scholarly journals A hermeneutical study of professional accountability in nursing

2020 ◽  
Author(s):  
Lorna Chesterton ◽  
Josie Tetley ◽  
Nigel Cox ◽  
Kirsten Jack
Keyword(s):  
Professional Accountability

scholarly journals Designing and validating an evaluation inventory for assessing teachers’ professional accountability

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maryam Rahmatollahi ◽  
Zohre Mohamadi Zenouzagh
Keyword(s):  
School Leadership ◽  
Reliability And Validity ◽  
Second Phase ◽  
Teacher Accountability ◽  
Structured Interviews ◽  
Effective Learning ◽  
Professional Accountability ◽  
Lead Teachers ◽  
Method Factor ◽  
Thematic Network Analysis

AbstractResearch has already established the boundless potential of teachers in assisting effective learning processes, and there is still a need to expand research to illustrate interrelation and connection between the construct of teachers’ professional accountability which moderates and directs student learning. To this end, a comprehensive review of the literature was conducted by the researchers to explore and extract relevant theoretical constructs to teacher accountability. A literature review was followed by structured interviews with 20 administrators, teachers, students, and parents to record perceived concepts related to teacher accountability. Content analysis of recorded interviews and thematic network analysis of literature resulted in a 30-item Likert scale. The researcher-made questionnaire was subject to reliability and validity issues. Thus, in the second phase, the questionnaire was piloted with 142 male and female EFL in-service teachers selected on the basis of the convenient sampling method. Factor analysis on data collected through this reduced the items to 29 and indicated that data on teacher accountability loaded on five components including accountability towards students (N: 7 items), parents (N: 5 items), school leadership (N: 5 items), society (N: 7 items), and the profession (N: 5 items). The results also indicated that the questionnaire enjoys sound psychometric properties of reliability (α: 0.88 ˂0.5). The upshots of this study could provide a better understanding of the concept and lead teachers to be more coherent and accountable.

scholarly journals Defining clinical pharmacy and support activities indicators for hospital practice using a combined nominal and focus group technique

2021 ◽  
Author(s):  
Hugo Lopes ◽  
Andrea Rodrigues Lopes ◽  
Helena Farinha ◽  
Ana Paula Martins
Keyword(s):  
Clinical Pharmacy ◽  
Performance Indicators ◽  
Outcome Measure ◽  
Expert Panel ◽  
Future Perspectives ◽  
National Scale ◽  
Professional Accountability ◽  
Comprehensive Literature Review ◽  
Hospital Pharmacies ◽  
Crucial Part

AbstractBackground Although clinical pharmacy is a crucial part of hospital pharmacist’s day-to-day activity, its performance is not usually subject to a holistic assessment. Objective To define a set of relevant and measurable clinical pharmacy and support activities key performance indicators (cpKPI and saKPI, respectively). Setting Portuguese Hospital Pharmacies. Method After a comprehensive literature review focusing on the metrics already in use in other countries, several meetings with directors of hospital pharmacies were conducted to obtain their perspectives on hospital pharmacy practices and existing metrics. Finally, five rounds with a panel of 8 experts were performed to define the final set of KPIs, where experts were asked to score each indicator’ relevance and measurability, and encouraged to suggest new metrics. Main outcome measure The first Portuguese list of KPIs to assess pharmacists’ clinical and support activities performance and quality in hospital pharmacies. Results A total of 136 KPIs were assessed during this study, of which 57 were included in the original list and 79 were later added by the expert panel. By the end of the study, a total of 85 indicators were included in the final list, of which 40 are considered to be saKPI, 39 cpKPI and 6 neither. Conclusion A set of measurable KPIs was established to allow for benchmarking within and between Portuguese hospital Pharmacies and to elevate professional accountability and transparency. Future perspectives include the use of both cpKPIs and saKPIs on a national scale to identify the most efficient performances and areas of possible improvement.

