NUR 514 As an advanced practice nurse, propose strategies you can implement to increase your participation in the health care policymaking in order to support patient advocacy

NUR 514 As an advanced practice nurse, propose strategies you can implement to increase your participation in the health care policymaking in order to support patient advocacy

NUR 514 As an advanced practice nurse, propose strategies you can implement to increase your participation in the health care policymaking in order to support patient advocacy

Accountability, Responsibility, & Risk

How do you define accountability, responsibility, and risk? Using an advanced registered nursing position or advanced practice registered nursing position description from your health care institution, how could the language be altered to include the concept of accountability? How do you anticipate embracing the concepts of accountability, responsibility, and risk after graduation? ~ Dr. Hartje

REPLY

I define accountability as taking ownership of your actions and words. In my opinion, accountability is the most important trait to possess. Whether the actions/words ended positively or negatively, you must assume responsibility and ownership. I view responsibility as a similar term to accountability, but there are some differences. I believe responsibility is the process of taking ownership of and completing a role or duty, whereas accountability is taking ownership of the actions you performed. I define risk as exposure to danger or negative outcomes.

The APRN position description for Sanford Health touches on accountability but could go into further detail. The roles and duties are outlined, but I believe language could be altered to include the need of taking ownership of your actions. As a provider, you must take accountability for the care provided to patients. Obviously, the goal is to provide high-quality care at all times and to avoid mistakes, but when mistakes are made, it is crucial to have a provider who is accountable for their actions.

 

After graduation, I plan to embrace the concepts of accountability, responsibility, and risk by utilizing critical thinking skills. Before making decisions, it is crucial to weigh out benefits and risks. I personally try to avoid risky situations when able, but in certain circumstances risks must be made. In these situations, it is important to utilize critical thinking to assure the benefit is worth the risk. When dealing with risks, I will take responsibility for the actions that I will perform. Additionally, I will take accountability for the actions that I have completed, whether the outcome was positive or negative.

REPLY

As a hiring manager, I appreciate the question and find that these three traits are essential considerations when looking for a new employee. I define accountability as taking ownership of your errors (perceived or actual) and mistakes. Responsibility is a duty or commitment to a task or a role. Lastly, the risk is a danger that we seek to mitigate as healthcare providers. At my site, no language highlights these traits in the APRN postings.

At Mayo Clinic, they practice a value system called RICH TIES (Respect, Integrity, Compassion, Healing, Teamwork, Innovation, Excellence, Stewardship) (Brown Jr & Trumen, 2022). The values set an example of traits that all Mayo Employees should reflect. I believe that the organization should use these values and RICH TIES statements in all job posting to set expectations on the desired traits of an APRN at Mayo Clinic.

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I plan to continue to reflect these values in my practice by keeping in mind that I need to be responsible for providing the best care for my patients and staff by taking accountability and minimizing risk through providing resources and support.

 

Reference

Brown Jr, R., & Trumen, T. (2022). Mayo Clinic Values. Mayo Clinic History & Heritage. https://history.mayoclinic.org/impact/mayo-clinic-values.php

REPLY

 

The common understanding of accountability is one in which a governing body (e.g., government, regional health

NUR 514 As an advanced practice nurse, propose strategies you can implement to increase your participation in the health care policymaking in order to support patient advocacy
NUR 514 As an advanced practice nurse, propose strategies you can implement to increase your participation in the health care policymaking in order to support patient advocacy

authority, healthcare board, professional association) is in a position to mandate providers or organizations to meet certain goals or objectives. Denis (2014) posits that a culture of accountability in healthcare improves doctor-patient trust, reduces the misuse of resources, and helps organizations provide better quality care. With accountability comes responsibility. Responsibility is the obligation to perform duties, tasks, or roles using sound professional judgment and being answerable for the decisions made. On the other hand, risk refers to the chance or likelihood that something will harm or otherwise affect a patient’s health or a healthcare organization’s effectiveness.

​Advanced registered nurses are mandated to demonstrate accountability in all their professional dealings. Thus, implementing mandatory policies for accountability would change advanced registered nurses’ language and requirements. According to Davis (2017), they need to be accountable for themselves and others’ actions as stipulated by the American Nursing Association’s code of ethics. They need to meet the growing needs and demands of patients and the rapidly evolving healthcare sector. They are also professionally accountable for expanding their clinical skill set and implementing evidence-based solutions.

​After graduation and assuming my nurse leadership roles, I will highly consider the concepts of accountability, risks, and responsibility. As Little et al. (2018) state, I would assume the responsibility and become accountable for excellent day-to-day operations. With the same mentality, I will ensure that everyone assumes their roles and works toward achieving the common healthcare goal. Also, having a risk assessment model in place is critical in outlining any gaps and potential problems and opportunities available for my healthcare organization. As a visionary nurse leader, I will manage the three issues to strengthen positive outcomes and ensure that all stakeholders are satisfied.

 

References

Davis, C. (2017). The importance of professional accountability. Nursing made incredibly easy15(6), 4.

Denis, J. L. (2014). Accountability in healthcare organizations and systems. Healthcare Policy10(SP), 8.

Little, L., Wagner, J., & Boal, A. S. (2018). Responsibility and Authority of Nurse Leaders. Leadership and Influencing Change 

“There can be no accountability without ownership” (Weberg et al., 2019, p. 636). I understand accountability to mean that one is responsible for meeting their commitments and performing their duties to the professional level of expectation. In other words, that one is reliable and dependable. I believe that ownership takes the concept of accountability to the next level. Ownership is when someone makes a personal commitment to perform their duties reliably without fail and they take a personal stake in the outcome. Responsibility means meeting expectations that have been set before you. The concept of risk can be interpreted in various ways. There is acceptable risk and unacceptable risk. Acceptable risk occurs when the potential benefits of a treatment outweigh the potential risks. Unacceptable risk refers to unnecessary risks or situations where the risks of a treatment plan outweigh the benefits.

A current job posting for a Neonatal Nurse Practitioner at my facility states, ” NP’s are expected to act as an expert resource person for health care providers including nurses, residents and other ancillary staff”. This statement states an expectation, but I feel that it could be worded more professionally to elicit the concept of accountability. It could say, “NP’s are accountable as a resource for other providers and staff”.

In my future role as an advanced registered nurse, I will continue to practice accountability and responsibility as I do now to my peers, patients and institution. I will continue to bring all of my skills, knowledge and passion to improve patient care and support the healthcare system. I will only engage in risk that is of an acceptable level and when all participants are fully informed of the risk.

References:

Weberg, D., Porter-O’Grady, T., Mangold, K., & Malloch, K. (2019). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Jones & Bartlett Learning.