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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Perinatal safety: from concept to nursing practice.

Audrey Lyndon¹, Holly Powell Kennedy

¹Department of Family Healthcare Nursing, UCSF School of Nursing, San Francisco, California 94143, USA. audrey.lyndon@nursing.ucsf.edu

The Journal of Perinatal & Neonatal Nursing

|February 12, 2010

Summary

This summary is machine-generated.

Communication and teamwork issues in perinatal care often lead to adverse outcomes. Enhancing nurses' "agency for safety" through improved organizational culture is crucial for patient safety during labor and birth.

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Area of Science:

Healthcare Management
Patient Safety
Nursing Practice

Background:

Communication and teamwork failures are primary drivers of preventable adverse events in perinatal care.
Organizational culture significantly impacts clinician behavior and patient safety outcomes.
A lack of collective agency for safety and support for nursing advocacy is prevalent in many perinatal settings.

Purpose of the Study:

To describe the critical role of nurses in ensuring safety during labor and birth.
To explore the concept of "agency for safety" within perinatal care settings.
To propose strategies for enhancing nurse support at individual, group, and systems levels.

Main Methods:

Theoretical framework integrating Organizational Accident Theory, High Reliability Theory, and Symbolic Interactionism.
Analysis of the nurse's role in maintaining safety in acute care labor and birth environments.
Identification of actionable steps to bolster perinatal nurse support.

Main Results:

Nurses' agency for safety, encompassing their authority to question and alter care plans, is vital for patient well-being.
Weaknesses in collective agency and support for nursing advocacy undermine perinatal safety.
Addressing individual, group, and systemic factors is necessary to optimize nurse support.

Conclusions:

Strengthening nurses' agency for safety is essential for mitigating adverse outcomes in perinatal care.
Fostering a supportive organizational culture is key to enhancing collective agency and nursing advocacy.
Implementing multi-level interventions can improve overall safety in labor and birth settings.