Wailling 2019 Surveillance anticipation and firefighting Perspectives of patient safety from a New Zealand case study.pdf (334.88 kB)
0/0

Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study

Download (334.88 kB)
journal contribution
posted on 12.06.2020 by J Wailling, Brian Robinson, M Coombs
© 2018 John Wiley & Sons Ltd Aim: This study explored how doctors, nurses and managers working in a New Zealand tertiary hospital understand patient safety. Background: Despite health care systems implementing proven safety strategies from high reliability organisations, such as aviation and nuclear power, these have not been uniformly adopted by health care professionals with concerns raised about clinician engagement. Design: Instrumental, embedded case study design using qualitative methods. Methods: The study used purposeful sampling, and data was collected using focus groups and semi-structured interviews with doctors (n = 31); registered nurses (n = 19); and senior organisational managers (n = 3) in a New Zealand tertiary hospital. Results: Safety was described as a core organisational value. Clinicians appreciated proactive safety approaches characterized by anticipation and vigilance, where they expertly recognized and adapted to safety risks. Managers trusted evidence-based safety rules and approaches that recorded, categorized and measured safety. Conclusion and Implications for Nursing Management: It is important that nurse managers hold a more refined understanding about safety. Organisations are more likely to support safe patient care if cultural complexity is accounted for. Recognizing how different occupational groups perceive and respond to safety, rather than attempting to reinforce a uniform set of safety actions and responsibilities, is likely to bring together a shared understanding of safety, build trust and nurture safety culture.

History

Preferred citation

Wailling, J., Robinson, B. & Coombs, M. (2019). Surveillance, anticipation and firefighting: Perspectives of patient safety from a New Zealand case study. Journal of Nursing Management, 27(5), 939-945. https://doi.org/10.1111/jonm.12732

Journal title

Journal of Nursing Management

Volume

27

Issue

5

Publication date

01/07/2019

Pagination

939-945

Publisher

Wiley

Publication status

Published

Online publication date

11/04/2019

ISSN

0966-0429

eISSN

1365-2834

Language

en

Exports