Skip Navigation LinksHome > January/March 2010 - Volume 24 - Issue 1 > Perinatal Safety: From Concept to Nursing Practice
Journal of Perinatal & Neonatal Nursing:
doi: 10.1097/JPN.0b013e3181cb9351
Feature Articles

Perinatal Safety: From Concept to Nursing Practice

Lyndon, Audrey PhD, RNC, CNS; Kennedy, Holly Powell PhD, CNM, FACNM, FAAN

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Abstract

Communication and teamwork problems are leading causes of documented preventable adverse outcomes in perinatal care. An essential component of perinatal safety is the organizational culture in which clinicians work. Clinicians' individual and collective authority to question the plan of care and take action to change the direction of a clinical situation in the patient's best interest can be viewed as their “agency for safety.” However, collective agency for safety and commitment to support nurses in their role of advocacy is missing in many perinatal care settings. This article draws from Organizational Accident Theory, High Reliability Theory, and Symbolic Interactionism to describe the nurse's role in maintaining safety during labor and birth in acute care settings and suggests actions for supporting the perinatal nurse at individual, group, and systems levels to achieve maximum safety in perinatal care.

© 2010 Lippincott Williams & Wilkins, Inc.

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