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Putting safety in the frame : nurses' sensemaking at work

journal contribution
posted on 06.12.2017, 00:00 by V O'Keeffe, Kirrilly ThompsonKirrilly Thompson, M Tuckey, Verna BlewettVerna Blewett
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.

History

Volume

2

Start Page

1

End Page

12

Number of Pages

12

ISSN

2333-3936

Publisher

Sage Publications

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Appleton Institute for Behavioural Sciences; TBA Research Institute; University of South Australia;

Era Eligible

Yes

Journal

Global qualitative nursing research.

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