Nurse-physician collaboration in an acute care community hospital

Hughes, Barbara; Fitzpatrick, Joyce J.

doi:10.3109/13561820903550804

Cited by 62 publications

(48 citation statements)

References 17 publications

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“…In general, nurses have a significantly more positive attitude towards collaboration than the physicians (Hojat et. al., 2003;Thomson, 2007;Jones & Fitzpatrick, 2009;Garber etal., 2009;Taylor, 2009;Hughes & Fitzpatrick, 2010;Ashok et al, 2016;Zheng et al, 2016 ).Physicians viewed collaboration as less important when compared with nurses (Rosenstein, 2002;Thomson, 2007;Garber et al,2009;Hughes & Fitzpatrick 2010). Even in different countries like in USA, Israel, Italy, and Mexico, nurses have significantly more positive attitude towards collaboration than that of physicians (Hojat et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Apart from communication, respect, and trust, other factors affecting physician-nurse collaboration include understanding of professional roles, task prioritizing and equal power (Tang et al, 2013). Both Physicians and nurses recognize and value effective collaboration as an important element to come up with a quality patient care resulting to improved health outcomes for patients (Rosenstein 2002;Hughes & Fitzpatrick 2010;Robinson et al, 2010). In fact, collaboration and positive relationships between physician and nurse have been identified as major factors contributing to positive patient outcomes and quality patient care (Stein-Parbury, 2007).…”

Section: Introductionmentioning

confidence: 99%

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Collaboration Effort between Physicians and Nurses: A Feedback Tool for the Review of the Hospitals

Franco¹,

Cordero²,

Munoz³

et al. 2017

IJN

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A growing body of research affirms the significance of physician-nurse collaboration for the delivery of aquality patient care and better health outcomes. In this descriptive comparative study, the difference in attitudes toward collaboration between physicians and nurses was compared. Data were obtained through distribution of survey questionnaire which is an adaptation of the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (JSATPNC) to the practicing physicians and registered nurses at The Doctors' Clinic and Hospital Incorporated (TDCHI), Philippines. The mean scores on attitudes toward collaboration for physicians (n = 48) was 48.9 (± SD 6.16) and 51.2 (± SD 5.46) for nurses group (n=94). Mean scores were consistently higher for nurses as compared with physicians. Analysis demonstrated that this difference is statistically significant (t = 2.272 with P value of 0.0246< .05). Further analysis showed significant relationship between the physicians' number of years in practice with their attitudes towards collaboration but not with gender, age, and tribe. Results showed significant relationship between nurses' age and their attitude towards collaboration but failed to demonstrate significant relationship based on gender, tribe, and years in practice. Results were analyzed and used as bases to identify target areas for improving physician-nurse collaboration at TDCHI. The recommended plans and strategies were included in the revised TDCHI Training Manual.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Collaboration Effort between Physicians and Nurses: A Feedback Tool for the Review of the Hospitals

Franco¹,

Cordero²,

Munoz³

et al. 2017

IJN

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show abstract

“…8 Studies have demonstrated that effective physician-nurse collaboration improves staff satisfaction and patient health outcomes through shared patient management decisions. 8,9 However, there is a little information available with respect to job satisfaction, process efficiency, or patient outcomes when collaboration and responsibility for patient management are extended to all members of the interdisciplinary team.…”

Section: See the Related Editorial On Page 471mentioning

confidence: 99%

Neonatal Respiratory Therapist-Led Rounds Can Improve Staff Satisfaction and Timeliness of Respiratory Interventions

