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Elucidating the ruling relations of nurses' work in labor and delivery: an institutional ethnography
Digital Document
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Author (aut): Kelly, Paula
Author (aut): Snow, Nicole
Author (aut): Quance, Maggie
Author (aut): Porr, Caroline
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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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Volume 10
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PUBLISHED
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DOI
doi/10.1177/23333936231170824
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Keywords
obstetrics
nurses' work
patient safety incidents
intertextual hierarchy
ideological circle
Canada
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English
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Elucidating the ruling relations of nurses' work in labor and delivery
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application/pdf
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369642
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