Nurses keeping patients safe by managing risk in perioperative settings: a classic grounded theory study

Aim To develop and expand how nurses promote safety in perioperative settings. Background This article presents orchestrating a sub‐core category from the theory of anticipatory vigilance in promoting safety within preoperative settings (Journal of Clinical Nursing, 27, 2018, 247). Orchestrating explains this and involves effective planning, delegating, co‐ordinating and communication. Method A classic grounded theory methodology was used. Ethical approval was granted. Data comprised of 37 interviews and 33 hr of non‐participant observation. Data analysis followed the principals of classic grounded theory. Results Orchestrating is fundamental in promoting safety and minimizing risk of errors and adverse events in the perioperative setting. Nurses achieve this through four categories: macro orchestrating, locational orchestrating, situational orchestrating and being in the know. Conclusion(s) Nurses minimize risk by fostering a culture of safety, risk awareness, effective management and leadership. Implications Effective management structures and support systems are essential in promoting a culture of safety in perioperative setting