Elucidating the Ruling Relations of Nurses' Work in Labor and Delivery: An Institutional Ethnography.

IF 2.2 Q1 NURSING Global Qualitative Nursing Research Pub Date : 2023-01-01 DOI:10.1177/23333936231170824
Paula Kelly, Nicole Snow, Maggie Quance, Caroline Porr
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Abstract

Obstetrics is a well-known area for malpractice and medical-legal claims, specifically as they relate to injuries the baby suffers during the intrapartum period. There is a direct implication for nurses' work in labor and delivery because the law recognizes that monitoring fetal well-being during labor is a nursing responsibility. Using institutional ethnography, we uncovered how two powerful ruling discourses, namely biomedical and medical-legal risk discourses, socially organize nurses' fetal surveillance work in labor and delivery through the use of an intertextual hierarchy and an ideological circle.

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从制度民族志的角度阐释护士在分娩工作中的支配关系。
产科是一个众所周知的医疗事故和医疗法律索赔的领域,特别是因为它们与婴儿在分娩期间遭受的伤害有关。这对护士在分娩和分娩方面的工作有直接的影响,因为法律承认在分娩期间监测胎儿的健康是护理的责任。利用制度民族志,我们揭示了两种强大的统治话语,即生物医学和医疗法律风险话语,如何通过使用互文等级和意识形态圈来社会组织护士在分娩和分娩中的胎儿监测工作。
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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
41
审稿时长
12 weeks
期刊介绍: Global Qualitative Nursing Research (GQNR) is a ground breaking, international, peer-reviewed, open-access journal focusing on qualitative research in fields relevant to nursing and other health professionals world-wide. The journal specializes in topics related to nursing practice, responses to health and illness, health promotion, and health care delivery. GQNR will publish research articles using qualitative methods and qualitatively-driven mixed-method designs as well as meta-syntheses and articles focused on methodological development. Special sections include Ethics, Methodological Development, Advancing Theory/Metasynthesis, Establishing Evidence, and Application to Practice.
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