Critical care nurses’ views on medication administration: an organizational perspective
The Organizational Safety Space Model (OSSM) was developed as a tool to investigate the factors which influence the safety of industrial operations. It is applied in this study to investigate the safety of medication administration in adult critical care settings, including Intensive Care Units and...
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| Format: | Thesis (University of Nottingham only) |
| Language: | English |
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2009
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| Online Access: | https://eprints.nottingham.ac.uk/11014/ |
| _version_ | 1848791173901058048 |
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| author | Mansour, Mansour |
| author_facet | Mansour, Mansour |
| author_sort | Mansour, Mansour |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | The Organizational Safety Space Model (OSSM) was developed as a tool to investigate the factors which influence the safety of industrial operations. It is applied in this study to investigate the safety of medication administration in adult critical care settings, including Intensive Care Units and High Dependency Units. In this study, semi-structured interviews were conducted with 33 adult critical care nurses. The participants’ views on the safety of medication administration were analyzed using OSSM. The data suggested that the safety of medication administration is subject to complex influences of many organizational factors. Socio-cultural factors, including lack of questioning culture, the perceived hierarchy of professions and the nature of nursing education, were identified as influential safety factors. Furthermore, organizational complexity and structures created tension between organizational, ethical and structural priorities on one side, and the requirements of safe management of medication in critical care a setting on the other, inevitably leading to tradeoffs among these organizational priorities. Some organizational factors are difficult to classify according to the OSSM and the model is not fully operational in identifying factors related to the safety of medication administration. While the OSSM’ theoretical framework helped to focus on the underpinning safety factors in the organization of medication administration, it remains unproven as an operational tool to understand the full complexities and interplays between the organization structures, professional differences and socio-cultural impacts on the safety of medication administration in adult critical care setting. |
| first_indexed | 2025-11-14T18:24:18Z |
| format | Thesis (University of Nottingham only) |
| id | nottingham-11014 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T18:24:18Z |
| publishDate | 2009 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-110142025-02-28T11:10:47Z https://eprints.nottingham.ac.uk/11014/ Critical care nurses’ views on medication administration: an organizational perspective Mansour, Mansour The Organizational Safety Space Model (OSSM) was developed as a tool to investigate the factors which influence the safety of industrial operations. It is applied in this study to investigate the safety of medication administration in adult critical care settings, including Intensive Care Units and High Dependency Units. In this study, semi-structured interviews were conducted with 33 adult critical care nurses. The participants’ views on the safety of medication administration were analyzed using OSSM. The data suggested that the safety of medication administration is subject to complex influences of many organizational factors. Socio-cultural factors, including lack of questioning culture, the perceived hierarchy of professions and the nature of nursing education, were identified as influential safety factors. Furthermore, organizational complexity and structures created tension between organizational, ethical and structural priorities on one side, and the requirements of safe management of medication in critical care a setting on the other, inevitably leading to tradeoffs among these organizational priorities. Some organizational factors are difficult to classify according to the OSSM and the model is not fully operational in identifying factors related to the safety of medication administration. While the OSSM’ theoretical framework helped to focus on the underpinning safety factors in the organization of medication administration, it remains unproven as an operational tool to understand the full complexities and interplays between the organization structures, professional differences and socio-cultural impacts on the safety of medication administration in adult critical care setting. 2009-12-11 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en arr https://eprints.nottingham.ac.uk/11014/1/Medication_Safety_Thesis_November_2009.pdf Mansour, Mansour (2009) Critical care nurses’ views on medication administration: an organizational perspective. PhD thesis, University of Nottingham. Critical care Nursing Organizational safety System resilience System jeopardy |
| spellingShingle | Critical care Nursing Organizational safety System resilience System jeopardy Mansour, Mansour Critical care nurses’ views on medication administration: an organizational perspective |
| title | Critical care nurses’ views on medication administration: an organizational perspective |
| title_full | Critical care nurses’ views on medication administration: an organizational perspective |
| title_fullStr | Critical care nurses’ views on medication administration: an organizational perspective |
| title_full_unstemmed | Critical care nurses’ views on medication administration: an organizational perspective |
| title_short | Critical care nurses’ views on medication administration: an organizational perspective |
| title_sort | critical care nurses’ views on medication administration: an organizational perspective |
| topic | Critical care Nursing Organizational safety System resilience System jeopardy |
| url | https://eprints.nottingham.ac.uk/11014/ |