| Abstract: | Summary - ? The aim of this paper is to explore how the theoretical definitions of accountability might be put into practice within a structure of primary nursing.
- ? Bergman's preconditions leading to accountability (1981) are discussed with respect to traditional ward organization and contrasted with primary nursing. The size of the case-load is identified as a significant factor in the way and the depth with which the concept is operationalized.
- ? Adaptations to nursing roles are necessary in order to facilitate accountability in action. The primary nurse is given authority as both case manager and line manager. The ward manager role changes to focus on resource management and developmental need.
- ? Changes of this nature lead to accountability being viewed in a positive light and an abstract concept becoming grounded in reality.
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