Interprofessional Barriers: A Study of Quality Improvement Work Among Nurses and Physicians

Eriksson, Nomie; Müllern, Tomas

doi:10.1097/qmh.0000000000000129

Cited by 10 publications

(21 citation statements)

References 34 publications

(33 reference statements)

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“…This finding was somewhat surprising and contradicts several other studies, which show that doctors often do not value the independent opinions of nurses and consider nurses responsible only for carrying out doctors' orders (Reeves et al, 2009;Tan et al, 2017;Tang et al, 2013). There are many indications that this culture is gradually changing and that the role of the nurse is developing toward more independence (Currie et al, 2010;Eriksson & Müllern, 2017;Niezen & Mathijssen, 2014).…”

Section: Discussioncontrasting

confidence: 56%

Interprofessional collaboration between nurses and doctors for treating patients in surgical wards

Vatn

Dahl

2021

Journal of Interprofessional Care

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Interprofessional collaboration will be one of the main factors in the effort to increase patient safety in the coming years. Research has identified several challenges to interprofessional collaboration between nurses and doctors, where fragmentation of both education and clinical practice contributes to a strong affiliation to one's own profession with little emphasis on collaboration. The aim of this study was to generate more knowledge about how nurses and doctors experience interprofessional collaboration in observation and treatment of patients on a surgical ward. The study was conducted in 2018 and used an explorative qualitative design that was based on four semi-structured focus group interviews. The respondents were 11 nurses and seven doctors with experience from different surgical specialties and employed in three different surgical wards in a Norwegian hospital. The data were analyzed using systematic text-condensation. The following three main categories, each with two subcategories, emerged: 1) Organization and culture: a lack of interprofessional meeting places and experience-based hierarchy; 2) Communication: use of communication tools and little room for professional discussions; and 3) Trust and respect: dependence and recognition and a blurred distribution of responsibility. Both nurses and doctors wished for closer interprofessional collaboration in observation and treatment in the surgical ward; however, organizational limitations with few interprofessional meeting places and time pressure made this difficult.

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Section: Discussioncontrasting

confidence: 56%

Interprofessional collaboration between nurses and doctors for treating patients in surgical wards

Vatn

Dahl

2021

Journal of Interprofessional Care

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“…Although not the original intent of this project, findings from the articles reviewed support nurse engagement in QI as a critical component to quality and safety .22,24,27 However, what supports engagement at work and how it equates to engagement must be further explored .27,29 influential to QI engagement, including building a culture of safety, 23,29 QI collaboratives, 19 and interprofessional relationships between nurses and physicians. 28 Further evaluation of the effectiveness of such strategies in improving nurse engagement is needed. Mentors/champions of QI were found to be a facilitator, with frontline nurses looking to nurses with expertise in QI to be their QI mentors.…”

Section: Discussionmentioning

confidence: 99%

An Integrative Review of the Barriers and Facilitators to Nurse Engagement in Quality Improvement in the Clinical Practice Setting

Alexander

Tschannen

Hays

et al. 2021

Journal of Nursing Care Quality

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Background: Nurse engagement in quality improvement (QI) improves health care quality and outcomes but is typically low in clinical settings. Purpose: An integrative review was conducted to identify facilitators and barriers of nurse engagement in QI. Methods: This integrative review was conducted using an electronic search of databases with search terms specific to nursing engagement in QI. The Johns Hopkins Nursing Evidence-Based Practice Evidence Level and Quality Guide was used to rate quality and level of evidence. Results: Nine articles met the criteria for review. Top barriers were leadership, education and training, resource constraints, data, culture, and time. Top facilitators were leadership, education and training, culture, mentors, and champions. Conclusion: High-quality literature exploring barriers and facilitators of nurse engagement in QI is lacking. Research is needed to examine the degree to which these barriers and facilitators impact engagement and how they can be addressed to increase it.

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“…The study findings highlight the need to narrow the gap in perceptions and to encourage teamwork. Previous studies reported that physicians and nurses working together as a team was associated with better health outcomes and good quality of care (Eriksson & Müllern, 2017; Niezen & Mathijssen, 2014; Price et al, 2013). Additional explanations for the differences in perception may be gender related.…”

Section: Discussionmentioning

confidence: 99%

Views of Bedouin physicians and nurses on nursing as a profession in Israel: There is more to strive for

Rabia

Hendel

Kagan

2021

Nursing & Health Sciences

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Bedouin society poses challenges to attempts at modernization. Great efforts are being made to expand the number of nurses coming from the Bedouin population. This cross‐sectional study among 201 Bedouin nurses and physicians from southern Israel examined differences in their views on nursing as a profession and its relationship to the working environment, using a self‐administered questionnaire. Bedouin physicians demonstrated less positive attitudes towards the nursing profession than did nurses, but perceived the nursing work environment more positively. Compared to nurses, physicians ranked both nurses’ involvement in policy practice and their clinical contribution to quality care lower, but scored nurses’ dependence on physicians’ orders higher. They also ranked teamwork and professional nursing development higher, and the autonomy of nurses lower. In conclusion, the perception of nursing as a profession in Bedouin society is linked to cultural fundamentals, gender, and the social status of women. Managers of multicultural teams, especially those including Bedouin‐origin healthcare workers, should be aware of the effect of cultural background and should take care to address social disparities and eliminate differences in perspectives.

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Interprofessional Barriers: A Study of Quality Improvement Work Among Nurses and Physicians

Cited by 10 publications

References 34 publications

Interprofessional collaboration between nurses and doctors for treating patients in surgical wards

Interprofessional collaboration between nurses and doctors for treating patients in surgical wards

An Integrative Review of the Barriers and Facilitators to Nurse Engagement in Quality Improvement in the Clinical Practice Setting

Views of Bedouin physicians and nurses on nursing as a profession in Israel: There is more to strive for

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