Governing time in operating rooms

Journal of Clinical Nursing
Robin Glenda Riley, Elizabeth Manias

Abstract

This paper examines how time is controlled and governed in operating rooms through interpersonal communication between nurses and doctors. Time is a valuable commodity in organizations with improvements often directed towards maximizing efficiencies. As a consequence, time can be a source of tension and interpersonal conflict as individuals compete for control of its use. The data in this paper emanate from an ethnographic study that explored a range of communication practices in operating room nursing. Participants comprised 11 operating room nurses. Data were collected over two years in three different institutional settings and involved participant observation, interviews and the keeping of a personal diary. A deconstructive analysis of the data was undertaken. Results are discussed in terms of the practices, in which clinicians are engaged in, to govern and control their use of time. The four practices presented in this paper include; questioning judgment and timing, controlling speed, estimating surgeons' use of time and coping with different perceptions of time. Time and speed were hotly contested by nurses. They used their personal knowledge of individual surgeon's habits of time to govern and control practice. Nurses th...Continue Reading

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Citations

Dec 17, 2014·BMC Nursing·Erik Elgaard SørensenLisbeth Uhrenfeldt
Oct 28, 2011·Journal of Evaluation in Clinical Practice·Vaughan J G HigginsSimon C Kitto
Mar 9, 2013·ANZ Journal of Surgery·Sanjay HarrisonHarrison Benziger
Nov 15, 2013·The British Journal of Surgery·S-M WeldonR Kneebone
Sep 25, 2014·Scandinavian Journal of Caring Sciences·Ann-Catrin BlombergLillemor Lindwall
Apr 27, 2016·Journal of Nursing Management·Suvi EskolaTarja Suominen
Dec 7, 2007·Communications Medicine·Robin RileyRick Iedema
Apr 4, 2018·Journal of Perioperative Practice·Guy McClelland
Nov 18, 2017·Journal of Clinical Nursing·Ann-Sofie SundqvistAgneta Anderzén-Carlsson
Mar 21, 2009·Anesthesia and Analgesia·Elisabeth U DexterNancy A Nussmeier
Mar 21, 2009·Anesthesia and Analgesia·Franklin Dexter, Richard H Epstein
Nov 6, 2020·Nursing Inquiry·Ester Peñataro-PintadoJosé Luis Díaz Agea

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