Work-Arounds Observed by Fourth-Year Nursing Students.
Autor: | Westphal J; University of Wisconsin-Oshkosh, USA westphaj@uwosh.edu., Lancaster R; University of Wisconsin-Oshkosh, USA., Park D; University of Wisconsin-Oshkosh, USA. |
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Jazyk: | angličtina |
Zdroj: | Western journal of nursing research [West J Nurs Res] 2014 Sep; Vol. 36 (8), pp. 1002-18. Date of Electronic Publication: 2013 Nov 26. |
DOI: | 10.1177/0193945913511707 |
Abstrakt: | Much has been written about the need for health care professionals to consistently promote policies and best practices that create safe, high-quality care environments. At times, nurses deviate from established policies and procedures to create work-arounds or changes in work patterns to accomplish patient care goals. The purpose of this study was to identify common work-arounds and describe what influenced the nurse to engage in the work-around as observed by fourth-year baccalaureate students in clinical settings. A descriptive qualitative approach was used to describe the findings from a Quality and Safety Education for Nurses-based assignment. Ninety-six individual student assignments were included in this analysis; the themes of infection prevention and control and medication management emerged. The theme of workload emerged as the reason why students believed nurses engaged in work-arounds. Further studies are needed to determine how work-arounds influence short- and long-term patient outcomes. (© The Author(s) 2013.) |
Databáze: | MEDLINE |
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