When it’s good to be a bad nurse
Expanding risk orders theory to explore nurses’ experiences of moral, social and identity risks in obstetrics units
Bibliographic Data
| ID | 20511468 |
|---|---|
| Authors | Katie Margavio Striley (University of North Carolina at Chapel Hill, corresponding author), Katie Striley, Kimberly Field-Springer, Kimberly Field‐Springer (Berry College) |
| Year | 2016 |
| Volume | 18 |
| Issue | 1-2 |
| Pages | 77-96 |
| Publication date | 2016-02-17 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Health Risk & Society (JOURNAL) |
| Journal identifiers | ISSN: 1369-8575 • E-ISSN: 1469-8331 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13698575.2016.1169254 |
| OpenAlex | W2323714811 |
| Language | EN |
| Citations received | 3 |
| References cited | 38 |
Discourses about health risks can have major implications for individuals and cultures. In this article, we use risk orders theory to examine nurses’ perceptions of patient safety risk in Obstetrics departments of US hospitals. According to risk orders theory, risk discourses can create social worlds that have the capacity to threaten individuals’ social bonds, identity and moral character, and the imaginative potential of entire cultures. Risk orders theory proposes three orders of risk. First-order risks are constructed from claims about tangible dangers that individuals believe result from their actions or inactions. Second-order risks are threats experienced by individuals because of communication about first-order risk, including threats to social relationships or social risks, and threats to the sense of moral character or moral risk. Third-order risks are threats to collective agency and imagination underpinning shared culture. In this article, we draw on data from a survey of obstetric nurses who attended the Association of Women’s Health, Obstetric and Neonatal Nurses conference in 2010 in Las Vegas, Nevada. We use a qualitative thematic analysis of 131 obstetrics nurses’ narrative responses on a critical incident survey to refine theoretical constructs of risk orders theory. We identified a third type of second-order risk, identity risks, or threats to the sense of self. We also identified three types of third-order risks: agency-constraining risks threaten members of a culture’s ability to act freely; agent-constraining risks threaten cultural members’ ability to define themselves freely; double-binding risks threaten their ability to make choices freely. We found that second-order and third-order risks did threaten some obstetrics nurses’ social bonds, identity as a nurse, moral character and imaginative potential
Moral agency · Perception · Qualitative research · Risk perception · Sociology · Thematic analysis · Disaster Management and Resilience · Psychology · Resilience and Mental Health · Risk Perception and Management · Social Psychology
Risk Society
Pragmatics of human communication
Pregnancy, birth and risk
Negotiating risky bodies
The future of risk in social science theory and research
To what extent are women free to choose where to give birth? How discourses of risk, blame and responsibility influence birth place decisions
Health care through the ‘lens of risk’
Fateful moments and the categorisation of risk
Is it time for the sociology of health to abandon ‘risk’
Risk and social theory – a new venture and some new avenues
“Healthy” discussions about risk
Individuality and the Group
Risk Society
On Female Body Experience
Risk and Culture
Communication and Problematic Integration
The social construction of reality
The critical incident technique
Central Problems in Social Theory
| Citations per year | 0.33 |
|---|---|
| Citation span | 2017 - 2024 (8) |
| Highly cited | No |