Professional Accountability Research Articles

Assessing Teacher Accountability: Development and Validation of the Teacher’s Professional Accountability Scale (TPAS)

This study aims to develop and validate the Teachers’ Professional Accountability Scale (TPAS) constructed by the researcher, which addresses the need for a comprehensive tool to measure professional accountability among Secondary school teachers. Professional accountability is the obligation of educators to adhere established standards and practices with competence and integrity, is crucial for improving educational quality and ensuring favorable student outcomes. A descriptive survey method was employed, and the TPAS was constructed and standardized through a pilot study. The scale consists of 94 items across four dimensions: procedural responsibility, consequential responsibility, instructional responsibility, and school and classroom responsibilities for student outcomes. Item analysis and selection resulted in a final draft of 74 items with satisfactory discrimination power. Reliability analysis using split-half method and Cronbach’s alpha yielded coefficients of 0.85, indicating high internal consistency. Content validity was established through expert reviews, and norms were developed based on z-scores from a sample of 281 Secondary school teachers. The TPAS provides a validated measure for assessing professional accountability, contributing to the advancement of educational research and practice, The study reached some recommendations, including the commitment of the school administration and senior management to the accountability standards reached, and the provision of joint workshops to ensure the efficiency of the implementation of professional accountability standards for teachers.

Private practice dentists' conceptions of overtreatment: A qualitative study from Norway.

As overtreatment has gained attention and is a threat to sustainable healthcare, the objective of this study is to investigate Norwegian private practice dentists' conceptions of overtreatment. Material and Methods: Six private practice dentists were interviewed. Interviews were transcribed verbatim and analyzed by thematic analysis in a six-step process including coding and identifying main- and sub-themes. The main themes identified were conceptions of overtreatment, internal factors, and external conditions of importance for overtreatment. Norwegian private practice dentists are familiar with the concept overtreatment and provide several examples of overtreatment. Although they see overtreatment as a problem, they express that the boundaries of what is considered necessary or professionally justified treatment have changed over time - particularly towards aesthetic and cosmetic treatment. Overtreatment is considered to be less problematic if the patients are informed and consent. The participants point to several internal factors and external conditions furthering overtreatment: professional status and prestige, general social trends, social media, demographicchanges, overcapacity, and the expansion of commercial chains. The dentists in the interviews demonstrated that they are aware of their power, but also acknowledge their responsibility. Conclusion: Private practice dentists in Norway are aware of overtreatment and their drivers. They acknowledge their power to promote overtreatment, but also that this gives them responsibility. This raises important issues about dentists' professional accountability and integrity.

A Century of Surgical Quality: Origins, Evolution, and Future Directions.

Over a century has passed since Ernst A. Codman's pioneering call for surgeons to take open responsibility for patient care, a concept integral to the emergence and leadership of the American College of Surgeons (ACS). Codman's End Result Idea, originating in the early 20th century, laid the groundwork for professional responsibility and accountability in surgical practice, catalyzing the formation of the ACS. His innovative use of the "end result" technique at Massachusetts General Hospital highlighted significant variability in surgical outcomes, spurring debates on specialization and accountability. The ACS, under John Bowman's leadership, aimed to ensure optimal care through defined standards and verification mechanisms. Codman's Bone Sarcoma Registry, initiated in 1920, marked an early attempt at quality assessment and improvement through data collection. Despite facing resistance, Codman's vision laid the foundation for modern quality initiatives in surgical care. ACS programs, spanning trauma care to cancer treatment and beyond, have significantly enhanced patient outcomes while reducing costs. Looking forward, advancing surgical quality requires measuring quality, leveraging trusted data, embracing change management, fostering collaboration, and empowering specialists. The future of surgical care depends on collective efforts to uphold standards that ensure optimal care for all.

