Wednesday, July 11, 2007: 1:15 PM-2:45 PM
Qualitative Inquiry and Patient Safety: Developing a Deeper Understanding of What We Say, What We Do and Why it Matters
Learning Objective #1: To understand the value of different qualitative approaches to understanding and exploring perceptions and experiences of transdisciplinary team members associated with safer care.
Learning Objective #2: To understand the opportunity nurses currently have in leading the generation and translation of transdiciplinary knowledge around safer health care practices and health care systems.
Health care organizations are characterized as complex adaptive systems where high levels of uncertainty in daily work experienced by health care professionals impact the quality and safety of care that patients receive. Attention to system vulnerabilities that arise from complexities in healthcare at the microsystem level where small groups of practitioners and patterns of practice create the context for improving safer care processes is required. Complementary to the current empirical body of knowledge around the incidence of adverse events and near misses, qualitative approaches are emerging as appropriate methods to illuminate the meanings and experiences of transdisciplinary teams in the provision of health care. Qualitative inquiry is a venue to provide further insights and understanding into phenomena associated with the role of transdisciplinary teams at the microsystem level. This symposium will focus on qualitative research methods that have been used in transdisciplinary patient safety research that are led by nurses as principal investigators. Specifically, a framework for analysis and action for patient safety research will be provided including investigators’ program areas of research as foundational pillars and knowledge translation strategies. The first study explores the role of nursing leadership in the promotion of patient safety culture and learning in critical care. The second explored factors that influenced the persistence of unsafe practice in an interprofessional team towards the development of a descriptive theoretical model for analyzing problematic practice routines; and the third explored perceptions and experiences associated with near misses within a transdisciplinary context.
Organizer:Lianne Jeffs, RN, MSc
 Patient Safety Culture: Toward a New Understanding of Quality Worklife in Critical Care
Deborah Tregunno, PhD, RN
 Exploring Factors that Influence Operating Room Nurses' Error Reporting Preferences
Sherry Espin, PhD, RN
 Transdisciplinary Perspectives on Near Misses in the Health Care Setting
Lianne Jeffs, RN, MSc, Dyanne Affonso, RN, PhD