Professional collegiality and peer monitoring among nursing staff: an ethnographic study.
Professional collegiality and peer monitoring among nursing staff: an ethnographic study.
复制标题
护理人员的专业合作和同伴监督：一项人种学研究。
DOI：
10.1016/j.ijnurstu.2012.12.022
复制
发表时间：
2013
影响因子：
8.1
通讯作者：
Padgett,StephenM
中科院分区：
文献类型：
--
作者：
Padgett,StephenM
BackgroundPatient safety and professional self-regulation systems both depend on professional colleagues to hold each other accountable for quality of care.ObjectivesTo understand how staff nurses manage variations in practices within the group，and negotiating the rules in use for quality of care，collegiality，and accountability.Design/methodsEthnographic case study; participant-observation，semi-structured interviews，policy analysis.SettingIn-patient unit in a urban US teaching hospital. ResultsConclusion明确承认冲突和实践的变化被认为是有风险的群体凝聚力。工作人员的相互援助的依赖，并没有一个系统的小组实践，导致了实践中的“相互尊重”，一个战略的相互宽容和不干涉，给予广泛的自由裁量权，每个护士的决定有关care.Conclusionsefforts，以提高专业问责制将需要解决的物质限制和组织的护理工作，以及沟通和领导技能。
BackgroundPatient safety and professional self-regulation systems both rely on professional colleagues to hold each other accountable for quality of care.ObjectivesTo understand how staff nurses manage variations in practices within the group, and negotiate the rules-in-use for quality of care, collegiality, and accountability.Design/methodsEthnographic case study; participant-observation, semi-structured interviews, policy analysis.SettingIn-patient unit in an urban US teaching hospital.ResultsExplicit acknowledgment of conflicts and practice variations was perceived as risky to group cohesion. The dependence of staff on mutual assistance, and the absence of a system of group practice, led to the practice of “mutual deference”, a strategy of reciprocal tolerance and non-interference that gave wide discretion to each nurse's decisions about care.ConclusionsEfforts to improve professional accountability will need to address material constraints and the organization of nursing work, as well as communication and leadership skills.