FACTORS THAT CONTRIBUTE TO REPORT WRITING PROFICIENCY IN AMERICAN LAW ENFORCEMENT: A THEMATIC LITERATURE REVIEW

Purpose: This thematic literature review explores the critical role of competent writing skills in law enforcement, examining its impact on career progression, agency reputation, and legal proceedings. The purpose is to synthesize existing literature to identify research gaps and suggest directions for future studies. Methods: Google Scholar, ERIC, and the Jerry Falwell Library searches were conducted to capture a broad range of studies involving police report writing, its impact on officers, law enforcement agencies, and the criminal justice system, and writing improvement strategies. Although not required for this review, the work followed PRISMA-ScR guidelines. Results: The initial search yielded numerous qualitative and quantitative studies. This review categorizes the findings into themes of the importance of writing proficiency, the influence of organizational culture, training and education, and technological integration, highlighting the variability and scope of the existing literature. Conclusions: The review shows the need for well-structured research to substantiate the factors contributing to effective law enforcement report writing. It recommends areas for in-depth exploration in future systematic reviews or primary studies, especially longitudinal studies on the effects of targeted training programs, organizational culture shifts, and technological integration on writing proficiency. Application in Law Enforcement: For trainers and instructors, integrating comprehensive report writing programs into training for law enforcement officers can enhance professional skills and accountability. Effective report writing improves documentation accuracy, supports legal proceedings, and enhances career progression. Incorporating targeted report writing training can holistically enhance the performance and professionalism of law enforcement officers.

The Experiences of and Attitudes Towards Continuing Professional Development: An Interpretative Phenomenological Analysis of UK paramedics (EAT CPD).

Background: Paramedics are allied health professionals, registered with the Health and Care Professions Council (HCPC). Part of this registration is the responsibility to conduct and record continuing professional development (CPD). A sample of UK paramedics have their CPD audited ever two years as part of their re-registration process. Compared to other allied health professionals very little is known about paramedics’ engagement with CPD. Methods: An Interpretative Phenomenological Analysis (IPA) methodology was undertaken to understand the lived experiences of the participants attitudes towards and experiences of CPD. Audio-recorded semi-structured interviews using a piloted topic guide took place with registered paramedics who worked in a variety of roles for several different healthcare employers. Interviews were professionally transcribed and analysed via thematic analysis related to IPA research. Results: Seven interviews were conducted; one overarching domain of Paramedics experiences of and attitudes towards CPD was created from four themes shaped by a variety of subthemes. The four themes were: personal factors (attributed to areas of individual motivations to conduct CPD), professional accountability (factors relating to how CPD improves oneself and the profession), employer investment and support (how employers play their part in CPD facilitation), and Covid-19 (the impact Covid-19 had on CPD). Novel subthemes included CPD is a personal responsibility and Covid-19 factors. Conclusions: Paramedics are faced with a plethora of factors that impact on how and why they engage with CPD. These combinations of factors are individual and personal to each paramedic. A more structured and integrated collaboration between paramedics, employers, regulators, and CPD providers could provide improved education on professional responsibilities and requirements whist also delivering focused CPD activities that have improved access for the paramedic profession.

Optimizing Administrative Professionalism: A Strategic Approach to Elevate Clientele Satisfaction in Service-Oriented Environments

Professionalism is crucial in shaping client experience in organizations, yet many organizations lack strategies to enhance staff conduct, leading to inconsistent service, communication gaps, and inadequate training. Essential qualities such as competence, courtesy, honesty, integrity, and specialized knowledge significantly impact client interactions, complaint resolution, and organizational image. This study, conducted at the City College of Calamba, Philippines, surveyed 1,126 students to assess their perceptions of professionalism among administrative personnel providing student services and evaluate customer satisfaction. Using a descriptive correlational approach with stratified random sampling and simple statistical treatment such as mean and Goodman and Kruskal's Gamma Correlation, the study established a correlation between staff professionalism and satisfaction, proposing a development program based on its findings. The survey found high levels of professionalism and customer satisfaction, recognized staff strengths in professional communication and accountability, and indicated areas for growth in problem-solving. The significant relationships between job performance, service delivery, ethics, and satisfaction highlight professionalism’s impact on consumer perspectives. The novelty of this study lies in its focus on the correlation between professionalism and satisfaction within an educational setting, offering insights for targeted development programs. Limitations include a small sample size, which may affect generalizability, reliance on self-reported data, cross-sectional design, and a focus on one institution, which may overlook broader contextual nuances.

