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Putting Safety in the Frame: Nurses’ Sensemaking at Work
Current patient safety policy focuses nursing on patient care goals, often overriding nurses’ safety. Without understanding how nurses construct work health and safety (WHS), patient and nurse safety cannot be reconciled. Using ethnography, we examine social contexts of safety, studying 72 nurses ac...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5342847/ https://www.ncbi.nlm.nih.gov/pubmed/28462311 http://dx.doi.org/10.1177/2333393615592390 |
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author | O’Keeffe, Valerie Jean Thompson, Kirrilly Rebecca Tuckey, Michelle Rae Blewett, Verna Lesley |
author_facet | O’Keeffe, Valerie Jean Thompson, Kirrilly Rebecca Tuckey, Michelle Rae Blewett, Verna Lesley |
author_sort | O’Keeffe, Valerie Jean |
collection | PubMed |
description | Current patient safety policy focuses nursing on patient care goals, often overriding nurses’ safety. Without understanding how nurses construct work health and safety (WHS), patient and nurse safety cannot be reconciled. Using ethnography, we examine social contexts of safety, studying 72 nurses across five Australian hospitals making decisions during patient encounters. In enacting safe practice, nurses used “frames” built from their contextual experiences to guide their behavior. Frames are produced by nurses, and they structure how nurses make sense of their work. Using thematic analysis, we identify four frames that inform nurses’ decisions about WHS: (a) communicating builds knowledge, (b) experiencing situations guides decisions, (c) adapting procedures streamlines work, and (d) team working promotes safe working. Nurses’ frames question current policy and practice by challenging how nurses’ safety is positioned relative to patient safety. Recognizing these frames can assist the design and implementation of effective WHS management. |
format | Online Article Text |
id | pubmed-5342847 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-53428472017-05-01 Putting Safety in the Frame: Nurses’ Sensemaking at Work O’Keeffe, Valerie Jean Thompson, Kirrilly Rebecca Tuckey, Michelle Rae Blewett, Verna Lesley Glob Qual Nurs Res Article Current patient safety policy focuses nursing on patient care goals, often overriding nurses’ safety. Without understanding how nurses construct work health and safety (WHS), patient and nurse safety cannot be reconciled. Using ethnography, we examine social contexts of safety, studying 72 nurses across five Australian hospitals making decisions during patient encounters. In enacting safe practice, nurses used “frames” built from their contextual experiences to guide their behavior. Frames are produced by nurses, and they structure how nurses make sense of their work. Using thematic analysis, we identify four frames that inform nurses’ decisions about WHS: (a) communicating builds knowledge, (b) experiencing situations guides decisions, (c) adapting procedures streamlines work, and (d) team working promotes safe working. Nurses’ frames question current policy and practice by challenging how nurses’ safety is positioned relative to patient safety. Recognizing these frames can assist the design and implementation of effective WHS management. SAGE Publications 2015-07-09 /pmc/articles/PMC5342847/ /pubmed/28462311 http://dx.doi.org/10.1177/2333393615592390 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Article O’Keeffe, Valerie Jean Thompson, Kirrilly Rebecca Tuckey, Michelle Rae Blewett, Verna Lesley Putting Safety in the Frame: Nurses’ Sensemaking at Work |
title | Putting Safety in the Frame: Nurses’ Sensemaking at Work |
title_full | Putting Safety in the Frame: Nurses’ Sensemaking at Work |
title_fullStr | Putting Safety in the Frame: Nurses’ Sensemaking at Work |
title_full_unstemmed | Putting Safety in the Frame: Nurses’ Sensemaking at Work |
title_short | Putting Safety in the Frame: Nurses’ Sensemaking at Work |
title_sort | putting safety in the frame: nurses’ sensemaking at work |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5342847/ https://www.ncbi.nlm.nih.gov/pubmed/28462311 http://dx.doi.org/10.1177/2333393615592390 |
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