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Nursing: Professional Accountability and Shared Decision Making
Student’s Name
Institutional Affiliation
Nursing Accountability, Ownership, and Shared Decision Making
In the nursing practice, professional accountability and ownership entail being answerable to oneself and others for your actions as a practicing nurse and having the culture of ownership by exhibiting the highest standards of behaviors, attitudes, and performance (Battie & Steelman, 2014). Consequently, all perioperative nurses should be accountable to patients and their families, workplace, colleagues, and the nursing profession. They should be accountable for care continuity, advocating for patient needs, and lifelong learning. The accountability continuum in the nursing profession is a three-tier pyramid that includes personal accountability (top of the pyramid), cultural accountability (middle section), and hierarchical accountability (base of the pyramid).
Hierarchical accountability only applies to tasks that have significant potential of causing harm to patients such as administering proper medications, completing all checklists before commencing surgery, and meeting budgetary and productivity targets. Cultural accountability involves adopting the right culture in the workplace without the administration always having to remind nurses of the need for adhering to the practice. A good example is reporting early to shifts and quitting smoking within the hospital premises. Finally, personal accountability involves cultivating the culture of ownership where the nurse practices good workplace behavior and ethics from within rather than above.

As noted by Ryan and Cunningham (2014), shared decision-making (SDM) has several advantages and disadvantages. Improving patient knowledge is one of the benefits of SDM that emanates from the fact that different healthcare professionals take part in handling the patient. Other benefits of SDM include reduced anxiety among healthcare professionals, improved self-esteem, and enhanced perception of the risk. On the other hand, the cons of SDM in healthcare practice include the fact that it consumes a lot of time, rejection by some patients, inapplicability to some consultants, and inadequate training on SDM.
References
Battié, R., & Steelman, V. M. (2014). Accountability in nursing practice: why it is important for patient safety. AORN Journal, 100(5), 537-541.
Ryan, F., & Cunningham, S. (2014). Shared decision making in healthcare. Faculty Dental Journal, 5(3), 124-127.