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Gatekeeping practices of nurses in operating rooms
Robin Riley1, Elizabeth Manias
1The University of Melbourne, Operating Theatres, Box Hill, Victoria 3128, Australia. robingr@optusnet.com.au
Social Science & Medicine (1982)
|May 29, 2009
Summary
Operating room nurses selectively use gatekeeping to manage information flow, impacting patient safety and professional relationships. This communication practice is crucial for understanding clinical work dynamics.
Area of Science:
- Nursing Communication
- Healthcare Management
- Patient Safety
Background:
- Gatekeeping in nursing is under-researched, often appearing as a secondary concept.
- Gatekeeping practices significantly influence information flow and patient safety in clinical settings.
Purpose of the Study:
- To explore gatekeeping practices in operating room nursing.
- To understand the power dynamics and information control within healthcare teams.
- To examine the impact of gatekeeping on patient care and professional relationships.
Main Methods:
- Ethnographic study in Australian operating room departments.
- Analysis of nurse-nurse and nurse-doctor communication.
- Application of a 'network' model of gatekeeping.
Main Results:
- Nurses engage in selective gatekeeping based on perceived patient care impact and personal benefit.
- Gatekeeping influences social, professional, practical, and ethical aspects of clinical work.
- Power relationships between stakeholders are highlighted through gatekeeping behaviors.
Conclusions:
- Gatekeeping is a pervasive communication strategy in operating rooms with significant implications.
- Understanding gatekeeping is essential for improving patient safety and healthcare organization.
- Nurses' gatekeeping decisions are strategic, balancing patient well-being with professional considerations.
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