Accountability as a mechanism and a virtue in Irish public sector recordkeeping

Purpose Although legislation and regulations form an important foundation for recordkeeping and for accountability, questions of transparency and openness must be addressed in a wider context. Oliver and Foscarini have argued for the importance of recognising differing cultures and the ways in which they value records and recordkeeping. In addition to reporting mechanisms and relationships, accountability must encompass a culture and a mindset which is transparent, responsive and focused on self-improvement. This paper aims to apply a dual interpretation of accountability in the context of Irish public sector recordkeeping to identify shortcomings and suggest potential remedies with a view to improving the accountability of Irish recordkeeping itself, and the extent to which it contributes to wider accountability in society. Design/methodology/approach This paper assesses accountability in Irish public sector recordkeeping using a model suggested by Mark Bovens, which views accountability as both a mechanism and a virtue. The model emphasises that both interpretations are necessary but that mechanisms (laws, regulations and checklists) on their own cannot be sufficient to satisfy accountability requirements. As noted by Onora O’Neill, the aim of accountability should not be checklists or artificial metrics, but the nurturing of behaviours and cultures which make public institutions more deserving of our trust. Reference will be made to Irish legislation, to records management policies in government departments, to relevant annual reports and to current practice with regard to appraisal and other recordkeeping functions to measure Irish public sector recordkeeping against Bovens' model. Findings This paper suggests that Irish public sector recordkeeping has a range of shortcomings under both the narrow (mechanism) and broad (virtue) interpretations of accountability. Lack of reporting requirements and oversight mechanisms in existing legislation allows for major gaps in public sector recordkeeping, facilitating a lack of accountability in the citizen–state relationship. Meanwhile, an absence of records management policies and an overall lack of appreciation of the value of records leads to opaque practices and a lack of transparency. The recordkeeping profession itself adopts processes and practices, which are not aligned with the concept of accountability as a virtue, and which do not reflect a commitment to transparency and meeting the legitimate interests of stakeholders. This paper suggests changes in relevant legislation but also suggests that these must be accompanied by a more open and responsive working culture within the recordkeeping profession. Originality/value By applying Bovens’ dual concept of accountability, this paper provides a new and more comprehensive assessment of public sector recordkeeping in Ireland, which can equally be applied in other contexts. It identifies ways in which revised legislation can contribute to greater accountability, but emphasises that regulations must be accompanied by a culture of transparency and responsiveness, and that recordkeepers have a crucial role to play in terms of their own commitment to transparency and professional accountability.

Translating Values into Quality: How We Can Use Max Weber’s Ethic of Responsibility to Rethink Professional Ethics

A risk-based reinterpretation of Weber’s ethic of responsibility can resolve core problems of professional ethics (the role of values, the multilevel problem, etc.) and address current issues—such as the social responsibility of professions or the accountability of professionals. From this perspective, professions as organizations and professionals as their individual members share and distribute responsibility (and risk) in that the primary responsibility of a profession is to provide domain-specific quality standards, while that of individual professionals is to be able to justify service against those standards on a case-by-case basis. In this way, as argued in the paper, professionalism translates (sometimes conflicting) values into a case-specific quality.

Regulatory frameworks in plastic and cosmetic surgery: a comparative scoping review across Australia, United Kingdom, and Italy.

The regulatory landscape for plastic and cosmetic surgery across the country plays a crucial role in shaping the practices within its premises, ensuring patient safety, and maintaining ethical standards in the medical community. This review examines the distinct regulatory frameworks that govern Australia, United Kingdom (UK), and Italy practices, focusing on the nuances that influence the professional accountability and safety measures in place. A comprehensive scoping review was conducted, exploring the legal and regulatory frameworks governing plastic and reconstructive surgery in Australia, the UK, and Italy. Databases such as PubMed, Scopus, and Google Scholar were searched for relevant studies from infinity to May 2024, which were then analyzed to compare regulatory practices, qualification requirements, and their implications on patient safety and professional accountability. Each country presents a unique set of regulations that reflect their individual medical, legal, and cultural contexts. In Australia, the Australian Health Practitioner Regulation Agency (AHPRA) and the Medical Board of Australia impose stringent criteria for differentiating between "cosmetic surgeons" and "plastic surgeons". The UK's approach, governed by the General Medical Council (GMC), emphasizes ethical conduct, informed consent, and transparent advertising. Italy's regulatory framework varies slightly with a specific focus on the qualifications and titles of practitioners. The study underscores the importance of stringent regulations in plastic and cosmetic surgery, advocating for enhanced regulatory measures and comprehensive education on the qualifications of practitioners. It is imperative that these standards are maintained and adapted as necessary to protect patients in the rapidly evolving landscape of cosmetic and plastic surgery across the different regions.

