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. 2019 Oct;27(7):1454-1461.
doi: 10.1111/jonm.12829. Epub 2019 Jul 15.

Nurses keeping patients safe by managing risk in perioperative settings: A classic grounded theory study

Brid O' Brien  1 , Tom Andrews  2 , Eileen Savage  2
Affiliations

Nurses keeping patients safe by managing risk in perioperative settings: A classic grounded theory study

Brid O' Brien et al. J Nurs Manag. 2019 Oct.

Abstract

Aim: To develop and expand how nurses promote safety in perioperative settings.

Background: This article presents orchestrating a sub-core category from the theory of anticipatory vigilance in promoting safety within preoperative settings (Journal of Clinical Nursing, 27, 2018, 247). Orchestrating explains this and involves effective planning, delegating, co-ordinating and communication.

Method: A classic grounded theory methodology was used. Ethical approval was granted. Data comprised of 37 interviews and 33 hr of non-participant observation. Data analysis followed the principals of classic grounded theory.

Results: Orchestrating is fundamental in promoting safety and minimizing risk of errors and adverse events in the perioperative setting. Nurses achieve this through four categories: macro orchestrating, locational orchestrating, situational orchestrating and being in the know.

Conclusion(s): Nurses minimize risk by fostering a culture of safety, risk awareness, effective management and leadership.

Implications: Effective management structures and support systems are essential in promoting a culture of safety in perioperative setting.

Keywords: classic grounded theory; management; nursing; perioperative; risk; safety.

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References

REFERENCES

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