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Framing healthcare professionals in written adverse events: A discourse analysis.

Authors
  • Gyberg, Anna1, 2
  • Henoch, Ingela1, 3
  • Lepp, Margret1, 4, 5
  • Ulin, Kerstin1, 2
  • 1 Institute of Health and Care Science, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. , (Sweden)
  • 2 Department of Medicine, Geriatrics and Emergency Care, Sahlgrenska University Hospital, Gothenburg, Sweden. , (Sweden)
  • 3 Angered Hospital, Gothenburg, Sweden. , (Sweden)
  • 4 Østfold University College, Halden, Norway. , (Norway)
  • 5 School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia. , (Australia)
Type
Published Article
Journal
Nursing Inquiry
Publisher
Wiley (Blackwell Publishing)
Publication Date
Jul 01, 2022
Volume
29
Issue
3
Identifiers
DOI: 10.1111/nin.12461
PMID: 34553446
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Healthcare professionals have a major responsibility to protect patients from harm. Despite vast efforts to decrease the number of adverse events, the progression of patient safety has internationally been acknowledged as slow. From a social construction perspective, it has been argued that the understanding of patient safety is contextual based on historical and structural rules, and that this meaning construction points out different directions of possible patient safety actions. By focusing on fact construction and its productive and limiting effect on how something can be understood, we explored the discourses about healthcare professionals in 29 written reports of adverse events as reported by patients, relatives, and healthcare professionals. Through the analysis, a discourse about the healthcare professionals as experts was found. The expert role most dominantly included an understanding that adverse events were identified through physical signs and that patient safety could be prevented by more strictly following routines and work procedures. We drew upon the conclusion that these regimes of truth brought power to the expert discourse, to the point that it became difficult for patients and relatives to engage in patient safety actions on their terms. © 2021 The Authors. Journal of Cardiovascular Electrophysiology Published by Wiley Periodicals LLC.

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