Teachers’ values in a space of change: The idea of teacher assistants as re-negotiation of teacher professionalism

ABSTRACT Teacher professionalism has long been subject to contestation as embedded with certain ideas, norms and values. Transnational discourses on teacher professionalism have spurred the recontextualisation of the idea of teacher assistants in Swedish educational reform. Policy imperatives around increasing teachers’ professional responsibility and accountability have raised issues regarding what values around teacher professionalism ought to be prioritised. The aim of this article is to explore teachers’ values regarding professional responsibility in the compulsory school context based on the interaction with teacher assistants and in light of policy discourses on teacher professionalism. The concept of “discursive space” is utilised to explore juxtaposed values within the local and across national and transnational levels. This concept is based in a combination of discursive institutionalism and curriculum theory with an actor-centred approach around ideas and discourses in an institutional context. The analysis shows dilemmas around holistic aspects and fragmentation regarding professional responsibility, but also, possibilities when “sharing” responsibilities with teacher assistants. Dilemmas emerge around questions on purpose and temporal struggles. Dilemmas emerge regarding professional responsibility against accountability purposes and result-orientation. Re-negotiation of teacher professionalism is spurred by the idea of teacher assistants, and surrounding discourses, creating dilemmas for teachers in the negotiated discursive space.

Reframing goals and strategies for delivering humanized obstetric care in Brazil

Introduction: Despite the long-lasting efforts to promote the quality of obstetric care, Brazil requires robust changes in the care practices throughout the prenatal-labour-postpartum continuum. The ongoing National Program for the Humanization of Prenatal and Childbirth (PHPN) efforts address the fight against obstetric violence (OV), the improvement in the quality of obstetric care, but its implementation has faced obstacles and difficulties, such as responding to cultural values and operating with a weak infrastructure. This research explored Brazilian health and social service professionals’ perceptions of the PHPN’s recommendations regarding innovation, policy and practice changes necessary to respect women’s human rights to receive a high quality, dignifying obstetric care. Methods: An online multi-site survey in which data were collected (Jun 2019-Mar 2020) from health professionals working in the public health system in Brazil. Data analysis used descriptive statistics and thematic analysis. Analytical themes were Perceptions of Program effectiveness to minimize obstetric violence and Program’s gaps, inadequacies and needed changes. Results: Respondents (n=369) disclosed their perceptions about the Program’s nature, utility, and gaps towards an improved implementation. Key issues were rooted in the outdated university education, reduced accountability, and governance in services’ management; unfavourable work conditions and climate; professional power-imbalance; population’s lack of information about the Program; underutilization of obstetric nurses’ and midwives’ skills; neglect of professional development; no denunciation & re-education, and culture of quality improvement. Conclusions: Firmness, hope and determination will be needed to transform society’s culture of silence about OV, awakening the public awareness and mobilizing to enhance collective health and political literacy to ensure professional accountability while protecting women and newborns. There is a need for a realignment of work processes, an investment in professional education, and education within women’s social networks for women to become partners in the active process of improvement of quality of obstetric care.

Professional Accountability and Ownership among Nursing Staff

Professional Accountability and Ownership among Nursing Staff

A theoretical framework for identifying sociocultural factors that influence nurses' compliance with early warning systems for acute clinical deterioration: A cross-sectional survey

