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17 - Damned if you do and damned if you don't: whistle blowing in perioperative practice

Brian Smith
Affiliation:
Edge Hill College of Higher Education, Ormskirk
Paul Rawling
Affiliation:
Edge Hill College of Higher Education, Ormskirk
Paul Wicker
Affiliation:
Edge Hill College of Higher Education, Ormskirk
Chris Jones
Affiliation:
Edge Hill College of Higher Education, Ormskirk
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Summary

Key Learning Points

  • Understand the moral aspects of whistle blowing

  • Identify the consequences of whistle blowing

Introduction

There can be few perioperative practitioners who do not prefer the work of some surgeons to that of others. Some surgeons make the work look easy. They are calm under pressure. They use the minimum amount of equipment. Other surgeons just seem to have ‘an unusual amount of bad luck’. But for the operating department practitioner or nurse who witnesses this phenomenon, there will be a question that will occur again and again: ‘How much poor practice could I stand to watch before I spoke out and said something?’

Dilemmas over what should be spoken about in public and the best way to communicate dissatisfaction with standards at work are deep and complex. At one extreme, simply voicing concerns at work will be enough to rectify an unfortunate situation. At the other extreme, no amount of ‘going through the appropriate channels’ will be enough to correct even gross lapses in standards. In these circumstances, the employee has to face the prospect of drawing attention to the situation in the most difficult way possible, by whistle blowing (Shah 2005).

Type
Chapter
Information
Core Topics in Operating Department Practice
Leadership and Management
, pp. 146 - 152
Publisher: Cambridge University Press
Print publication year: 2009

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References

Firtko, A. & Jackson, B. (2005). Do the ends justify the means? Nursing and the dilemma of whistle blowing. Australian Journal of Advanced Nursing, 23, 51–56.Google Scholar
,Freedom to Care (2008). Charge Nurse Graham Pink Blows Whistle on Nursing Understaffing. http://www.freedomtocare.org/page73.htm (accessed 11 October 2008).
Hartley Brewer, J. (2000). Climate of fear let surgeon maim women. The Guardian, 2 June.
Hobby, C. (2001). Whistleblowing and the Public Interest Disclosure Act 1998. London: Institute of Employment Rights.Google Scholar
McColgin, A. (2000). Article 10 and the right to freedom of expression: workers ungagged. In Ewing, K D (ed.) Human Rights at Work. London: Institute of Employment Rights.Google Scholar
,Nursing and Midwifery Council (2008). The Code. Standards of Conduct, Performance and Ethics for Nurses and Midwives. London: Nursing and Midwifery Council.
,PBS (2008). The Hippocratic Oath. http://www.pbs.org/wgbh/nova/doctors/oath_classical.html (accessed 11 October 2008).
Savill, R. (2008). Whistleblower nurse charged over Channel 4 Dispatches programme. Daily Telegraph, 24 June.
Shah, F. (2005). Whistleblowing: its time to overcome the negative image. British Journal of Community Nursing. 10, 277–279.CrossRefGoogle ScholarPubMed

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