A difficult path to walk: Critical Care Nurses’ lived experience of crucial conversations: perspectives from one Australian team
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Date
2017
Authors
Besic, Nihada
Editors
Advisors
Perry, Josephine
Millington, Sindy
Millington, Sindy
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Abstract
This practice inquiry reports the lived experience of Crucial Conversations by a small group of critical care nurses in a South Australian quaternary hospital’s critical care unit. Crucial Conversations are high stakes, highly emotional dialogues, where opinions and understanding greatly differ. Executed well, these discourses result in increased collaboration, meaningful solutions to challenging issues and improved team performance. Literature reveals other systems in place for quality improvements in unit performance that include TeamSTEPPS and Safety Learning System (SLS) reporting, however, the unique conflict resolution strategies with reflective events has not been adequately covered. Crucial Conversations are one form of a structured resolution process, which addresses this gap. Research regarding the lived experience of Crucial Conversations is an important piece missing from the literature. Using van Manen’s hermeneutic phenomenological methods, ‘Too hot to handle’, ‘Anticipatory responding’ and ‘Moving from who is right to what is right’ emerged as themes of the critical care nurses’ lived experience of Crucial Conversations. The inquiry findings give complementary views to previous research, add to the body of knowledge related to Crucial Conversations and bring attention to the importance of improving professional relationships on all levels. The study findings lend themselves to a process of implementing Crucial Conversations into the critical care setting. The value of this research lies in the implementation of multidisciplinary strategies for effective ongoing working relationships.
School/Discipline
School of Nursing
Dissertation Note
Thesis (M.Nurs.Sc.) -- University of Adelaide, School of Nursing, 2017
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This electronic version is made publicly available by the University of Adelaide in accordance with its open access policy for student theses. Copyright in this thesis remains with the author. This thesis may incorporate third party material which has been used by the author pursuant to Fair Dealing exceptions. If you are the owner of any included third party copyright material you wish to be removed from this electronic version, please complete the take down form located at: http://www.adelaide.edu.au/legals