Supporting the pursuit of professionalism during a crisis

BMJ Leader ◽  
2021 ◽  
pp. leader-2021-000458
Author(s):  
William O Cooper ◽  
Nancy M Lorenzi ◽  
Heather A Davidson ◽  
Cynthia A Baldwin ◽  
Daniel M Feinberg ◽  
...  
Keyword(s):  
Focus Group ◽  
Essential Elements ◽  
Healthcare Organisation ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Crisis Plans ◽  
Team Members ◽  
Professional Accountability ◽  
Physical Plant

BackgroundCrisis plans for healthcare organisations most often focus on operational needs including staffing, supplies and physical plant needs. Less attention is focused on how leaders can support and encourage individual clinical team members to conduct themselves as professionals during a crisis.MethodsThis qualitative study analysed observations from 79 leaders at 160 hospitals that participate in two national professionalism programmes who shared their observations in focus group discussions about what they believed were the essential elements of leading and addressing professional accountability during a crisis.ResultsAnalysis of focus group responses identified six leadership practices adopted by healthcare organisations, which were felt to be essential for organisations to navigate the crisis successfully. Unique aspects of maintaining professionalism during each phase of the pandemic were identified and described.ConclusionsLeaders need a plan to support an organiation’s pursuit of professionalism during a crisis. Leaders participating in this study identified practices that should be carefully woven into efforts to support the ongoing safety and quality of the care delivered by healthcare organisations before, during and after a crisis. The lessons learnt from the COVID-19 pandemic may be useful during subsequent crises and challenges that a healthcare organisation might experience.

Greater accountability in nursing handover

2021 ◽  
Author(s):  
Yusrita Zolkefli
Keyword(s):  
Professional Ethics ◽  
Nurse Managers ◽  
Critical Role ◽  
Educational Support ◽  
Professional Accountability ◽  
Handover Process ◽  
Patient Handover

Nursing handover exemplifies both the nurse’s professional ethics and the profession’s integrity. The article by Yetti et al. acknowledges the critical role of structure and process in handover implementation. At the same time, they emphasised the fundamental necessity to establish and update handover guidelines. I assert that effective patient handover practices do not simply happen; instead, nurses require pertinent educational support. It is also pivotal to develop greater professional accountability throughout the handover process. The responsibility for ensuring consistent handover quality should be shared between nurse managers and those who do the actual handover practices.

The Irresponsible Expert Witness: A Failure of Biomedical Graduate Education and Professional Accountability

PEDIATRICS ◽  
1982 ◽  
Vol 70 (5) ◽  
pp. 754-762 ◽  
Author(s):  
Robert L. Brent
Keyword(s):  
Expert Witness ◽  
Expert Witnesses ◽  
Contributing Factors ◽  
Witness Testimony ◽  
Expert Witness Testimony ◽  
Professional Accountability ◽  
Proper Role ◽  
And Function

Many forces have created the epidemic of negligence and malpractice litigation. One of the contributing factors to the rising rate of nonmeritorious litigation is the increasing number of unqualified and irresponsible expert witnesses. The high remuneration has attracted physican-scientists who are unaware of the proper role of an expert witness. They are frequently manipulated by the attorneys and function as partisans rather than scholars. The role of the expert witness should be taught in medical and graduate school. Testimony should be treated as a scholarly endeavor and experts should be encouraged to seek peer review of their opinions and not to testify secretly and in isolation. It is suggested that greater visibility of experts and their testimony (light of day phenomenon) should raise the quality of expert witness testimony and encourage more qualified experts to participate as expert witnesses, thus removing the stigmata usually associated with unqualified expert witnesses.

scholarly journals Zooming in on Institutional Politics: Professional accountability systems as institutional weaponry

2019 ◽  
pp. 017084061986649
Author(s):  
Berber Pas ◽  
Rinske Wolters ◽  
Kristina Lauche
Keyword(s):  
Service Firms ◽  
Institutional Work ◽  
Accountability Systems ◽  
Institutional Control ◽  
Professional Accountability ◽  
Institutional Politics ◽  
Collective Actors

In this paper we focus on the development of professional accountability systems as a form of systemic power to enhance institutional control, particularly on the associated institutional politics – the interplay between institutional control and institutional work by different (collective) actors. We address the dialectical nature of these institutional politics and identify three types of power tactics underpinning institutional work: attacking, anticipating and defending. Articulating these power tactics revealed the dialectical flux of power tactics between different parties, and how this in turn arose from and affected the development and strength of (new) systemic power. This shows how gaining institutional control over mostly self-employed professionals (veterinarians) through systemic power without legislation is a more sophisticated process than often assumed based on studies of professionals working in large service firms.

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