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Nurses Keeping Patients Safe By Managing Risk in Perioperative Settings: A Classic Grounded Theory Study.

AIM
To develop and expand how nurses promote safety in perioperative settings.


BACKGROUND
This article presents orchestrating a sub-core category from the theory of anticipatory vigilance in promoting safety within preoperative settings (O' Brien 2018). Orchestrating explains this and involves effective planning, delegating, co-cordinating and communication.


METHOD
A classic grounded theory methodology was used. Ethical approval was granted. Data comprised of 37 interviews and 33 hours of non-participant observation. Data analysis followed the principals of classic grounded theory.


RESULTS
Orchestrating is fundamental in promoting safety and minimising risk of errors and adverse events in the perioperative setting. Nurses achieve this through four categories: macro orchestrating, locational orchestrating, situational orchestrating and being in the know.


CONCLUSION(S)
Nurses minimise risk by fostering a culture of safety, risk awareness, effective management and leadership.


IMPLICATIONS
Effective management structures and support systems are essential in promoting a culture of safety in perioperative setting. This article is protected by copyright. All rights reserved.