An exploration of nurse-physician perceptions of collaborative behaviour
Autor: | Grant Tarrant, Alice E. Collette, Kristen Wann, Karen Rique, Meredith L. Nevin, Jaynelle F. Stichler, Tanna Thomason, Lorraine A. Hickey, Belinda M. Toole |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty Attitude of Health Personnel Sample (statistics) Nursing Staff Hospital 03 medical and health sciences 0302 clinical medicine Professional Role Nursing Acute care Physician perception Medical Staff Hospital Medicine Humans 030212 general & internal medicine Cooperative Behavior Independent research 030504 nursing business.industry Communication Reproducibility of Results Survey research Physician-Nurse Relations General Medicine Emergency department Middle Aged Community hospital Socioeconomic Factors Respondent Female 0305 other medical science business |
Zdroj: | Journal of interprofessional care. 31(4) |
ISSN: | 1469-9567 |
Popis: | Interprofessional collaboration is a key element in providing safe, holistic patient care in the acute care setting. Trended data at a community hospital indicated opportunities for improvement in collaboration on micro, meso, and macro levels. The aim of this survey study was to assess the current state of collaboration between frontline nurses and physicians at a non-academic acute care hospital. A convenience sample of participants was recruited with a final respondent sample of 355 nurses and 82 physicians. The results indicated that physicians generally perceived greater collaboration than nurses. Physician ratings did not vary by primary practice area, whereas nurse ratings varied by clinical practice area. Nurse ratings were the lowest in the operating room and the highest in the emergency department. Text-based responses to an open-ended question were analysed by role and coded by two independent research teams. Emergent themes emphasised the importance of rounding, roles, respect, and communication. Despite recognition of the need for improved collaboration and relational behaviours, strategies to improve collaborative practice must be fostered at the meso level by organisational leaders and customised to address micro-level values. At the study site, findings have been used to address and improve collaboration towards the goal of becoming a high reliability organisation. |
Databáze: | OpenAIRE |
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