An integrative review of facilitators and barriers influencing collaboration and teamwork between general practitioners and nurses working in general practice

McInnes, Susan; Peters, Kathleen; Bonney, Andrew D; Halcomb, Elizabeth

doi:10.1111/jan.12647

Cited by 179 publications

(153 citation statements)

References 48 publications

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“…19 Our results highlight the importance of addressing and correcting inadequate communication between nurses and physicians because in the end, it exerts a negative impact on the patients. 20 Our results demonstrate the importance of more education and training of physicians and nurses on end-of-life issues. In fact, it has been demonstrated that education has positive effects on communication with dying patients, providing better care for them.…”

Section: Discussionmentioning

confidence: 79%

Facing death in the clinical practice: a view from nurses in Mexico

Marván

Oñate‐Ocaña²,

Santillán-Doherty

et al. 2017

Salud Publica Mex

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Objective. To explore the views of nurses on death in their practice, and their perception about physicians' actions dealing with terminally ill patients. Materials and methods. Two hundred ninety-five nurses with experience caring for terminally ill patients responded to a questionnaire developed for this study. Results. The majority of participants considered that terminally ill patients should know about their prognosis. Although nearly all nurses said that when a patient brings up the subject and they talk with the patient about death, several of the nurses find it difficult to establish a relationship with these patients. Concerning nurses' perception about physicians' actions, they considered that physicians avoid the subject of death with their patients more than the physicians acknowledge. Conclusions. More education and training of physicians and nurses on end-of-life issues is needed to improve communication with dying patients and to provide them with better care.Keywords: nurses; death; nurse-patient relationship; physicianpatient relationship ResumenObjetivo. Explorar las opiniones de enfermeras y enfermeros sobre el tema de la muerte en su práctica clínica, así como su percepción sobre las acciones de los médicos que tratan pacientes en fase terminal. Material y métodos. Doscientas noventa y cinco enfermeras y enfermeros con experiencia en enfermos terminales respondieron un cuestionario que fue desarrollado para este estudio. Resultados. La mayoría de los participantes consideraron que los enfermos terminales deben conocer su pronóstico. Aunque casi todos dijeron que cuando los pacientes abordan el tema de la muerte hablan con ellos al respecto, varios encuentran difícil establecer una relación con ellos. En cuanto a su percepción sobre los médi-cos, el personal de enfermería considera que éstos evitan el tema de la muerte con sus pacientes más de lo que reconocen. Conclusiones. Es necesario brindar capacitación a médicos y personal de enfermería sobre temas relacionados con el fin de la vida para mejorar su comunicación con los pacientes terminales y brindarles una mejor atención.Palabras clave: enfermeras; muerte; relación enfermerapaciente; relación médico-paciente

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Section: Discussionmentioning

confidence: 79%

Facing death in the clinical practice: a view from nurses in Mexico

Marván

Oñate‐Ocaña²,

Santillán-Doherty

et al. 2017

Salud Publica Mex

View full text Add to dashboard Cite

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“…This highlights some of the challenges about how health professionals work together in Australian general practice (McInnes et al, 2015). Although some nurse participants reportedly took on a level of responsibility for CDM, particularly in terms of care planning, the exact nature of their role and coordination with general practitioners and other general practice staff was unclear.…”

Section: The Need For Staff Education and Knowledge Of Local Resourcesmentioning

confidence: 99%

“…Such an issue is not unique, in their integrated review of teamwork in general practice McInnes et al (2015) identified a lack of communication between GPs and nurses in general practice. Given that CDM has been shown to be best delivered by integrated multidisciplinary teams (Wagner et al 2001), further attention needs to be paid to the health professionals within general practices and they ways in which they work.…”

Section: The Need For Staff Education and Knowledge Of Local Resourcesmentioning

confidence: 99%

“…Given the rapid expansion of the nursing workforce in Australian general practice such role confusion is not surprising (McInnes et al, 2015). However, future work needs to focus on ensuring that health professionals, particularly in general practice have clearly defined roles and responsibilities and share an understanding of each other's scope of practice.…”

