Barriers to physician-nurse collegiality: An anthropological perspective

Campbell-Heider, Nancy; Pollock, Donald

doi:10.1016/0277-9536(87)90166-3

Cited by 57 publications

(27 citation statements)

References 21 publications

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“…What originally seemed a purely pragmatic decision may have unintentionally mirrored many genderand power-related behaviours where ª medicine continues to view the expanded role of the nurse in a hierarchical framework, in which nurses serve as physician extenders or helpers, under the authority of a physician team leaderº (Campbell-Heider & Pollock, 1987). The method of questionnaire distribution may have compounded this, contributing to a somewhat modest response rate.…”

Section: Discussionmentioning

confidence: 98%

Can nurses teach tomorrow's doctors? A nursing perspective on involvement in community-based medical education

Howe

Crofts²,

Billingham³

2000

Medical Teacher

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The increasing importance of primary care suggests an important role for the whole primary healthcare team in the education of 'tomorrow's doctors'. Few studies have evaluated the contribution and views of staff other than general practitioners. We used a questionnaire survey to elicit the perspective of 65 community-based nurses involved in a new undergraduate medical course. Some 67% of the cohort had already undertaken training to teach others, and were confident of their teaching skills but were overly reliant on the general practitioners for information, and on the goodwill of colleagues for time to teach. The findings suggest a need for structural changes in the process of multidisciplinary medical education, supporting the need for teaching commitments to be coordinated at practice rather than individual tutor level. The high level of professional development for teaching among community nurses suggests that there is a sound basis for encouraging such valuable professional input into medical education in the future.

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Section: Discussionmentioning

confidence: 98%

Can nurses teach tomorrow's doctors? A nursing perspective on involvement in community-based medical education

Howe

Crofts²,

Billingham³

2000

Medical Teacher

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“…In this ''doctor-nurse game'' the physician was ''the captain of the ship'' and thus expected nurses to make their observations from a medical perspective (Stein et al, 1990). In a hospital environment, physicians and nurses have interdependent functions, but in settings of home health care the nurse has a more independent role (Campell-Heider, 1987). According to a study of physician-nurse relationships in home health care, the nurses had a higher level of autonomy due to the distance the physician has to the patients, both physically and symbolically (Marrone, 2003).…”

Section: Introductionmentioning

confidence: 98%

Physicians' expectations regarding registered nurses caring for older people living in sheltered housing, retirement homes and group dwellings

Karlsson

Nilsson

Ekman

2006

Journal of Interprofessional Care

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The aim of this study was to illuminate the meaning of the physicians' expectations regarding registered nurses who are responsible for the care of older people living in sheltered housing, retirement homes and group dwellings. A phenomenological-hermeneutic method was used for the analysis. Twelve physicians from two municipalities in Sweden were interviewed. The naive reading of the interviews characterizes the physicians' expressed views of nurses by using metaphors such as "the extended arm", "gatekeeper" and "belonging to a no-man's land". In the structural analysis, explanations of the metaphors are given. The new understanding was that the physicians also expect registered nurses to be able to switch between keeping a distance and being close to older people. When registered nurses have this skill, the physicians have a "we" feeling towards the nurse. The paper provides insights into the physician-nurse relationship, in the context of residential care in Sweden.

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“…Some authors have addressed the meaning of teamwork but not specifically as it relates to the pattern of relationships in the team (Temkin-Greener 1983, CampbellHeider andPollock 1987) or not from the perspective of the staff (Evers 1982).…”

Section: Introductionmentioning

confidence: 99%

Structure and Meaning in Multidisciplinary Teamwork

Cott

1998

Sociology Health & Illness

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The purpose of this study was to examine the relationship between structure and meaning in multidisciplinary long-term care teams. In-depth semi-structured interviews were conducted with 26 staff working on five multidisciplinary teams in the same long-term care facility in Metropolitan Toronto. Staff in different structural locations have differing meanings of work and teamwork. Direct caregiving nursing staff have simple role-sets, minimal involvement in team decision-making and ritualistic orientations towards their work and teamwork. Multidisciplinary professionals have complex role-sets, greater involvement in team decision-making and organic orientations towards their work and teamwork. Supervisory nurses are in a contradictory structural location and shared aspects of both orientations to teamwork. The lack of shared meanings results in alienation from work and teamwork for staff in lower structural positions which, in turn, has considerable implications for team functioning.

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Barriers to physician-nurse collegiality: An anthropological perspective

Cited by 57 publications

References 21 publications

Can nurses teach tomorrow's doctors? A nursing perspective on involvement in community-based medical education

Can nurses teach tomorrow's doctors? A nursing perspective on involvement in community-based medical education

Physicians' expectations regarding registered nurses caring for older people living in sheltered housing, retirement homes and group dwellings

Structure and Meaning in Multidisciplinary Teamwork

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