The intraprofessional and interprofessional relations of neurorehabilitation nurses: a negotiated order perspective

Miller, Karen‐Lee; Kontos, Pia

doi:10.1111/jan.12041

Cited by 29 publications

(52 citation statements)

References 44 publications

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“…The RRS can be seen as an interprofessional system that acts as a governing technique (Kitto, Reeves, Chesters, & Thistlethwaite, 2011) to ensure the collaboration and accountability of healthcare professionals in unintended ways. The nursing ''work-around'' approach identified in this study that purportedly occurs in response to the breakdown of interprofessional practices, is consistent with previous literature on nurse-doctor interprofessional workings (Benin et al, 2012;Miller & Kontos, 2012). Drawing on literature from the sociology of technology, we can further unpack the notion of ''work-arounds'' as it relates to the implementation of (1) The existence of multiple profession-based understandings of events in the workplace that drive clinical behaviour(s) (2) Developing and using a collective knowledge base…”

Section: Discussionsupporting

confidence: 80%

Rapid response systems and collective (in)competence: An exploratory analysis of intraprofessional and interprofessional activation factors

Kitto

Marshall

McMillan

et al. 2014

Journal of Interprofessional Care

101

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The rapid response system (RRS) is a patient safety initiative instituted to enable healthcare professionals to promptly access help when a patient's status deteriorates. Despite patients meeting the criteria, up to one-third of the RRS cases that should be activated are not called, constituting a "missed RRS call". Using a case study approach, 10 focus groups of senior and junior nurses and physicians across four hospitals in Australia were conducted to gain greater insight into the social, professional and cultural factors that mediate the usage of the RRS. Participants' experiences with the RRS were explored from an interprofessional and collective competence perspective. Health professionals' reasons for not activating the RRS included: distinct intraprofessional clinical decision-making pathways; a highly hierarchical pathway in nursing, and a more autonomous pathway in medicine; and interprofessional communication barriers between nursing and medicine when deciding to make and actually making a RRS call. Participants also characterized the RRS as a work-around tool that is utilized when health professionals encounter problematic interprofessional communication. The results can be conceptualized as a form of collective incompetence that have important implications for the design and implementation of interprofessional patient safety initiatives, such as the RRS.

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Section: Discussionsupporting

confidence: 80%

Rapid response systems and collective (in)competence: An exploratory analysis of intraprofessional and interprofessional activation factors

Kitto

Marshall

McMillan

et al. 2014

Journal of Interprofessional Care

101

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“…34,[36][37][38] It is based on the professional 35,38 and personal 34,35 values of a nurse. Collegiality is non-hierarchical 35,39 and relates to the mutual relationship between nurses, reflecting values such as equality, 20,21,35,40 justice, trust, 35,40,41 and respect. 20,21,35,40,42 Collegiality is based on open, confidential, emphatic, and dialogic communication, 20,34,35,40,42 and it is demonstrated in autonomy and decision-making.…”

Section: The Content Of Collegialitymentioning

confidence: 99%

The development of ethical guidelines for nurses’ collegiality using the Delphi method

Kangasniemi

Arala²,

Becker³

et al. 2016

Nurs Ethics

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Nurses' collegiality and its content are well recognized in clinical practice but seldom studied. Collegiality can be supported by guidelines, and nurses working in clinical practice, together with teachers and managers, have shared responsibilities to support and develop it. More research in different nursing environments is needed to improve understanding of the content and practice of nursing collegiality.

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“…The negotiated order approach can provide insights to the multiple dimensions and nuances of power, viewed as being diverse and distributed rather than uni-directional and static (Nugus et al, 2010). Recent research has shown instances of how negotiation may or may not occur amongst a range of health care providers (Allen, 1997;Miller & Kontos, 2013;Reeves et al, 2009) and that patient management is often a key site of negotiation about clinical roles (Nugus et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning

Goldman

Reeves

et al. 2016

Journal of Interprofessional Care

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Patient discharge is a key concern in hospitals, particularly in acute care given the multifaceted and challenging nature of patients' health care needs. Policies on discharge have identified the importance of interprofessional collaboration, yet research has described its limitations in this clinical context. This study aimed to extend our understanding of interprofessional interactions related to discharge in a general internal medicine setting by using sociological theories to illuminate the existence of, and interplay between, structural factors and micro-level practices. An ethnographic approach was employed to obtain an in-depth insight into health care providers' perspectives, 2 of healthcare labour in patient discharge with opportunities for some interprofessional negotiations; the role of organizational routines in facilitating and challenging interprofessional negotiations in patient discharge; and tensions in organizational priorities that impact an interprofessional approach to discharge. The findings provide insight into the various levels at which interventions can be targeted to improve interprofessional collaboration in discharge while recognizing the organizational tensions that challenge an interprofessional approach.

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The intraprofessional and interprofessional relations of neurorehabilitation nurses: a negotiated order perspective

Abstract: The intraprofessional context and negotiations therein were linked in significant ways to interprofessional negotiations. Understanding this complexity has important implications for improving patient safety and interprofessional practice interventions.

Cited by 29 publications

References 44 publications

Rapid response systems and collective (in)competence: An exploratory analysis of intraprofessional and interprofessional activation factors

Rapid response systems and collective (in)competence: An exploratory analysis of intraprofessional and interprofessional activation factors

The development of ethical guidelines for nurses’ collegiality using the Delphi method

A sociological exploration of the tensions related to interprofessional collaboration in acute-care discharge planning

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