Interprofessional collaboration between junior doctors and nurses in the general ward setting: A qualitative exploratory study

Interprofessional collaboration between junior doctors and nurses in the general ward setting: A qualitative exploratory study

Aim To explore the collaboration experiences of junior physicians and nurses in the general ward setting. Background Junior physicians and nurses do not always work collaboratively and this could affect the quality of patient care. The understanding of the issues affecting junior physicians and nurs...

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Bibliographic Details
Published in:Journal of nursing management Vol. 26; no. 1; pp. 11 - 18
Main Authors: Tang, Charmaine J., Zhou, Wen T., Chan, Sally W.‐C., Liaw, Sok Y.
Format: Journal Article
Language:English
Published: England Hindawi Limited 01-01-2018
Subjects:
Clinical decision making
Collaboration
communication
Decision making
Interagency collaboration
Interdisciplinary aspects
interprofessional collaboration
interprofessional education
Nurses
Nursing
Nursing administration
Patients
Physicians
physician–nurse relationships
Power
Professional relationships
Qualitative research
Resident physicians
Rounds
Teamwork
ward round
Wards
Workloads
interprofessional education
physician-nurse relationships
communication
ward round
interprofessional collaboration
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Summary:Aim To explore the collaboration experiences of junior physicians and nurses in the general ward setting. Background Junior physicians and nurses do not always work collaboratively and this could affect the quality of patient care. The understanding of the issues affecting junior physicians and nurses working together is needed to inform strategies to improve interprofessional collaboration. Methods Nineteen junior physicians and nurses were interviewed in 2012 and 2013. Interviews were transcribed and analysed using thematic analysis. Results Junior physicians and nurses acknowledged the importance of working collaboratively to achieve better patient care, but they are struggling to cope due to heavy clinical workload, organisational constraints and differing power relationships. Nurses have to take on more responsibilities in the decision‐making process of patients’ care to foster effective interprofessional collaboration. Conclusion The study calls for educational and organisational strategies to improve interprofessional collaboration between junior physicians and nurses. Implications for nursing management Nurse leaders should ensure that ward nurses are given a designated time to participate in ward rounds with physicians and have access to a communication tool that assists them in contributing proactively in the decision‐making process of patient care.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0966-0429
1365-2834
DOI:10.1111/jonm.12503