Martin, the unit manager, receives complaints from community agencies that patients who have been discharged from his unit seem to lack understanding about their disorder and immediate strategies for managing elements of their care
Martin checks the patient teaching sheets and notes that the sheets are initialed by staff. He calls the agencies and indicates that teaching has been done. Martin's follow-up to complaints from the community is: a. Appropriate and indicates that he has as-sumed accountability for the actions of his staff.
b. Indicative that he does not clearly under-stand the concept of accountability.
c. Indicative of strong support for his staff and their autonomy.
d. Important in clarifying the difference be-tween his accountability and that of the community in patient care.
B
Accountability refers to the achievement of desired outcomes. If community agencies are notic-ing that limited or no change in patient behavior has occurred despite teaching on the unit, then the staff has not achieved accountability, and he is not holding his unit responsible for the out-comes. Martin is also demonstrating lack of accountability.
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