Putting Safety in the Frame
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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2015-06-01
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| Series: | Global Qualitative Nursing Research |
| Online Access: | https://doi.org/10.1177/2333393615592390 |
| _version_ | 1818204071914373120 |
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| author | Valerie Jean O’Keeffe Kirrilly Rebecca Thompson Michelle Rae Tuckey Verna Lesley Blewett |
| author_facet | Valerie Jean O’Keeffe Kirrilly Rebecca Thompson Michelle Rae Tuckey Verna Lesley Blewett |
| author_sort | Valerie Jean O’Keeffe |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-12T03:35:25Z |
| format | Article |
| id | doaj.art-1809313116744ee2b332a2cfe35cafac |
| institution | Directory Open Access Journal |
| issn | 2333-3936 |
| language | English |
| last_indexed | 2024-12-12T03:35:25Z |
| publishDate | 2015-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Global Qualitative Nursing Research |
| spelling | doaj.art-1809313116744ee2b332a2cfe35cafac2022-12-22T00:39:49ZengSAGE PublishingGlobal Qualitative Nursing Research2333-39362015-06-01210.1177/233339361559239010.1177_2333393615592390Putting Safety in the FrameValerie Jean O’Keeffe0Kirrilly Rebecca Thompson1Michelle Rae Tuckey2Verna Lesley Blewett3University of South Australia, Magill, South Australia, AustraliaCentral Queensland University, Adelaide, South Australia, AustraliaUniversity of South Australia, Magill, South Australia, AustraliaCentral Queensland University, Adelaide, South Australia, AustraliaCurrent 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.https://doi.org/10.1177/2333393615592390 |
| spellingShingle | Valerie Jean O’Keeffe Kirrilly Rebecca Thompson Michelle Rae Tuckey Verna Lesley Blewett Putting Safety in the Frame Global Qualitative Nursing Research |
| title | Putting Safety in the Frame |
| title_full | Putting Safety in the Frame |
| title_fullStr | Putting Safety in the Frame |
| title_full_unstemmed | Putting Safety in the Frame |
| title_short | Putting Safety in the Frame |
| title_sort | putting safety in the frame |
| url | https://doi.org/10.1177/2333393615592390 |
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