Sample Answer for NRS 430 Topic 4 Discussion Question 2 Included After Question
Outline the concept of professional accountability as it pertains to nursing. Provide examples of how a nurse demonstrates professional accountability in clinical expertise, the nursing process, and evidence-based practice.
A Sample Answer For the Assignment: NRS 430 Topic 4 Discussion Question 2
Title: NRS 430 Topic 4 Discussion Question 2
Accountability means to be answerable to oneself and others for one’s own actions. In order to be accountable, nurses act under a code of ethical conduct that is grounded in the moral principles of fidelity, loyalty, veracity, beneficence, and respect for the dignity, worth, and self-determination of patients (Smith &Karakarshian, 2018). Accountability helps Nurses improve patient quality, work within the evidence-based practice and improve clinical skills. It also created a good work environment and helps overcome challenges and provide direction to work. For example, a critical fall has to be in CT by the designated door time, it is the nurse’s responsibility to make sure that patient is in CT STAT to avoid any serious complications due to a delay in care. Nurses also demonstrate professional accountability by having clear communication with their patient and listens to the patients’ needs and concerns. For example, an incontinent patient needs to be straight cathed for clean urine to rule out a UTI, some patients are opposed to this because of the discomfort and the unknown. In this case, the nurse is accountable for clearly explaining the procedure to the patient as well as working within the scope of practice and explain the importance of the clean sample and provide support to the patient through the process for positive patient outcome.
References
Smith, N., &Karakarshian, A. (2018, April 6). Accountability in Nursing Practice. https://www.ebscohost.com/assets-sample-content/NRCP_EBCS_Accountability-in-NursingPractice.
A Sample Answer 2 For the Assignment: NRS 430 Topic 4 Discussion Question 2
Title: NRS 430 Topic 4 Discussion Question 2
Bonnie, you are right. Accountability is associated with various advantages in nursing practice such as improvement of quality of patient care, fosters evidence-based practice, improves clinical skills, creates good working environment, and provides direction of work. Therefore, it is undeniable that accountability is a vital component of nursing practice and patient safety. Fundamentally, accountability aims at safeguarding the patients, health care providers, and employers from consequences of poor, negligent, and unsafe clinical practices. As such, accountability is a valuable part of health care, which can potentially lead to public trust in nursing practice (Dekker, 2018). Accountable nurses strive to create patient trust for an individual and the entire nursing profession as well. In turn, patients earn the trust of the nursing profession by observing nursing collaborating to ensure quality and positive patients’ outcomes. However, accountability connotes an intricate issue and nurses should strive to assess the professional practice relative to the requirements of patients and the critical nursing roles in health care system.
References
Dekker, S. (2018). Just culture: restoring trust and accountability in your organization. Crc Press.
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A Sample Answer 3 For the Assignment: NRS 430 Topic 4 Discussion Question 2
Title: NRS 430 Topic 4 Discussion Question 2
The concept of professional accountability as it pertains to nursing can be viewed as taking responsibility for a set of activities and for explaining or actions one’s actions (Emanuel & Emanuel, 1996). A nurse not reporting an adverse reaction or withholding care is not providing professional accountability as it pertains to nursing. Nurse’s accountability guides them to do the right thing by providing the highest patient care.
An example that can be seen in the nursing process with pic lines brings in clinical expertise, nursing process, and evidence-based practice. The procedure has to be done properly by infection control, washing hands, and following preventive measures of evidence-based practice (Sawyer et al., 2010). If the proper guidelines are not practiced the nurse needs to know she or he can be held responsible where the professional accountability comes into play. Hand washing, barrier protection, decontamination, and antibiotic stewardship are examples of guidelines for the prevention of infections set by The Joint Commission National Patient Safety Goals and the World Health Organization, and the Centers for Disease Control. Best practice can be seen when nurse-to-nurse shift change, prevention of infection, and patient care and discharge (“Handoffs: Implications for nurses – Patient safety and quality – NCBI bookshelf,” n.d.). Without proper communication, great mistakes can be made by nurses unaware of the current patient’s condition (“Patient Safety and Quality: An Evidence-Based Handbook for Nurses,” n.d.).
References
Handoffs: Implications for nurses – Patient safety and quality – NCBI bookshelf. (n.d.). National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK2649/
Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (n.d.). https://www.ncsbn.org/Defining_and_Assigning_Accountability.pdf.
