Conference Proceedings - School of Nursing & Midwifery - Trinity ...

School of Nursing & Midwifery, Trinity College Dublin: 8 th Annual Interdisciplinary Research Conference
Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007
Conference Proceedings
patterns and relations to a culture of safety, and communication is
sequentially patterned as well as thematic. Themes are
chronologically static, and a list of themes gives little sense of the
narrative structures in which they occur or the relations they have
to the cultural environment. As a way of reconstructing these
communication patterns and relations, I turned to some of the
heuristics (i.e., these are theory and models joined to produce a
clearer meaning of a concept) from the Coordinated Management of
Meaning (CMM). First, I used the heuristics of CMM to help to define
and conceptualize the participants’ perceptions.
Daisy. The daisy heuristic represents the notion of an idea or
context, which is placed at the center of the image of the daisy. The
petals encompass particular ideas that are associated with and
support the main context (Pearce, 2007).
I used the daisy heuristic to define the OR participants’
perspectives in relation to the culture of safety; the participants
ideas reflect the concepts of trust, collaboration, respect, open and
clear communication, accountability and the importance of
relationships. At the center is the culture of safety, as it is central to
this conversation. The petals of the daisy then become the concepts
that support and or contribute the culture of safety (refer to figure
4). Thus, trust, relationship, collaboration, respect, open and clear
communication, and accountability embody the support for a culture
of safety.
Relationship
Accountability
Open & Clear
Communication
Culture of Safety
Figure 4. The daisy and the participants’ perspectives.
Hierarchy and the LUUUUTT heuristic. Next, to explore the
healthcare hierarchy and the conversations that describe the
hierarchy I used the Lived stories, Untold stories, Unheard stories,
Unknown stories, Untellable stories, stories Told, and story Telling
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Trust
Respect
Collaboration