Exploring risk in professional nursing practice: an analysis of work refusal and professional risk.
Identifieur interne : 000339 ( Main/Corpus ); précédent : 000338; suivant : 000340Exploring risk in professional nursing practice: an analysis of work refusal and professional risk.
Auteurs : Barbara A. Beardwood ; Jan M. KainerSource :
- Nursing inquiry [ 1440-1800 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- geographic : Ontario.
- standards : Nursing, Societies, Work Performance, Workplace.
- Attitude of Health Personnel, Humans, Risk Management.
Abstract
This article explores risk in professional nursing practice. Professional risk refers to the threat of professional discipline if it is found that a registered nurse has violated professional nursing practice standards. We argue professional risk is socially constructed and understood differently by nurse regulatory bodies, unions, professional associations and frontline nurses. Regulatory bodies emphasize professional accountability of nurses; professional associations focus on system problems in health-care; unions undertake protecting nurses' right to health and safety; and frontline nurses experience fear and uncertainty in their attempt to interpret practice standards to avoid professional discipline. Perspectives of professional risk are investigated by analyzing three professional nursing bodies' views of professional codes governing the right of nurses to refuse unsafe work assignments. The workplace dynamics surrounding work refusal experienced by frontline nurses are illustrated primarily through the lens of the 2003 SARS influenza outbreak in Ontario, Canada. We conclude that frontline nurses in Ontario are required to manage risk by following professional protocols prioritizing patient care and professional accountability which disregard the systemic, unpredictable and hazardous circumstances in their everyday practice. Moreover, we argue professional protocols cannot anticipate every eventuality in clinical practice creating the fear of professional discipline for nurses.
DOI: 10.1111/nin.12048
PubMed: 23992233
Links to Exploration step
pubmed:23992233Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Exploring risk in professional nursing practice: an analysis of work refusal and professional risk.</title><author><name sortKey="Beardwood, Barbara A" sort="Beardwood, Barbara A" uniqKey="Beardwood B" first="Barbara A" last="Beardwood">Barbara A. Beardwood</name><affiliation><nlm:affiliation>York University, Toronto, ON, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Kainer, Jan M" sort="Kainer, Jan M" uniqKey="Kainer J" first="Jan M" last="Kainer">Jan M. Kainer</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:23992233</idno><idno type="pmid">23992233</idno><idno type="doi">10.1111/nin.12048</idno><idno type="wicri:Area/Main/Corpus">000339</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000339</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Exploring risk in professional nursing practice: an analysis of work refusal and professional risk.</title><author><name sortKey="Beardwood, Barbara A" sort="Beardwood, Barbara A" uniqKey="Beardwood B" first="Barbara A" last="Beardwood">Barbara A. Beardwood</name><affiliation><nlm:affiliation>York University, Toronto, ON, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Kainer, Jan M" sort="Kainer, Jan M" uniqKey="Kainer J" first="Jan M" last="Kainer">Jan M. Kainer</name></author></analytic><series><title level="j">Nursing inquiry</title><idno type="eISSN">1440-1800</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel (MeSH)</term><term>Humans (MeSH)</term><term>Nursing (standards)</term><term>Ontario (MeSH)</term><term>Risk Management (MeSH)</term><term>Societies (standards)</term><term>Work Performance (standards)</term><term>Workplace (standards)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ontario</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Nursing</term><term>Societies</term><term>Work Performance</term><term>Workplace</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Humans</term><term>Risk Management</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This article explores risk in professional nursing practice. Professional risk refers to the threat of professional discipline if it is found that a registered nurse has violated professional nursing practice standards. We argue professional risk is socially constructed and understood differently by nurse regulatory bodies, unions, professional associations and frontline nurses. Regulatory bodies emphasize professional accountability of nurses; professional associations focus on system problems in health-care; unions undertake protecting nurses' right to health and safety; and frontline nurses experience fear and uncertainty in their attempt to interpret practice standards to avoid professional discipline. Perspectives of professional risk are investigated by analyzing three professional nursing bodies' views of professional codes governing the right of nurses to refuse unsafe work assignments. The workplace dynamics surrounding work refusal experienced by frontline nurses are illustrated primarily through the lens of the 2003 SARS influenza outbreak in Ontario, Canada. We conclude that frontline nurses in Ontario are required to manage risk by following professional protocols prioritizing patient care and professional accountability which disregard the systemic, unpredictable and hazardous circumstances in their everyday practice. Moreover, we argue professional protocols cannot anticipate every eventuality in clinical practice creating the fear of professional discipline for nurses. