Accountability in Nursing: The Interrelationships of the Hierarchical Structure

A 4 page discussion of accountability in nursing. Contends that accountability is an integral component of all aspects of nursing. The nurse is, of course, above all accountable for the well-being of his or her patient but, with recent pressure from state legislators and higher education coordinating agencies, accountability is becoming a greater and greater emphasis of all aspects of nursing. In the case of student nurses, and indeed all levels of nurses, this accountability is channeled through a chain of command, a chain of accountability which can extend both upwards (through the institutional hierarchy), downwards (to the patient) and even sideways (to colleagues and other professionals) dependent on the organizational structure. Bibliography lists 5 sources.

Shared Governance and Delegation in Nursing

A 14 page expansion of a 4-page paper by the same name. The health care facility that maintains a shared governance model is able to make greater use of all the resources available to it. Typically, each patient care department of a facility such as this has a nurse manager who serves as a facilitator in unit governance and as a liaison between direct-care nursing staff and nursing administrators. This organizational structure is more conducive to true shared governance than hierarchical straight-line organizational structures that have the effect of insulating administrators from those providing direct patient care. It also ensures that those having the greatest degree of direct patient contact have a voice in establishing policy for both the present and the future. The paper discusses shared governance more as a philosophical approach to management than as a “how to.” Bibliography lists 11 sources.

Ensuring the Competency and Accountability of Temporary Agency Nurses in the Hospital Environment

A 9 page analysis of the use of temporary agency nurses to supplement shortcoming is permanent nursing staff. This paper asserts that although the use of temporary nurses is justified in certain situations, this use must occur with managerial provisions in place to insure competence and accountability. The recommendation is made that clinical pathways are an appropriate mechanism for insuring this. Bibliography lists 6 sources.

Nursing Communication Project

A 23 page research paper that proposes a project designed to improve communication among nurses at a specific health care facility. The writer proposes that institution of a shared governance management structure will improve nursing communication through empowerment and providing a specific structure for hearing nursing contributions. This project proposal includes all areas pertaining to the project's implementation, including a literature review. The page count also includes a 1.5 page abstract. Bibliography lists 15 sources.

HIPAA's Effect on Nursing

A 5 page paper discussing the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The paper provides a brief history of the law and discusses the data security aspect that went into effect in 2005, but the focus of the paper is how it can be expected to affect nursing and nursing duties. Bibliography lists 6 sources.

The Effects of Primary Nursing Upon Skilled Nursing Facility Costs

A 20 page nursing research proposal seeking approval for instituting a primary nursing structure in a nursing home setting. Primary nursing is an old concept and has not been extensively studied in the long term care setting. The paper includes an extensive literature review as well as methods, hypotheses, data collection, data analysis, level of significance, implementation and dissemination of results sections. Format strictly adheres to APA (5th) format for both the manuscript and references. Bibliography lists 22 sources.

Detecting Abuse of the Elderly in Nursing Homes

This 5 page paper looks at the top down model which may be used by the health care industry in its' ongoing attempts to detect, combat and prevent abuse of elderly residents. The paper recognises the different types of abuse, physical, psychological and financial along with the role that people at different places within a hierarchical structure can play in the prevention of this evil. The bibliography cites 2 sources.

The Effect of the RN Nursing Shortage Upon Skilled Nursing Facility Costs: Research Support for Proposal

A 4 page paper evaluating two nursing studies. The proposal under consideration is to implement a primary nurse organizational structure in the skilled nursing facility (SNF). The two studies examined here indicate that patients fare better with greater direct care by RNs and that RNs are less likely to leave their profession when they can maintain an adequate degree of direct patient care. Bibliography lists 7 sources.

Technology Use and Competency in Nursing

An 8 page discussion of the need for technological competence in nursing. This paper asserts that utilizing technology to optimize patient outcome is directly dependent on a nurse’s competence with that particular technology. Because technology is changing on a daily basis in the medical environment, nursing competency is an ever evolving phenomena. The problem which exists, therefore, in insuring nursing competency revolves around insuring both adequate training and provisions to provide the proper management format and accountability which is necessary to insure that nurses continually perform their duties in the most competent and constructive manner. The establishment of well designed quality assurance/quality improvement models and clinical pathways are critical components of this task. A 1/2 page Roman Numeral outline is included. Bibliography lists 7 sources.

The Interprofessional Approach to Nursing

A 5 page paper describing and analyzing a clinical situation in which nurses, a physical therapist and a prosthesis specialist collaborated in the care of an amputee. The shared governance structure within units ensures that direct-care staff nurses have a voice with senior management and addresses risk management and quality indicators, while maintaining an environment that encourages continual improvement. The interprofessional approach both relies and enhances nursing as a profession. Bibliography lists 8 sources.

Antibiotic Prophylaxis, Surgery & Accountability

A 4 page research paper that, first of all, addresses issues associated with antibiotic prophylaxis in surgical patients to prevent infections, but then relates this topic to issues of nursing accountability. Bibliography lists 4 sources.

Autonomy In Nursing

The role of a nurse within the current structures of practice are such that a sense of empowerment and, or, autonomy is seldom manifested. The power structure rests primarily within the context of the health management organization, hospital management, and, or, physician's orders. Power and politics need to be translated into practice through development of authority and autonomy within the staff nurse role. This 9 page paper argues that the constraints of practice limit nurses' autonomy to the point where nurses cannot be held accountable for the outcomes of the health care they provide. Bibliography lists 12 sources.

Delegation in Nursing

A 4 page research paper that discusses the topic of nursing delegation, describing it in terms of responsibility, accountability and the five rights of delegation. Bibliography lists 5 sources.

Communication theory and nursing

A paper which looks at the way in which communication theory is relevant to modern nursing practice, in terms of the relationship between nurse and client and the changing professional structure of the health care system as a whole. Bibliography lists 2 sources.

Information on a Quantitative Research Article

This 2 page paper provide an overview of some of the basic structures of the article entitled "Nursing Staffing and Resident Outcomes in Nursing Homes: Weight Loss and Dehydration," by M. Dyck (2007). Bibliography lists 1 source.