I agree with you but when is management really going to take responsibility? Lets face it, a bad outcome is going to first be attributed to the bedside nurse, even if its a staffing issue. ("The nurse should have refused the assignment." "The nurse should have asked for help from her coworkers.")Management will not end up accountable because they will fall into the us and them mentality. Bedside nurse vs management is a common theme in nursing I think. I would love management and nursing to work together--maybe these new 'unit council' ideas will help.
But the reality I have seen is that if you call management because of a staffing issue on the off hours, you are told to figure something out. And I have yet to see a charge nurse who does not dread making the call to the one who is on 'administrative on call' at 11pm because there are too few nurses to cover the census.
So yes, management should be forced to take responsibility but the reality is that the burden will continue to fall on the bedside nurse.
I wish there were a good and simple answer.
This is a great topic for discussion!