12/29/2025
💭 Disruptive Thought of the Week:
In nursing, we talk a lot about responsibility, but not enough about accountability.
👉 Responsibility is doing the tasks, following the policies, and meeting the standards.
👉 Accountability is owning the outcomes, good or bad, and standing behind the decisions that shape them.
Bedside nurses are loaded with responsibility.
📝 Charting and med passes.
🕒 Clocking in/out on time.
⚠️ Following every policy to the letter.
But where is the accountability when:
⚠️ Staffing is unsafe?
⚠️ Workplace violence is ignored?
⚠️ Wellness is reduced to pizza parties and slogans?
Too often, accountability rolls downhill while those at the top avoid the weight of their own decisions.
Here’s the disruption: Responsibility belongs to everyone, but accountability must start at the top.
🗣️ Nurse leaders, are you disrupting the status quo by owning the outcomes, or sitting quietly while frontline staff carry all the weight?
Because leadership without accountability isn’t leadership at all, it’s just collecting a paycheck while others carry the weight.
Let make the focus for 2026 "accountability".
