Abstract
Communication and teamwork problems are leading causes of documented preventable adverse outcomes in perinatal care. An essential component of perinatal safety is the organizational culture in which clinicians work. Clinicians' individual and collective authority to question the plan of care and take action to change the direction of a clinical situation in the patient's best interest can be viewed as their "agency for safety." However, collective agency for safety and commitment to support nurses in their role of advocacy is missing in many perinatal care settings. This article draws from Organizational Accident Theory, High Reliability Theory, and Symbolic Interactionism to describe the nurse's role in maintaining safety during labor and birth in acute care settings and suggests actions for supporting the perinatal nurse at individual, group, and systems levels to achieve maximum safety in perinatal care.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 22-31 |
| Number of pages | 10 |
| Journal | Journal of Perinatal and Neonatal Nursing |
| Volume | 24 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2010 |
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Keywords
- High reliability
- Patient safety
- Perinatal nursing
ASJC Scopus subject areas
- Pediatrics
- Critical Care
- Maternity and Midwifery
Cite this
Perinatal safety : From concept to nursing practice. / Lyndon, Audrey; Kennedy, Holly Powell.
In: Journal of Perinatal and Neonatal Nursing, Vol. 24, No. 1, 01.01.2010, p. 22-31.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Perinatal safety
T2 - From concept to nursing practice
AU - Lyndon, Audrey
AU - Kennedy, Holly Powell
PY - 2010/1/1
Y1 - 2010/1/1
N2 - Communication and teamwork problems are leading causes of documented preventable adverse outcomes in perinatal care. An essential component of perinatal safety is the organizational culture in which clinicians work. Clinicians' individual and collective authority to question the plan of care and take action to change the direction of a clinical situation in the patient's best interest can be viewed as their "agency for safety." However, collective agency for safety and commitment to support nurses in their role of advocacy is missing in many perinatal care settings. This article draws from Organizational Accident Theory, High Reliability Theory, and Symbolic Interactionism to describe the nurse's role in maintaining safety during labor and birth in acute care settings and suggests actions for supporting the perinatal nurse at individual, group, and systems levels to achieve maximum safety in perinatal care.
AB - Communication and teamwork problems are leading causes of documented preventable adverse outcomes in perinatal care. An essential component of perinatal safety is the organizational culture in which clinicians work. Clinicians' individual and collective authority to question the plan of care and take action to change the direction of a clinical situation in the patient's best interest can be viewed as their "agency for safety." However, collective agency for safety and commitment to support nurses in their role of advocacy is missing in many perinatal care settings. This article draws from Organizational Accident Theory, High Reliability Theory, and Symbolic Interactionism to describe the nurse's role in maintaining safety during labor and birth in acute care settings and suggests actions for supporting the perinatal nurse at individual, group, and systems levels to achieve maximum safety in perinatal care.
KW - High reliability
KW - Patient safety
KW - Perinatal nursing
UR - http://www.scopus.com/inward/record.url?scp=77049090257&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77049090257&partnerID=8YFLogxK
U2 - 10.1097/JPN.0b013e3181cb9351
DO - 10.1097/JPN.0b013e3181cb9351
M3 - Article
C2 - 20147827
AN - SCOPUS:77049090257
VL - 24
SP - 22
EP - 31
JO - Journal of Perinatal and Neonatal Nursing
JF - Journal of Perinatal and Neonatal Nursing
SN - 0893-2190
IS - 1
ER -