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Engaging nurses to strengthen medication safety: Fostering and capturing change with restorative photographic research methods
Author(s) -
Gimenes Fernanda Raphael Escobar,
Marck Patricia Beryl,
Atila Elisabeth Gulden,
Cassiani Silvia Helena de Bortoli
Publication year - 2015
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12304
Subject(s) - workflow , focus group , patient safety , nursing , participatory action research , work (physics) , unit (ring theory) , data collection , citizen journalism , intensive care unit , medicine , medical education , psychology , health care , computer science , sociology , engineering , mechanical engineering , social science , mathematics education , database , world wide web , anthropology , economics , economic growth
We used participatory photographic research methods adapted from the field of ecological restoration to engage B razilian intensive care unit nurses in a critical review of medication safety in their work environment. Using focus groups, practitioner‐led photo walkabouts with photo narration, and photo elicitation focus groups in iterative phases of data collection and analysis, nurses developed and implemented several practical and cultural improvements for their unit. Participants focussed on organizing the medication room for efficient workflow and accessible supplies, improving reporting practices, and reconsidering how they could manage safety issues in their unit and in the hospital as a whole. Our results demonstrated that restorative photographic research methods enabled participants to (re)think and redesign their work environment in keeping with several recommended practices for improving medication management. It also validated the need for continuous evidence‐informed improvements if nurses hope to optimize medication safety in the complex systems of intensive care.