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Risk Management: evaluation of healthcare professionals reasoning about and understanding of maternity care
University West, Department of Health Sciences, Section for nursing - undergraduate level. University of South-Eastern Norway, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, P.O. Box 235, N-3603 Kongsberg, Norway.ORCID iD: 0000-0002-8124-5354
University of South-Eastern Norway, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, P.O. Box 235, N-3603 Kongsberg, Norway.
The University of Tokyo, Department of Midwifery and Women’s Health, Division of Health Sciences & Nursing Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033 Japan.ORCID iD: 0000-0002-7727-7417
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0003-0305-8649
2019 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, no 6, p. 1098-1278Article in journal (Refereed) Published
Abstract [en]

Aim: To evaluate healthcare professionals' explanations of the prerequisites for safe maternity care and understanding of risk management, including the underlying reasons for decision‐making intended to ensure safe care.Background: Risk management focuses on maintaining and promoting safe care by identifying circumstances that place childbearing women at risk of harm, thus reducing risks.Methods: A hermeneutic action research approach was chosen. Through a series of focus group sessions we uncovered healthcare professionals' explanations of risk management.Results: One overriding theme emerged; The consequences of what managers do or fail to do constitute the meaning of taking responsibility for team collaboration to provide safe care. Inadequate support, resources and staff shortages have consequences, such as inability to concentrate on team communication and collaboration, leading to the risk of unsafe care.Conclusion: Communication constitutes a prerequisite for both team collaboration and risk management. Thus, communication is linked to the ability of managers and healthcare professionals to provide safe care.Implications for Nursing Management: In terms of safety management, nurse managers have a significant role in and responsibility for supporting communication training, developing guidelines and providing the prerequisites for interprofessional team reflection.

Place, publisher, year, edition, pages
2019. Vol. 27, no 6, p. 1098-1278
Keywords [en]
Hermeneutic research, Nursing management, Risk management, Safe maternity care, Team communication
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-13790DOI: 10.1111/jonm.12778ISI: 000486018500006Scopus ID: 2-s2.0-85065188992OAI: oai:DiVA.org:hv-13790DiVA, id: diva2:1316444
Available from: 2019-05-17 Created: 2019-05-17 Last updated: 2019-10-16Bibliographically approved

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Rönnerhag, MariaBerggren, Ingela

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