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Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study

Jones, Angela, Johnstone, Megan-Jane and Duke, Maxine 2016, Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study, Journal of clinical nursing, vol. 25, no. 15-16, pp. 2126-2133, doi: 10.1111/jocn.13352.

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Title Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study
Author(s) Jones, Angela
Johnstone, Megan-Jane
Duke, MaxineORCID iD for Duke, Maxine orcid.org/0000-0003-1567-3956
Journal name Journal of clinical nursing
Volume number 25
Issue number 15-16
Start page 2126
End page 2133
Total pages 8
Publisher Wiley & Blackwell
Place of publication Chichester, Eng.
Publication date 2016-08
ISSN 1365-2702
Keyword(s) cutting corners
discontinuities in care
human factors
nurses
patient safety
violations
Summary AIMS AND OBJECTIVES: The aim of this study is to report on a key finding of a larger study investigating the 'gaps' in patient care that registered nurses encounter during the course of their practice. A key finding of this larger study was that 'cutting corners' was a gap discerned by nurses. BACKGROUND: 'Cutting corners' has been characterised as a 'violation' and threat to patient safety, although there is a paucity of research on this issue. DESIGN: Naturalistic inquiry using a qualitative exploratory descriptive approach. METHODS: Data were collected from a purposeful sample of 71 registered nurses from emergency department, critical care, perioperative, rehabilitation and transitional care and neurosciences settings in Australia and analysed using content and thematic analysis strategies. RESULTS: Cutting corners was a common practice that encompassed (1) the partial or complete omission of patient care, (2) delays in providing care and (3) the failure to do things correctly. Corners were cut in patient assessment, essential nursing care, the care of central venous catheters and medication administration. The practice of cutting corners was perceived as contributing to preventable adverse events. CONCLUSIONS: The study found that cutting corners created gaps that contributed to unfinished nursing care and preventable adverse events. The findings of the study raise the possibility that cutting corners is a salient but underinvestigated characteristic of nursing practice. Further research and inquiry are needed to deepen understanding of cutting corners and its impact on patient safety. RELEVANCE TO CLINICAL PRACTICE: Identifying the nature and implications of cutting corners when providing nursing care is an important contributing factor to improving patient safety and quality care.
Language eng
DOI 10.1111/jocn.13352
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
1701 Psychology
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, John Wiley & Sons
Persistent URL http://hdl.handle.net/10536/DRO/DU:30085606

Document type: Journal Article
Collection: School of Nursing and Midwifery
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