An ethnographic study of differentiated practice in an operating room

Joyce Graff, Karen Roberts, Kathy Thornton

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

An ethnographic study was conducted to investigate implementation of the clinical nurse III or team leader (TL) role as part of a newly executed nursing differentiated practice model. The six TLs studied were employed in the operating room (OR). Through participant observation, interviews, and document analysis, the TL role - as well as perceptions of the role by the TLs and OR staff - were studied. Problems related to performance of the role and its evolutionary process were delineated. Data analysis involved identifying categories and subcategories of data and developing a coding system to identify themes. Salient themes were related to the culture of the OR. Because of the OR's highly technical environment, the TLs defined their roles in relation to the organizational and technical needs of their surgical service. Refinement of surgeon "preference cards" and "instrument count sheets" was considered the initial priority for the TLs. Various controllable and uncontrollable factors were identified that affected implementation of the new TL role. Findings suggest that introduction of the role requires insight into setting and an emphasis on staging and orientation of employees to the new role.

Original languageEnglish (US)
Pages (from-to)364-371
Number of pages8
JournalJournal of Professional Nursing
Volume15
Issue number6
DOIs
StatePublished - Jan 1 1999

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Operating Rooms
Nursing
Nurses
Observation
Interviews

All Science Journal Classification (ASJC) codes

  • Nursing(all)

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An ethnographic study of differentiated practice in an operating room. / Graff, Joyce; Roberts, Karen; Thornton, Kathy.

In: Journal of Professional Nursing, Vol. 15, No. 6, 01.01.1999, p. 364-371.

Research output: Contribution to journalArticle

Graff, Joyce ; Roberts, Karen ; Thornton, Kathy. / An ethnographic study of differentiated practice in an operating room. In: Journal of Professional Nursing. 1999 ; Vol. 15, No. 6. pp. 364-371.
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