Nursing 1103W Lecture 19: Lecture 19- Influences on People, Nursing & Nursing Practice- Hegemony & Counter Hegemony

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Lecture 19: influences on people, nursing & nursing practice: hegemony & counter hegemony. Example: just the way things are just the way we"ve always done it here . To go against/challenge the status quo. Silence kills: 7 crucial conversations for healthcare 2005. Every day many healthcare workers Stand next to colleagues and see them cut corners, make mistakes, or demonstrate serious incompetence. Fewer than 1 in 10 speak up or discuss what they have seen. Those who speak up: observe better patient outcomes. Problems go on for years. Avoidable errors continue: work harder, high nursing staff turnover. Are more satisfied: decreased morale. Are more committed to staying: we need to learn from this influential 10%! Confronting people is difficult: don"t want to jeopardize their working relationships. Lack of ability to confront. Belief that it is not their job . Conclusions: most healthcare respondents are happy in their career and believe the organization works well.

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