2.50
Hdl Handle:
http://hdl.handle.net/10755/157677
Type:
Presentation
Title:
Patient Safety Perspectives of Retired Registered Nurses: A Moral Obligation
Abstract:
Patient Safety Perspectives of Retired Registered Nurses: A Moral Obligation
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Williams, Arlys, MS, APRN
P.I. Institution Name:University of Colorado Denver, College of Nursing
Title:Doctoral Student
Contact Address:13120 East 19th Avenue, Aurora, CO, 80045, USA
Contact Telephone:406-357-3419
Co-Authors:Lynne C. Andrus, RN, MSN, Doctoral Student; Jeanette Bowman, RN, MS, Doctoral Student; Dana El-Hajj, RN, MS, Doctoral Student; Vicki Grossman, MS, APRN, Doctoral Student; Carrie M. Horton, RN, MSN, Doctoral Student; Peggy Jenkins, RN, MS, Doctoral Student
Rationale/Background: Research on nurses' roles in promoting patient safety, historically a primary concern for nurses, is in the early stages. Eliciting reflections of patient safety from retired Registered Nurses (RNs) provides insights into current practices of safe patient care. While historical research has been published describing nursing practice pre-1950, research reports of patient safety practices from the 1950?s to the turn of the century are rare. Knowledge gained from historical safe practices can provide insights useful for informing best practices for contemporary health care. Purpose/Aims: The purpose of this study was to describe perceptions of retired RNs on safe patient care during their early years of practice. The study aims were to (1) explore the environment of practice related to patient safety of RNs who entered the workforce between the years of 1955 to 1965 and (2) describe patient safety as defined by these retired RNs. Methods: After IRB approval, a mentored team of doctoral students used a qualitative descriptive research design with narrative methods to explore the early years of retired RNs' practice and their perceptions of a safe patient environment. Eighteen retired RNs with a median of 43 years of nursing practice in diverse practice environments were recruited by flyers, e-mails, and snowball referrals. Three open-ended questions were asked in the semi-structured interviews; (1) Tell me about the practice environment in your earlier years of nursing practice. (2) What did you do to protect your patients from harm? (3) Please tell me a story about an experience you remember from your practice that involved safe patient care. Recorded and transcribed interviews and field notes were analyzed descriptively for codes, categories, and themes. Results: A sense of moral obligation arising from accountability and responsibility, relationships, and assessment within the nursing care environment intrinsically motivated nurses to keep patients safe. The participants expressed accountability and responsibility in very personal terms. Teamwork and the nurse/patient/family relationship were viewed as central to safe patient care. Close patient monitoring and surveillance using assessment and observational skills were seen as key to preventing patient harm. Implications for Practice: Current health care trends demand the provision of safe patient care but complex barriers exist within the health care system. Research is needed to explore contemporary nursing's philosophical and ethical foundations of moral obligation to keep patients safe. Additional research is also needed to delineate current health care factors that promote or impede the provision of safe patient care.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePatient Safety Perspectives of Retired Registered Nurses: A Moral Obligationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157677-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Patient Safety Perspectives of Retired Registered Nurses: A Moral Obligation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Williams, Arlys, MS, APRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Colorado Denver, College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Student</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">13120 East 19th Avenue, Aurora, CO, 80045, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">406-357-3419</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Arlys.Williams@UCHSC.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lynne C. Andrus, RN, MSN, Doctoral Student; Jeanette Bowman, RN, MS, Doctoral Student; Dana El-Hajj, RN, MS, Doctoral Student; Vicki Grossman, MS, APRN, Doctoral Student; Carrie M. Horton, RN, MSN, Doctoral Student; Peggy Jenkins, RN, MS, Doctoral Student</td></tr><tr><td colspan="2" class="item-abstract">Rationale/Background: Research on nurses' roles in promoting patient safety, historically a primary concern for nurses, is in the early stages. Eliciting reflections of patient safety from retired Registered Nurses (RNs) provides insights into current practices of safe patient care. While historical research has been published describing nursing practice pre-1950, research reports of patient safety practices from the 1950?s to the turn of the century are rare. Knowledge gained from historical safe practices can provide insights useful for informing best practices for contemporary health care. Purpose/Aims: The purpose of this study was to describe perceptions of retired RNs on safe patient care during their early years of practice. The study aims were to (1) explore the environment of practice related to patient safety of RNs who entered the workforce between the years of 1955 to 1965 and (2) describe patient safety as defined by these retired RNs. Methods: After IRB approval, a mentored team of doctoral students used a qualitative descriptive research design with narrative methods to explore the early years of retired RNs' practice and their perceptions of a safe patient environment. Eighteen retired RNs with a median of 43 years of nursing practice in diverse practice environments were recruited by flyers, e-mails, and snowball referrals. Three open-ended questions were asked in the semi-structured interviews; (1) Tell me about the practice environment in your earlier years of nursing practice. (2) What did you do to protect your patients from harm? (3) Please tell me a story about an experience you remember from your practice that involved safe patient care. Recorded and transcribed interviews and field notes were analyzed descriptively for codes, categories, and themes. Results: A sense of moral obligation arising from accountability and responsibility, relationships, and assessment within the nursing care environment intrinsically motivated nurses to keep patients safe. The participants expressed accountability and responsibility in very personal terms. Teamwork and the nurse/patient/family relationship were viewed as central to safe patient care. Close patient monitoring and surveillance using assessment and observational skills were seen as key to preventing patient harm. Implications for Practice: Current health care trends demand the provision of safe patient care but complex barriers exist within the health care system. Research is needed to explore contemporary nursing's philosophical and ethical foundations of moral obligation to keep patients safe. Additional research is also needed to delineate current health care factors that promote or impede the provision of safe patient care.</td></tr></table>en_GB
dc.date.available2011-10-26T20:05:56Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:05:56Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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