
particular. This can be done by creating a personal bond with the patients and taking care of them
and knowing about their issues that they are specifically facing in depth (Nouri. Jouybari. and
Sanagoo., (2017)). Through this the brand image of the hospitals also enhances or improves in
particular (AllahBakhshian. and et.al. (2017)). The major evidences of the different types of
innovation in the nursing environment are such as the patient centred care which mainly focuses
on caring about the patient and in respect to the needs of the patients, automation as well as
streamlining of the work processes or procedures is also an example of innovation that has led to
major improvements in the overall nursing environment or the overall health care environment
due to technological advancements and technical knowledge too (Weberg. and Davidson.,
(2019).
CONCLUSION
The overall report mainly gives a description regarding the qualities of autonomy as well
as accountability and the ways through which it impacts on the nursing profession and mainly
how these relate to professional expectations of the registered nurses in particular. This is
discussed while discussing regarding the online post 2. In the discussion of the online post 3 it is
discussed that what are the ways in which the RN is expected to basically contribute to positive
innovation as well as change within health care environment. And then the responses regarding
both these posts are given in the report above.

REFERENCES
Books and Journals
AYVAZ, M.Y., AKYOL, Y.E. and DEMİRAL, M., (2019). Innovation in Nursing and
Innovative Attitudes of Nurses. In International Journal of Health Administration and
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Drach Zahavy, A., Leonenko, M. and Srulovici, E., (2018). Towards a measure of accountability‐
in nursing: A three stage validation study.‐ Journal of advanced nursing. 74(10).
pp.2450-2464.
Kara, D., (2016). Innovation in nursing practices. New Trends and Issues Proceedings on
Advances in Pure and Applied Sciences. (7). pp.170-174.
Maurits, E.E.M., (2019). Autonomy of nursing staff and the attractiveness of working in home
care (Doctoral dissertation, Utrecht University).
Weberg, D. and Davidson, S., (2019). Leadership for evidence-based innovation in nursing and
health professions. Jones & Bartlett Learning.
Melo, C.M.M.D. And et.al., (2016). Professional autonomy of the nurse: some
reflections. Escola Anna Nery. 20.
Labrague, L.J., McEnroe Petitte, D.M. and Tsaras, K., (2019). Predictors and outcomes of nurse‐
professional autonomy: A cross sectional study.‐ International journal of nursing
practice. 25(1). p.e12711.
Srulovici, E. and Drach-Zahavy, A., (2017). Nurses’ personal and ward accountability and
missed nursing care: A cross-sectional study. International journal of nursing
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Chesterton, L. and et.al., (2021). A hermeneutical study of professional accountability in
nursing. Journal of Clinical Nursing. 30(1-2). pp.188-199.
Zolkefli, Y., 2022. Greater accountability in nursing handover. Belitung Nursing Journal. 8(1).
pp.84-85.
Lowen, I. M. V. and et.al. (2017). Innovation in nursing health care practice: expansion of access
in primary health care. Revista brasileira de enfermagem. 70. 898-903.
Andrews, R. and et.al. (2020). Collaboration for clinical innovation: a nursing and engineering
alliance for better patient care. Journal of Research in Nursing. 25(3). 291-304.

Nouri, A., Jouybari, L. and Sanagoo, A., (2017). NURSES’PERCEPTION OF FACTORS
INFLUENCING PROFESSIONAL AUTONOMY IN NURSING: A QUALITATIVE
STUDY. Nursing And Midwifery Journal. 15(6). pp.469-477.
Roshanzadeh, M. and et.al., (2018). Strategies of professional nursing autonomy. Scientific
Journal of Nursing, Midwifery and Paramedical Faculty. 4(1). pp.1-5.
AllahBakhshian, M. and et.al. (2017). Barriers to intensive care unit nurses' autonomy in Iran: A
qualitative study. Nursing outlook. 65(4). 392-399.