Enhancing Collaborative Communication of Nurse and Physician Leadership in Two Intensive Care Units

Boyle, Diane K.; Kochinda, Chiemi

doi:10.1097/00005110-200402000-00003

Cited by 168 publications

(144 citation statements)

References 17 publications

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“…Previous research 29 also suggests that good communication with staff is a characteristic of strong leaders. Strategies such as including nurses in patient management decisions, 31 creating a learning environment with emphasis on orientation and continuing education, 31 and using collaborative communication interventions 38 may have beneficial effects. Once a safety culture baseline is established, strategies can be initiated to improve the culture if required.…”

Section: Discussionmentioning

confidence: 99%

CNE Article: Safety Culture In Australian Intensive Care Units: Establishing A Baseline For Quality Improvement

Chaboyer

Chamberlain

Hewson-Conroy

et al. 2013

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Identify the importance of and interest in safety culture in the health care system. 2. Describe how workplace safety culture contributes to patient outcomes. 3. Define strategies that may improve safety and patient outcomes. Background Workplace safety culture is a crucial ingredient in patients' outcomes and is increasingly being explored as a guide for quality improvement efforts. Objectives To establish a baseline understanding of the safety culture in Australian intensive care units. Methods In a nationwide study of physicians and nurses in 10 Australian intensive care units, the Safety Attitudes Questionnaire intensive care unit version was used to measure safety culture. Descriptive statistics were used to summarize the mean scores for the 6 subscales of the questionnaire, and generalized-estimation-equations models were used to test the hypotheses that safety culture differed between physicians and nurses and between nurse leaders and bedside nurses.Results A total of 672 responses (50.6% response rate) were received: 513 (76.3%) from nurses, 89 (13.2%) from physicians, and 70 (10.4%) from respondents who did not specify their professional group. Ratings were highest for teamwork climate and lowest for perceptions of hospital management and working conditions. Four subscales, job satisfaction, teamwork climate, safety climate, and working conditions, were rated significantly higher by physicians than by nurses. Two subscales, working conditions and perceptions of hospital management, were rated significantly lower by nurse leaders than by bedside nurses. Conclusions Measuring the baseline safety culture of an intensive care unit allows leaders to implement targeted strategies to improve specific dimensions of safety culture. These strategies ultimately may improve the working conditions of staff and the care that patients receive. (American Journal of Critical Care. 2013;22:93-103)

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Section: Discussionmentioning

confidence: 99%

CNE Article: Safety Culture In Australian Intensive Care Units: Establishing A Baseline For Quality Improvement

Chaboyer

Chamberlain

Hewson-Conroy

et al. 2013

American Journal of Critical Care

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“…Non-psychiatric pilot projects [4][5][6] were studied to gain insight on application avoiding unnecessar y confusion. As the consultant (the author) also worked as the single inpatient consultant for the whole locality, it was agreed to use SBARD for consultant documentation in the ward as well.…”

Section: Methods -How We Applied Sbard In Whitbymentioning

confidence: 99%

Applying SBARD to electronic notes, letters and reports in old age psychiatry

Silva¹

2013

Prog Neurol Psychiatry

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“…between doctors). The tool is psychometrically well validated 10 , and has been used previously to assess ICU teamwork in the US [11][12][13] . Twelve scales regarding communication and leadership were taken from the survey instrument (table 2), and terminology was adapted for the UK with the help of an ICU consultant and an ICU senior nurse.…”

Section: Methodsmentioning

confidence: 99%