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23992233</PMID><DateCompleted><Year>2016</Year><Month>03</Month><Day>29</Day></DateCompleted><DateRevised><Year>2015</Year><Month>02</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1440-1800</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>1</Issue><PubDate><Year>2015</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Nursing inquiry</Title><ISOAbbreviation>Nurs Inq</ISOAbbreviation></Journal><ArticleTitle>Exploring risk in professional nursing practice: an analysis of work refusal and professional risk.</ArticleTitle><Pagination><MedlinePgn>50-63</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/nin.12048</ELocationID><Abstract><AbstractText>This article explores risk in professional nursing practice. Professional risk refers to the threat of professional discipline if it is found that a registered nurse has violated professional nursing practice standards. We argue professional risk is socially constructed and understood differently by nurse regulatory bodies, unions, professional associations and frontline nurses. Regulatory bodies emphasize professional accountability of nurses; professional associations focus on system problems in health-care; unions undertake protecting nurses' right to health and safety; and frontline nurses experience fear and uncertainty in their attempt to interpret practice standards to avoid professional discipline. Perspectives of professional risk are investigated by analyzing three professional nursing bodies' views of professional codes governing the right of nurses to refuse unsafe work assignments. The workplace dynamics surrounding work refusal experienced by frontline nurses are illustrated primarily through the lens of the 2003 SARS influenza outbreak in Ontario, Canada. We conclude that frontline nurses in Ontario are required to manage risk by following professional protocols prioritizing patient care and professional accountability which disregard the systemic, unpredictable and hazardous circumstances in their everyday practice. Moreover, we argue professional protocols cannot anticipate every eventuality in clinical practice creating the fear of professional discipline for nurses. </AbstractText><CopyrightInformation>© 2013 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Beardwood</LastName><ForeName>Barbara A</ForeName><Initials>BA</Initials><AffiliationInfo><Affiliation>York University, Toronto, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kainer</LastName><ForeName>Jan M</ForeName><Initials>JM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>08</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>Australia</Country><MedlineTA>Nurs Inq</MedlineTA><NlmUniqueID>9505881</NlmUniqueID><ISSNLinking>1320-7881</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009729" MajorTopicYN="N">Nursing</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009864" MajorTopicYN="N" Type="Geographic">Ontario</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012308" MajorTopicYN="N">Risk Management</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012952" MajorTopicYN="N">Societies</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000066477" MajorTopicYN="N">Work Performance</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017132" MajorTopicYN="N">Workplace</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">SARS</Keyword><Keyword MajorTopicYN="N">nurses</Keyword><Keyword MajorTopicYN="N">nursing organizations</Keyword><Keyword MajorTopicYN="N">protocols</Keyword><Keyword MajorTopicYN="N">risk</Keyword><Keyword MajorTopicYN="N">work refusal</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>07</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>9</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>9</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>3</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23992233</ArticleId><ArticleId IdType="doi">10.1111/nin.12048</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/GrippeCanadaV4/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000339 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 000339 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= GrippeCanadaV4
|flux= Main
|étape= Corpus
|type= RBID
|clé= pubmed:23992233
|texte= Exploring risk in professional nursing practice: an analysis of work refusal and professional risk.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i -Sk "pubmed:23992233" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a GrippeCanadaV4
| This area was generated with Dilib version V0.6.35. |  |