Authority, Responsibility and Accountability

8/8/2019 Authority, Responsibility and Accountability

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AUTHORITY,AUTHORITY,RESPONSIBILITRESPONSIBILIT

Y ANDY AND

ACCOUNTABILIACCOUNTABILI

TYTY

By:By: Nida E. Abad, RN Nida E. Abad, RN



AUTHORITYAUTHORITY

Authority it is the right to give orders andAuthority it is the right to give orders and

make decisions. These rights are vested in themake decisions. These rights are vested in the

individuals in virtue of their positions.individuals in virtue of their positions. Authority provides power because it gives theAuthority provides power because it gives the

manager or supervisor the right to givemanager or supervisor the right to give

direction to others and expect that they willdirection to others and expect that they will

comply.comply.



SOURCES OF AUTHORITYSOURCES OF AUTHORITY

FORMAL THEORY OF AUTHORITYFORMAL THEORY OF AUTHORITY

-- The concept that a manager¶s authority isThe concept that a manager¶s authority is

conferred, it exist because someone has granted it.conferred, it exist because someone has granted it.

ACCEPTANCE OF AUTHORITY VIEWACCEPTANCE OF AUTHORITY VIEW

-- The concept that a manager¶s authority originatesThe concept that a manager¶s authority originates

only when itonly when it has been accepted by the group or has been accepted by the group or individual over whom it is being exercised.individual over whom it is being exercised.



LINE AND STAFF AUTHORITYLINE AND STAFF AUTHORITY

LINE AUTHORITY is a chain of command, aLINE AUTHORITY is a chain of command, a

manager manager--staff associate or leader staff associate or leader--follower follower

relationship.relationship. In this relationship, the manager In this relationship, the manager

delegates authority to an associate who in turndelegates authority to an associate who in turndelegates authority in staff.delegates authority in staff.

STAFF AUTHORITY refers to form of influenceSTAFF AUTHORITY refers to form of influence

used by specialized individuals who hold unique rolesused by specialized individuals who hold unique roles

in the organization and who while not directlyin the organization and who while not directly

responsible for employees are involved with theresponsible for employees are involved with the

outcome of the employees work.outcome of the employees work.



RESPONSIBILITYRESPONSIBILITY

Responsibility means an obligation to do whatResponsibility means an obligation to do what

is expected of a person in authority. It is alsois expected of a person in authority. It is also

the duty to perform the task or activity anthe duty to perform the task or activity anemployee has been assigned.employee has been assigned.



ACCOUNTABILITYACCOUNTABILITY

Accountability has been considered one of Accountability has been considered one of

the major hallmark of the health carethe major hallmark of the health care

professions. professions.



ACCOUNTABILITYACCOUNTABILITY--BASED BASED

CARE DELIVERYCARE DELIVERY

essential in a value driven workplace.essential in a value driven workplace.

Accountability is about achieving outcomesAccountability is about achieving outcomes

and is the foundation for evaluation.and is the foundation for evaluation.



PRIMARY NUR SINGPRIMARY NUR SING

Primary nursing is a system of care that wasPrimary nursing is a system of care that was

founded in the 1960¶s at a time when nursesfounded in the 1960¶s at a time when nurses

were searching for more independence andwere searching for more independence and

autonomy in their practice.autonomy in their practice. The hallmark of The hallmark of

primary nursing is that one nurse maintains 24 primary nursing is that one nurse maintains 24--

hour accountability for a specific patients care.hour accountability for a specific patients care.



PATIENT FOCUSED CAREPATIENT FOCUSED CARE

Patient focused care is a model of Patient focused care is a model of

differentiated nursing practice that emphasizesdifferentiated nursing practice that emphasizes

quality, cost and value. In this model, the firstquality, cost and value. In this model, the first

line patient care manager assumes anline patient care manager assumes an

expanded role. She assumes accountability toexpanded role. She assumes accountability to

manage nurses and staff from other manage nurses and staff from other

departments.departments.



CASE MANAGEMENTCASE MANAGEMENT

Nursing case management is another Nursing case management is another

accountabilityaccountability--based care delivery system that based care delivery system that

evolved in the late 1980¶s and early 1990¶s inevolved in the late 1980¶s and early 1990¶s in

response to the spiraling health care costs. Theresponse to the spiraling health care costs. The

primary goal of case management is to deliver primary goal of case management is to deliver

highhigh--quality patient care in the most costquality patient care in the most cost

effective way by managing human andeffective way by managing human andmaterial resources.material resources.

Authority, Responsibility and Accountability

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