BackgroundSystematic adoption of early warning systems in healthcare settings is dependent on the optimal and reliable application by the user. Psychosocial issues and hospital culture influence clinicians' patient safety behaviours. Objective(i) To examine the sociocultural factors that influence nurses' EWS compliance behaviours, using a theory driven behavioural model and (ii) to propose a conceptual model of sociocultural factors for EWS compliance behaviour. DesignA cross-sectional survey. SettingNurses employed in public hospitals across Queensland, Australia. ParticipantsUsing convenience and snowball sampling techniques eligible nurses accessed a dedicated web site and survey containing closed and open-ended questions. 291 nurses from 60 hospitals completed the survey. MethodsQuantitative data were analysed using ANOVA or t-tests to test differences in means. A series of path models based on the theory were conducted to develop a new model. Directed or theory driven content analysis informed qualitative data analysis. ResultsNurses report high levels of previous compliance behaviour and strong intentions to continue complying in the future (M=4.7; SD 0.48). Individual compliance attitudes (β 0.29, p<.05), perceived value of escalation (β 0.24, p<.05) and perceived ease or difficulty complying with documentation (β −0.31, p<.05) were statistically significant, predicting 24% of variation in compliance behaviour. Positive personal charting beliefs (β 0.14, p<.05) and subjective norms both explain higher behavioural intent indirectly through personal attitudes. High ratings of peer charting beliefs indirectly explain attitudes through subjective norms (β 0.20, p<.05). Perceptions of control over one's clinical actions (β −0.24, p<.05) and early warning system training (β −0.17, p<.05) directly contributed to fewer difficulties complying with documentation requirements. Prior difficulties when escalating care (β −0.31, p<.05) directly influenced the perceived value of escalating. ConclusionsThe developed theory-based conceptual model identified sociocultural variables that inform compliance behaviour (documenting and escalation protocols). The model highlights areas of clinical judgement, education, interprofessional trust, workplace norms and cultural factors that directly or indirectly influence nurses' intention to comply with EWS protocols. Extending our understanding of the sociocultural and system wide factors that hamper nurses' use of EWSs and professional accountability has the potential to improve the compliance behaviour of staff and subsequently enhance the safety climate attitudes of hospitals. Tweetable abstractA newly developed model reports nurse's personal attitudes, peer influence, perceived difficulties encountered documenting and escalation beliefs all predict early warning system compliance behaviour.

Teacher assistants’ values in a discursive space: emerging change and re-negotiation of teacher professionalism in Sweden

ABSTRACT In the Nordic context, transnational discourses influence recontextualisation of ideas and discourses, and thus, how local actors negotiate around values imbued with ideas and discourses. In Sweden, the idea of teacher assistants has been prompted – through policy discourses on teacher professionalism – under imperatives of reducing teachers’ workload and increasing professional responsibility and accountability. The aim of this article is to explore teacher assistants’ values regarding roles and responsibilities in relation to teachers and education in light of policy discourses on teacher professionalism. Drawing on discursive institutionalism and curriculum theory, the concept of ‘discursive space’ is utilized to explore values in an institutional context. Based on twelve interviews with teacher assistants in compulsory schools, the analysis shows how a reductionist notion of teaching gives rise to dilemmas around being teachers’ ‘alter ego’ when values around teaching as ‘core’ are prioritized. Dilemmas around local pluralization emerge when teacher assistants are viewed as a ‘solution’ to a plethora of issues. Challenges emerge in the context of ambiguity around teacher assistants’ orientation towards teaching or processes ‘surrounding’ teaching. The analysis illustrates conditioned values highlighting dilemmas and challenges, but also possibilities for discursive action. Altogether, a re-negotiation of teacher professionalism emerges in the discursive space.

Evaluation of a culture change program to reduce unprofessional behaviours by hospital co-workers in Australian hospitals