Genet¹,

Firestone

Volsko³

2014

Respir Care

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BACKGROUND: Interdisciplinary rounding is used to establish and communicate patient care goals and monitor progress toward goal attainment. This study describes staff satisfaction and process outcomes associated with respiratory therapist (RT)-led interdisciplinary rounds in the neonatal ICU. We hypothesized improved staff satisfaction, execution of orders within 30 min of order entry into the electronic medical record, and communication of accurate and complete data during rounds to the interdisciplinary team. METHODS: Nurses, RTs, nurse practitioners, residents, and attending physicians completed the 13-question survey eliciting demographic information and evaluating staff engagement and professional satisfaction. The survey was anonymous and confidential, and informed consent was implied. Process data were collected for a 10-d period at 2 intervals through direct observation of the rounding process and electronic medical record review. Descriptive statistics reported patient demographics, responses to job satisfaction and engagement survey questions, the number of patients who were visited in daily rounds, the number and type of orders given during rounds, and the number of respiratory orders that were addressed in multidisciplinary teaching rounds rather than during respiratory rounds. The chi-square test was used to determine differences in the proportion of inaccurate and incomplete data communicated during rounds between the 2 data collection periods. The Mann-Whitney U test was used to determine differences in the timeliness of electronic medical record order entry and time to order completion. RESULTS: A 94.8% survey response rate (n ‫؍‬ 55) was obtained. Seventy-six percent of participants reported improved communication. Sixty-nine percent of participants reported improved teamwork. Eighty-six percent of orders were implemented immediately after electronic medical record entry. Correct information was provided on 95% and 99.3% of patients (P < .066) and complete information on 93% and 96% of patients (P ‫؍‬ .41). CONCLUSIONS: Implementation of respiratory rounds improved staff satisfaction and the timeliness of completing respiratory orders. Spot monitoring at intermittent intervals verified process sustainability.

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“…68,69 These elements, well-known key factors to attain mutual respect, communication and collaboration among professionals, were significant to understanding professional dignity and its respect for nurses in the settings examined. 70 The collaboration with healthcare assistants was also recognized as an important component that could help nurses to focus on their scope of practice. 71 Support workers were seen as essential to lighten the work strain and overload.…”

Section: Influence Of Workplace Elementsmentioning

confidence: 99%

Nurses’ perceptions of professional dignity in hospital settings

Sabatino

Kangasniemi

Rocco³

et al. 2014

Nurs Ethics

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Background: The concept of dignity can be divided into two main attributes: absolute dignity that calls for recognition of an inner worth of persons and social dignity that can be changeable and can be lost as a result of different social factors and moral behaviours. In this light, the nursing profession has a professional dignity that is to be continually constructed and re-constructed and involves both main attributes of dignity. Objectives: The purpose of this study was to determine how nurses described nursing's professional dignity in internal medicine and surgery departments in hospital settings. Research design: The research design was qualitative. Ethical considerations: This study was approved by the ethics committees of the healthcare organizations involved. All the participants were provided with information about the purpose and the nature of the study. Participants: A total of 124 nurses participated in this study. Method: The data were collected using 20 focus group sessions in different parts of Italy. The data were analysed by means of a conventional inductive content analysis starting from the information retrieved in order to extract meaning units and sorting the arising phenomena into conceptually meaningful categories and themes. Results: Nursing's professional dignity was deeply embedded in the innermost part of individuals. Regarding the social part of dignity, a great importance was put on the values that compose nursing's professional identity, the socio-historical background and the evolution of nursing in the area considered. The social part of dignity was also linked to collaboration with physicians and with healthcare assistants who were thought to have a central role in easing work strain. Equally important, though, was the relationship with peers and senior nurses. Conclusion: The organizational environments under scrutiny with their low staffing levels, overload of work and hierarchical interactions did not promote respect for the dignity of nurses. To understand these professional values, it is pivotal to comprehend the role of different health professions in their cultural milieu and the evolution of the nursing profession in diverse countries.

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Nurse-physician collaboration in an acute care community hospital

Cited by 62 publications

References 17 publications

Collaboration Effort between Physicians and Nurses: A Feedback Tool for the Review of the Hospitals

Collaboration Effort between Physicians and Nurses: A Feedback Tool for the Review of the Hospitals

Neonatal Respiratory Therapist-Led Rounds Can Improve Staff Satisfaction and Timeliness of Respiratory Interventions

Nurses’ perceptions of professional dignity in hospital settings

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