Section: The Need For Staff Education and Knowledge Of Local Resourcesmentioning

confidence: 99%

“…Although some nurse participants reportedly took on a level of responsibility for CDM, particularly in terms of care planning, the exact nature of their role and coordination with general practitioners and other general practice staff was unclear. This lack of clarity around roles within the general practice team has the potential to lead to role confusion and ambiguity (Oandasen et al 1010, Moaveni et al 2010, McInnes et al 2015. This, in turn, can have a negative impact on job satisfaction and retention of staff (Smith, 2011).…”

Section: The Need For Staff Education and Knowledge Of Local Resourcesmentioning

confidence: 99%

See 2 more Smart Citations

Connecting Care in the Community: what works and what doesn't

Lucas¹,

Halcomb

McCarthy³

2016

Aust. J. Prim. Health

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As the burden of chronic and complex disease grows, there is an emphasis on programs that enhance the quality of care within primary care. The Connecting Care in the Community (CCC) program is an example of the implementation of care integration. This qualitative study sought to explore the experiences general practice staff face in managing clients with chronic and complex care issues, and their perceptions of the contribution of the CCC program to this care. Seventeen general practice staff from 11 practices throughout the Illawarra/Shoalhaven region participated in semistructured interviews. Five main themes emerged: (1) awareness of the CCC program; (2) varying program exposure and value placed on the program; (3) practice 'busyness' and role confusion; (4) communication and information sharing; and (5) the need for staff education and knowledge of local resources. If policymakers and healthcare organisations can gain a better understanding of the experiences of general practice staff, they will be able to design and implement programs that best meet the needs of the providers that they are attempting to integrate. Disciplines Medicine and Health Sciences | Social and Behavioral Sciences What is known about this topic? The integration of care has the potential to improve outcomes for people with chronic disease, as well as optimise the utilisation of finite health resources. What does this paper add? The success of care coordination programs is dependent upon a range of factors beyond the clinical efficacy of the intervention. Recognising and addressing these factors will enhance the uptake of these programs and allow better evaluation of their effectiveness. AbstractAs the burden of chronic and complex disease grows there is an emphasis on programs which enhance the quality of care within primary care. The Connecting Care in the Community (CCC) program is one example of care integration that has been implemented. This qualitative study sought to explore the experiences general practice staff face in managing clients with chronic and complex care issues and their perceptions of the contribution of the CCC program to this care. Seventeen general practice staff from 11 Practices throughout the Illawarra/Shoalhaven region participated in semi-structured interviews. Five main themes emerged, namely; (1) Awareness of the CCC program, (2) varying program exposure and value placed on the program, (3) Practice 'busyness' and role confusion, (4) communication and information sharing, and (5) the need for staff education and knowledge of local resources. Better understanding the experiences of general practice staff will allow policy makers and health care organisations to design and 2 implement programs that best meet the needs of the providers that they are attempting to integrate.

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The role of physician oversight on advanced practice nurses’ professional autonomy and empowerment

Petersen

Way

2017

Journal of the American Association of Nurse Practitioners

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Background and purpose Little is known about the effects of physician oversight on advanced practice registered nurses (APRNs). Examination of these relationships provides insight into the strength of independent practice. The purpose of this study was to examine whether APRNs’ perceptions of autonomy and empowerment varied according to type of physician oversight, whether facilitative or restrictive. Data sources A cross‐sectional survey design was used to examine whether APRNs’ perceptions of autonomy and empowerment varied according to physician oversight, geographical location, and practice setting. Five hundred questionnaires were mailed in March 2013 with 274 returned. Participants were asked about autonomy, empowerment, demographics, physician oversight, geographical location, and practice setting. Conclusions Among surveyed respondents, physician oversight was related to increased empowerment, regardless of whether the oversight was defined in facilitative or restrictive terms; both had similar positive effects on empowerment. Implications for practice If APRNs are to be part of the solution to the growing problem of healthcare access, it is important to study factors that contribute to their success. We speculate that increasing opportunities for collaboration and interaction with physicians, and possibly other healthcare professionals, could facilitate APRN empowerment, optimizing their contribution.

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An integrative review of facilitators and barriers influencing collaboration and teamwork between general practitioners and nurses working in general practice

Cited by 179 publications

References 48 publications

Facing death in the clinical practice: a view from nurses in Mexico

Facing death in the clinical practice: a view from nurses in Mexico

Connecting Care in the Community: what works and what doesn't

The role of physician oversight on advanced practice nurses’ professional autonomy and empowerment

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