Ethical, legal and professional accountability in emergency nursing practice: an ethnographic observational study

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dc.cclicenceCC-BY-NC-NDen
dc.contributor.authorRubio-Navarro, Alfonso
dc.contributor.authorGarcia-Capilla, Diego Jose
dc.contributor.authorTorralba-Madrid, Maria Jose
dc.contributor.authorRutty, Jane
dc.date.acceptance2019-05-30
dc.date.accessioned2019-07-30T13:38:29Z
dc.date.available2019-07-30T13:38:29Z
dc.date.issued2019-07-19
dc.descriptionThe file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.en
dc.description.abstractIntroduction Accountability in nursing practice is a concept that influences quality care, decision-making, safety standards and staff values. Therefore, understanding accountability and how it affects nursing practice could improve patient care and nurses’ working conditions. Aim The aim of this study was to find factors that influenced ethical, legal and professional accountability in emergency nursing practice. Methods A qualitative ethnographic approach using participant observation through convenience sampling was employed as the data collection method, while ethnographic content analysis was used for data analysis. Results The factors linked to nursing accountability found were classified into four main themes: daily dynamics, work environment evolution, customs and routines and bioethics principles’ application. Discussion The long-term effect of chronic high workload and crowding, which affects nursing accountability, could promote burnout in a junior ED workforce. Changes in the nurses’ working conditions need to be implemented to limit the workload to which an ED nurse is subjected to. Conclusion ED nurses have to manage their accountability in difficult situations regularly, which followed patterns of four main themes across the majority of situations. Nonetheless, all those factors were influenced by nursing workload, an ever-present factor that was always considered by ED nurses during decision-making.en
dc.funderNo external funderen
dc.identifier.citationRubio-Navarro, A., Garcia-Capilla, D.J., Torralba-Madrid, M.J. and Rutty J (2019) Ethical, legal and professional accountability in emergency nursing practice: An ethnographic observational study. International Emergency Nursing, 46, 100777en
dc.identifier.doihttps://doi.org/10.1016/j.ienj.2019.05.003
dc.identifier.issn1755-599
dc.identifier.urihttps://www.dora.dmu.ac.uk/handle/2086/18259
dc.language.isoenen
dc.peerreviewedYesen
dc.publisherElsevieren
dc.researchinstituteInstitute of Health, Health Policy and Social Careen
dc.subjectAccountabilityen
dc.subjectClinical ethicsen
dc.subjectDecision makingen
dc.subjectEmergency nursingen
dc.subjectLegalen
dc.subjectMotivationen
dc.subjectNurse-patient relationshipen
dc.subjectProfessional ethicsen
dc.subjectWork conditionsen
dc.titleEthical, legal and professional accountability in emergency nursing practice: an ethnographic observational studyen
dc.typeArticleen

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