A Sample Answer 4 For the Assignment: NRS 430 Topic 4 Discussion Question 2
Title: NRS 430 Topic 4 Discussion Question 2
Indeed, professional accountability in nursing plays a central role in directing nurses to provide appropriate care and ensure the provision of the highest patient care. Therefore, the organization should ensure the establishment of a culture of accountability to help in optimizing the benefits of accountability in professional nursing practice. Accountability should be a process within the organization that supports staff to accomplish it. It is imperative for nurses in leadership positions to consider a thorough reflection of accountability to help in setting the tone of the clinical setting and prompt an individual nurse to understand oneself better. The organization should set an environment that support nurses who make mistakes instead of finding faults to foster an environment where accountability can grow (Semper et al., 2016). Bringing punitive actions creates a barrier in creation of trust and sense of collaboration with peers. Accountability tends to thrive well with support, trust, and encouragement.
References
Semper, J., Halvorson, B., Hersh, M., Torres, C., & Lillington, L. (2016). Clinical nurse specialists guide staff nurses to promote practice accountability through peer review. Clinical Nurse Specialist, 30(1), 19-27.
A Sample Answer 5 For the Assignment: NRS 430 Topic 4 Discussion Question 2
Title: NRS 430 Topic 4 Discussion Question 2
I believe professional accountability in the nursing field entails taking full responsibility for your patients as it relates to their total care and yourself as it relates to your actions. As a nurse, we are responsible for our nursing actions and decisions. We are responsible for patient care therefore we have a duty to be well versed with the nursing process. We have an obligation to continue education on our critical thinking and judgement skills. Nursing’s critical thinking is the ability to apply the nursing process effectively and purposefully to solve a problem (Green, 2018). These thinking skills permit us to focus on cause and effect of illnesses and diseases, which leads to improved patient care.
Accountability also refers to upholding ethical practices in nursing. Eight healthcare ethics are Autonomy, Beneficence, Fidelity, Justice, Nonmaleficence, Privacy, Confidentiality, Respect, and Veracity (Green, 2018). Autonomy is supporting a patient’s right to self-determination and supporting their own choices and values. Beneficence is doing good and taking care of our patients. Fidelity is being a loyal nurse and maintaining promises. Justice is avoiding favoritism and treating every patient with love and respect. Nonmaleficence is avoiding intentional harm to a patient. Privacy and Confidentiality are respecting a person’s private information and not sharing it with others. Respect is treating every patient equally and worthy. Veracity is being honest and truthful. (Green, 2018). Nurses must uphold these ethical principles with every single patient to gain professional accountability. We are also liable for ourselves. As professionals, we must make it a duty to care for ourselves so we can care for our patients. Nurses should make sure they have an adequate sleep, nutrition, and exercise schedule. Nurses should consistently educate themselves on nursing research and evidence-based practice. Education leads to improved nursing skill and application.
References
Green, S. Z. (2018). Advancing professional standards. In Grand Canyon University (Eds.), Dynamics in Nursing: Art and Science of Professional Practice. https://lc.gcumedia.com/nrs430v/dynamics-innursing-art-and-science-of-professional-practice/v1.1/#/chapter/4
A Sample Answer 6 For the Assignment: NRS 430 Topic 4 Discussion Question 2
Title: NRS 430 Topic 4 Discussion Question 2
Danielle, it is undeniable that nurses should be given continuous training on critical thinking and judgment skills to promote accountability in clinical practice. Critical thinking characterizes autonomous and interdependent decision making. It entails interrogation, analysis, synthesis, understanding, inductive and deductive reasoning, implementation, and creativity. Essentially, critical thinking in nursing is an integral component of quality nursing and professional accountability. Critically thinking nurses tend to demonstrate confidence, creativity, open minded, flexibility, contextual perspective, inquisitiveness, reflective, and perseverance. Moreover, critically thinking nurses possess cognitive skills of analysis, implementing standards, seeking information, futuristic, rational reasoning, and transformative knowledge (LoBiondo-Wood & Haber, 2017). Essentially, these attributes are critical in promoting the professional nursing accountability.
References
LoBiondo-Wood, G., & Haber, J. (2017). Nursing research-e-book: methods and critical appraisal for evidence-based practice. Elsevier Health Sciences.
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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource