Get access

Understanding whistleblowing: qualitative insights from nurse whistleblowers

Authors

  • Debra Jackson,

    1. Debra Jackson PhD RN Professor of Nursing Family & Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health & Science, University of Western Sydney, Penrith South DC, New South Wales, Australia
    Search for more papers by this author
  • Kath Peters,

    1. Kath Peters PhD RN Senior Lecturer Family & Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health & Science, University of Western Sydney, Penrith South DC, New South Wales, Australia
    Search for more papers by this author
  • Sharon Andrew,

    1. Sharon Andrew PhD RN Senior Lecturer Family & Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health & Science, University of Western Sydney, Penrith South DC, New South Wales, Australia
    Search for more papers by this author
  • Michel Edenborough,

    1. Michel Edenborough PhD Senior Research Officer Family & Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health & Science, University of Western Sydney, Penrith South DC, New South Wales, Australia
    Search for more papers by this author
  • Elizabeth Halcomb,

    1. Elizabeth Halcomb PhD RN Senior Lecturer Family & Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health & Science, University of Western Sydney, Penrith South DC, New South Wales, Australia
    Search for more papers by this author
  • Lauretta Luck,

    1. Lauretta Luck PhD RN Senior Lecturer Family & Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health & Science, University of Western Sydney, Penrith South DC, New South Wales, Australia
    Search for more papers by this author
  • Yenna Salamonson,

    1. Yenna Salamonson PhD RN Senior Lecturer Family & Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health & Science, University of Western Sydney, Penrith South DC, New South Wales, Australia
    Search for more papers by this author
  • Lesley Wilkes

    1. Lesley Wilkes PhD RN Professor of Nursing Family & Community Health Research Group (FaCH), School of Nursing and Midwifery, College of Health & Science, University of Western Sydney, Penrith South DC, New South Wales, Australia
    Search for more papers by this author

D. Jackson:
e-mail: debra.jackson@uws.edu.au

Abstract

jackson d., peters k., andrew s., edenborough m., halcomb e., luck l., salamonson y. & wilkes l. (2010) Understanding whistleblowing: qualitative insights from nurse whistleblowers. Journal of Advanced Nursing66(10), 2194–2201.

Abstract

Aim.  This paper is a report of a study conducted to explore the reasons behind the decision to blow the whistle and provide insights into nurses’ experiences of being whistleblowers.

Background.  Whistleblowing is a stigmatized and hidden activity that carries considerable ramifications to all concerned. In the health sector, when episodes of poor practice or service provision are identified, it is frequently nurses who are the whistleblowers. Despite this, there is remarkably limited literature that explores nurses’ experiences of whistleblowing.

Methods.  Qualitative narrative inquiry design. Data were collected in 2008 from 11 nurse whistleblowers using in-depth semi-structured interviews.

Findings.  Participants were drawn from a range of general and specialty clinical areas and experienced whistleblowing as highly stressful. The findings were clustered into three main themes, namely: (i) Reasons for whistleblowing: I just couldn’t advocate, (ii) Feeling silenced: Nobody speaks out, and (iii) Climate of fear: You are just not safe.

Conclusion.  The whistleblowing nurses believed they were acting in accordance with a duty of care. There is a need for greater clarity about the role nurses have as patient advocates. Furthermore, there is need to develop clear guidelines that create opportunities for nurses to voice concerns and to ensure that healthcare systems respond in a timely and appropriate manner, and a need to foster a safe environment in which to raise issues of concern.

Ancillary