BackgroundUnprofessional behaviours between healthcare workers are highly prevalent. Evaluations of large-scale culture change programs are rare resulting in limited evidence of intervention effectiveness. We conducted a multi-method evaluation of a professional accountability and culture change program “Ethos” implemented across eight Australian hospitals. The Ethos program incorporates training for staff in speaking-up; an online system for reporting co-worker behaviours; and a tiered accountability pathway, including peer-messengers who deliver feedback to staff for ‘reflection’ or ‘recognition’. Here we report the final evaluation component which aimed to measure changes in the prevalence of unprofessional behaviours before and after Ethos.MethodsA survey of staff (clinical and non-clinical) experiences of 26 unprofessional behaviours across five hospitals at baseline before (2018) and 2.5–3 years after (2021/2022) Ethos implementation. Five of the 26 behaviours were classified as ‘extreme’ (e.g., assault) and 21 as incivility/bullying (e.g., being spoken to rudely). Our analysis assessed changes in four dimensions: work-related bullying; person-related bullying; physical bullying and sexual harassment. Change in experience of incivility/bullying was compared using multivariable ordinal logistic regression. Change in extreme behaviours was assessed using multivariable binary logistic regression. All models were adjusted for respondent characteristics.ResultsIn total, 3975 surveys were completed. Staff reporting frequent incivility/bullying significantly declined from 41.7% (n = 1064; 95% CI 39.7,43.9) at baseline to 35.5% (n = 505; 95% CI 32.8,38.3; χ2(1) = 14.3; P < 0.001) post-Ethos. The odds of experiencing incivility/bullying declined by 24% (adjusted odds ratio [aOR] 0.76; 95% CI 0.66,0.87; P < 0.001) and odds of experiencing extreme behaviours by 32% (aOR 0.68; 95% CI 0.54,0.85; P < 0.001) following Ethos. All four dimensions showed a reduction of 32–41% in prevalence post-Ethos.Non-clinical staff reported the greatest decrease in their experience of unprofessional behaviour (aOR 0.41; 95% CI 0.29, 0.61). Staff attitudes and reported skills to speak-up were significantly more positive at follow-up. Awareness of the program was high (82.1%; 95% CI 80.0, 84.0%); 33% of respondents had sent or received an Ethos message.ConclusionThe Ethos program was associated with significant reductions in the prevalence of reported unprofessional behaviours and improved capacity of hospital staff to speak-up. These results add to evidence that staff will actively engage with a system that supports informal feedback to co-workers about their behaviours and is facilitated by trained peer messengers.

Frontline Professionals in the Wake of Social Media Scrutiny: Examining the Processes of Obscured Accountability

Professional accountability is considered important to the legitimacy and survival of a profession. Prior research has examined the role of top-down scrutiny by audiences, such as supervisors, regulators, and certification agencies, in improving professional accountability. But the advent of social media platforms has increasingly enabled the bottom-up scrutiny of professionals—especially professionals on the front line—by audiences such as customers and the public. In this research, I examine how and when bottom-up scrutiny through social media (hereafter, social media scrutiny) impacts the accountability of frontline professionals. Conducting an ethnography of 911 emergency management organizations, I find that social media scrutiny of 911 call-takers—the frontline professionals in this setting—can obscure rather than improve professional accountability. I elaborate on how, why, and under what conditions social media scrutiny pushes frontline professionals to deviate from their mandate, which, in turn, obscures their sense of professional accountability. These processes also generate spillover effects on the everyday work and mandate of downstream professionals (e.g., 911 dispatchers, police officers), producing a cascading set of unintended consequences that further obscures accountability for multiple actors across the professional ecosystem.

Does an App a Day Keep the Doctor Away? AI Symptom Checker Applications, Entrenched Bias, and Professional Responsibility.

The growing prominence of artificial intelligence (AI) in mobile health (mHealth) has given rise to a distinct subset of apps that provide users with diagnostic information using their inputted health status and symptom information-AI-powered symptom checker apps (AISympCheck). While these apps may potentially increase access to health care, they raise consequential ethical and legal questions. This paper will highlight notable concerns with AI usage in the health care system, further entrenchment of preexisting biases in the health care system and issues with professional accountability. To provide an in-depth analysis of the issues of bias and complications of professional obligations and liability, we focus on 2 mHealth apps as examples-Babylon and Ada. We selected these 2 apps as they were both widely distributed during the COVID-19 pandemic and make prominent claims about their use of AI for the purpose of assessing user symptoms. First, bias entrenchment often originates from the data used to train AI systems, causing the AI to replicate these inequalities through a "garbage in, garbage out" phenomenon. Users of these apps are also unlikely to be demographically representative of the larger population, leading to distorted results. Second, professional accountability poses a substantial challenge given the vast diversity and lack of regulation surrounding the reliability of AISympCheck apps. It is unclear whether these apps should be subject to safety reviews, who is responsible for app-mediated misdiagnosis, and whether these apps ought to be recommended by physicians. With the rapidly increasing number of apps, there remains little guidance available for health professionals. Professional bodies and advocacy organizations have a particularly important role to play in addressing these ethical and legal gaps. Implementing technical safeguards within these apps could mitigate bias, AIs could be trained with primarily neutral data, and apps could be subject to a system of regulation to allow users to make informed decisions. In our view, it is critical that these legal concerns are considered throughout the design and implementation of these potentially disruptive technologies. Entrenched bias and professional responsibility, while operating in different ways, are ultimately exacerbated by the unregulated nature of mHealth.

