What mitigating factors reduced the individual accountability of the nurse or midwife?

What activities did the nurse or midwife needs to complete in the immediate situation? Who else in the health care team needed to be involved in the coordination of care? What mitigating factors reduced the individual accountability of the nurse or midwife?

Activities that the nurse or midwife needs to complete in the immediate situation are (1) scrutiny of the presenting symptoms and behaviors; (2) examination of the significance of those indications with the patient deciding the causes of distress, and (3) resolving the ability of the patient to determine the discomfort or in case the patient is in need of help from the midwife or nurse (Peate, Wild & Nair, 2014).

Care coordination remains the healthcare professionals’ concept working with patients to make sure that healthcare needs of patients are being met as well as that the right individual is conveying the right healthcare promptly. The healthcare teams needed to be involved in the coordination of care are physician assistants, doctors, pharmacists, nurses, dentists, technicians and technologists, rehabilitation and therapists’ specialists, spiritual and social support providers, emotional, support and administrative staff, as well as community healthcare workers along with patient navigators (Andrews & Boyle, 2008).

The concepts of accountability, responsibility, and autonomy remains essentially linked in the determination of the nursing and midwifery practice. Mitigating factors that reduced the individual accountability of the nurse include patient safety culture; patient safety track changes over time; and the patient safety interventions impact (Andrews & Boyle, 2008).

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