מסטנדרטיזציה לאחריותיות בסיעוד: כיצד להניע אחיות למתן טיפול איכותי? סקירת ספרות נרטיבית: [סקירה נרטיבית]

This article explores the potential of incorporating accountability as an intrinsic motivational mechanism in nursing to enhance the delivery of quality and safe care, contrasting it with the prevalent external motivational approaches commonly usedin healthcare organizations. The conceptual frame work begins by elucidating the multifaceted nature of accountability, encompassing three dimensions: responsibility, transparency, and answerability. Furthermore, distinctions are drawn between personal and collective accountability as the sources of accountability, process and outcome accountability as the focus, and accountability directed towards patients, department members, managers, or the organization as a whole. Subsequently, empirical evidence ispresented to support the assertion that optimal performance is achieved when personal accountability is reinforced by collective accountability. Additionally, research findings suggest that process accountability is preferable for complex tasks inherent in the multifaceted role of nursing. Finally, the article outlines potential avenues for future research in this field and provides practical implications for managers and policy makers who seek to enhance the quality and safety of patient care through accountability driven management practices.