Capturing the Changes in the Work Enviroment of Nurses: Using Photographic Research Methods from the Field of Ecological Restoration

2.50
Hdl Handle:
http://hdl.handle.net/10755/304044
Category:
Full-text
Type:
Presentation
Title:
Capturing the Changes in the Work Enviroment of Nurses: Using Photographic Research Methods from the Field of Ecological Restoration
Author(s):
Gimenes, Fernanda R. E.; Marck, Patricia B.; Cassiani, Silvia H. De Bortoli
Lead Author STTI Affiliation:
Rho Upsilon
Author Details:
Fernanda R. E. Gimenes, PhD, fregimenes@eerp.usp.br; Patricia B. Marck, PhD; Silvia H. De Bortoli Cassiani, RN;
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose: To examine whether the photographic research methods from the field of ecological restoration help nursing practitioners of a Brazilian ICU to strengthen the safety of their work environment.

Methods: We used a qualitative approach, using adapted photographic research methods from the field of ecological restoration, which include focus groups, photo walkabout, photo narration and photo elicitation, in iterative phases of data collection and analysis. In Phase 1, semi-structured, tape recorded focus group was conducted to identify issues related to medication safety. In Phase 2, we conducted photo walkabout with an experienced nurse to narrate photos of the ICU environment. In Phase 3, we reviewed unit photos with practitioners in a second set of focus group to discuss medication safety in the ICU. In phase 4, we returned to the unit with the purpose to detect, through photography, the changes occurred in the ICU work environment and in its culture of safety, in response to FG and photo walkabout/photo narration.

Results: The organization of the medication room for efficient workflow and accessible supplies were a major concern for participants. Careful consideration was given to how items were stored within the ICU. Participants were also concerned about the risks for medication errors related to the similarity among ampoules, especially those frequently used in emergency. There were visible changes in the way how nursing practitioners manage the issues related to safety within the ICU and the hospital.

'Conclusion: Photographic research methods from the field of ecological restoration helped participants to (re)think and to redesign their work environment towards a safer place for medication management. However, some changes may contribute to other risks for patient safety.

Keywords:
ecological restoration; medication safety; photographic research methods
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleCapturing the Changes in the Work Enviroment of Nurses: Using Photographic Research Methods from the Field of Ecological Restorationen
dc.contributor.authorGimenes, Fernanda R. E.en
dc.contributor.authorMarck, Patricia B.en
dc.contributor.authorCassiani, Silvia H. De Bortolien
dc.contributor.departmentRho Upsilonen
dc.author.detailsFernanda R. E. Gimenes, PhD, fregimenes@eerp.usp.br; Patricia B. Marck, PhD; Silvia H. De Bortoli Cassiani, RN;en
dc.identifier.urihttp://hdl.handle.net/10755/304044-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b>To examine whether the photographic research methods from the field of ecological restoration help nursing practitioners of a Brazilian ICU to strengthen the safety of their work environment. <p><b>Methods: </b>We used a qualitative approach, using adapted photographic research methods from the field of ecological restoration, which include focus groups, photo walkabout, photo narration and photo elicitation, in iterative phases of data collection and analysis. In Phase 1, semi-structured, tape recorded focus group was conducted to identify issues related to medication safety. In Phase 2, we conducted photo walkabout with an experienced nurse to narrate photos of the ICU environment. In Phase 3, we reviewed unit photos with practitioners in a second set of focus group to discuss medication safety in the ICU. In phase 4, we returned to the unit with the purpose to detect, through photography, the changes occurred in the ICU work environment and in its culture of safety, in response to FG and photo walkabout/photo narration. <p><b>Results: </b>The organization of the medication room for efficient workflow and accessible supplies were a major concern for participants. Careful consideration was given to how items were stored within the ICU. Participants were also concerned about the risks for medication errors related to the similarity among ampoules, especially those frequently used in emergency. There were visible changes in the way how nursing practitioners manage the issues related to safety within the ICU and the hospital.<b> </b><p>'<b>Conclusion: </b>Photographic research methods from the field of ecological restoration helped participants to (re)think and to redesign their work environment towards a safer place for medication management. However, some changes may contribute to other risks for patient safety.en
dc.subjectecological restorationen
dc.subjectmedication safetyen
dc.subjectphotographic research methodsen
dc.date.available2013-10-22T20:28:09Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:28:09Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.