PMID: 11899756Mar 20, 2002Paper

Nurses and doctors communicating through medication order charts in critical care

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
E Manias, A Street

Abstract

The structure and content of written forms of communication dynamically interact with the social and historical conditions underlying critical care nursing activities. One important form of documentation regularly used in the critical care area is the medication order chart. This paper considers the ways in which medication order charts are used to structure interactions among nurses and between nurses and doctors. The critical ethnographic study upon which this paper is based involved a research group of six nurses who worked in one critical care unit. Data collection methods involved professional journalling, participant observation and individual and focus group interviews. Data analysis identified four major issues for consideration: imbalance between medical knowledge and legal authority; the nurse as go-between and medication expert; coaching the doctor; and the self policing nurse. The critical care nurse's role extends beyond the traditional passive activity of medication administration. By exploring the power relations underlying this role, there is greater opportunity for improved nursing relationships and patient care.

References

Jul 1, 1992·American Journal of Public Health·D R GoldC A Czeisler
Nov 1, 1989·Holistic Nursing Practice·Z R Wolf
Jul 5, 1995·JAMA : the Journal of the American Medical Association·K L Kahn
Apr 29, 2000·Journal of Clinical Nursing·E O'Shea

❮ Previous
Next ❯

Citations

Mar 20, 2002·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·P DavidsonD Elliott
Nov 13, 2002·Journal of Clinical Nursing·Elizabeth ManiasTracey Bucknall
Nov 25, 2003·Journal of the American Medical Informatics Association : JAMIA·Warren J Winkelman, Kevin J Leonard
Jul 9, 2004·Journal of Advanced Nursing·Elizabeth ManiasTrisha Dunning
Sep 23, 2006·Journal of Critical Care·George Alvarez, Enrico Coiera
Jun 19, 2008·Journal of Nursing Management·Roslyn SorensenElisabeth Severinsson
Dec 5, 2014·Nurse Education in Practice·Jayne HewittSharon Latimer
Oct 7, 2004·Western Journal of Nursing Research·Elizabeth ManiasMari Botti
Jan 30, 2020·Circulation·Salim S ViraniUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Nov 24, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Michelle OldingSimon Kitto

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
C M Shuldham
© 2022 Meta ULC. All rights reserved