Castledine G
Nurs Stand. 1991;5(25):28-30. doi: 10.7748/ns.5.25.28.s43.
In the penultimate part of this series on issues in ward management facing charge nurses. George Castledine concentrates on the issue of accountability. The immensely powerful position of the charge nurse as arbitrator and co-ordinator of all health care given to the patient demands that helshe exercises this power responsibly and positively; hence, the crucial importance of accountability. The author explores this concept and also those of advocacy and conscientious objection. He concludes by suggesting that the ultimate area of accountability in nursing is the individual conscience of the practitioner and that in this may lie the key to the setting and maintenance of high standards of care.
在本系列关于护士长所面临的病房管理问题的倒数第二篇文章中，乔治·卡斯尔丁专注于问责制问题。护士长作为给予患者的所有医疗护理的仲裁者和协调者，拥有极其重要的权力，这要求他/她以负责和积极的态度行使这一权力；因此，问责制至关重要。作者探讨了这一概念以及倡导和良心拒绝的概念。他在结论中指出，护理中最终的问责领域是从业者的个人良知，而这可能是设定和维持高标准护理的关键所在。