Perspectives and discourses on teaching evaluations in a South African university

ABSTRACT The paper reports on a study that explored selected lecturers’ perspectives and discourses on a university's Student Evaluation of Teaching (SET) policy in South Africa; particularly what the policy prioritised in terms of purpose and evaluation processes. It also reports on the lecturers’ reflections on the additional questions they included in the self-designed evaluation tools. A questionnaire, informal group conversations, and extended observations were used to collect data, and Latour (2005). Reassembling the Social: An Introduction to Actor-Network Theory. Oxford University Press and Latour (2013). An Inquiry Into Modes of Existence. Translated by C. Porter. London: Harvard University Press works helped make sense of the lecturers’ perspectives and discourses. Findings indicate a partial grasp of what the SET policy promotes. Lecturers’ understanding seemed to emphasise teaching evaluations’ professional development and accountability functions. Little attention was paid to the context in which teaching and learning occurred. The conclusion suggests ways in which the guidance given to lecturers could be improved to help them understand and work more effectively with their university’s SET policy.

Reclaiming accountability through collaborative curriculum enquiry: New directions in teacher evaluation

AbstractTeacher evaluation and teachers' professional learning are too often confined to separate areas of research and professional practice. Rather than approach evaluation and enquiry as distinct or irreconcilable, this paper applies the ideas of Stenhouse to explore new possibilities for the reappropriation of mandated appraisal in ways that support teachers' professional growth. Illustrative case studies of laboratory schools in the United States and England are used to examine the interaction of local and lateral forms of professional accountability with external and hierarchical regulatory frameworks. The article reports the design and enactment of change in two schools (a US kindergarten through twelfth grade school and a UK high school) connected through the International Association of Laboratory Schools (IALS) that purposively redesigned appraisal over a three‐year period to build capacity for collaborative curriculum enquiry. Attention is afforded to the space for manoeuvre between advisory and mandatory guidance, and the challenges to relational trust and collective responsibility posed by performance‐based accountability systems. The findings provide new insights into how teacher‐led collaborative enquiry (curricular co‐design) can address the unintended consequences of test‐based accountability and rubrics‐based observation as principal drivers of educational improvement.

Translation and psychometric testing of the Persian Version of nurses’ ethical decision-making in End-of-Life Care Scale

BackgroundEthical decision-making in end-of-life care is one of the most challenging aspects of healthcare: providing ethical care to the society is one of the most important responsibilities of healthcare professionals. In order to assess nurses’ ethical decision-making in end-of-life care, researchers need a specialized and comprehensive instrument which is sufficiently valid and reliable. The present study was conducted to translate and test the psychometric properties of the Persian version of Nurses’ Ethical Decision-Making in End-of-Life Care Scale (NEDM-EOLCS).MethodsThis is a cross-sectional, multi-centric study with a methodological design The participants were selected via convenience sampling from five hospitals located in Iran. In total, 1320 nurses (660 for exploratory factor analysis and 660 for confirmatory factor analysis) participated in the study. The original NEDM-EOLCS was translated into Persian and subsequently the psychometric properties of the scale were assessed according to COSMIN criteria.ResultsExploratory factor analysis (EFA) showed the factor loading of the 55 items to be between 0.62 and 0.88, all of which were significant. Also, exploratory factor analysis showed that 3 factors (perceived professional accountability, moral reasoning/moral agency and moral practice) explained 74.51% of the variance. Confirmatory factor analysis (CFA) results verified the good fit of the data (a chi-square of 21.74, df = 7, P = 0.001) RMSEA = 0.01, CFI = 0.96, NFI = 0.95, and TLI = 0.97). The reliability of the scale was measured in terms of its internal consistency and the Cronbach’s alpha of the whole instrument was found to be 0.98.ConclusionThe Persian version of NEDM-EOLCS for nurses is sufficiently valid and reliable. Thus, this instrument can be used to measure nurses’ ethical decision-making in end-of-life care and identify the most effective strategies, e.g. educational interventions, to improve ethical decision-making skills in end-of-life care in these healthcare professionals as necessary.