Doctors’ traits perceived by Japanese nurses as communication barriers: A questionnaire survey

Morinaga, Kyoko; Ohtsubo, Yohsuke; Yamauchi, Keiko; Shimada, Yasuhiro

doi:10.1016/j.ijnurstu.2006.12.007

Cited by 20 publications

(30 citation statements)

References 16 publications

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“…Six studies of this integrated review identified a variety of communication styles used by nurses and physicians (Manojlovich, ; McMullan, Parush, & Momtahan, ; Morinaga, Ohtsubo, Yamauchi, & Shimada, ; Robinson, Gorman, Slimmer, & Yudkowsky, ; Simpson, James, & Knox, ; Tschannen et al., ; Wanzer, Wojtaszczyk, & Kelly, ).…”

Section: Resultsmentioning

confidence: 99%

Nurse–physician communication – An integrated review

Tan

Zhou

Kelly

2017

Journal of Clinical Nursing

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Cross-training and interprofessional educational from undergraduate to postgraduate programmes will better align the training of nurses and physicians to communicate effectively. Further research is needed to determine the feasibility and generalisability of interventions, such as localising physicians and using communication tools, to improve nurse-physician communication. Organisational and cultural changes are needed to overcome ingrained practices impeding nurse-physician communication.

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Section: Resultsmentioning

confidence: 99%

Nurse–physician communication – An integrated review

Tan

Zhou

Kelly

2017

Journal of Clinical Nursing

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“…While better communication and the development of relationships between health care professionals can be valuable, even within a hierarchical system,12 nonphysician staff remain reluctant to complain to other professionals, particularly physicians. A previous study using a questionnaire to clarify physicians’ traits that impede effective nurse–physician communication revealed that physicians’ reluctance to communicate with nurses and physicians’ emotional difficulties were the main reasons for the communication barrier 20. The authors suggested that educating future physicians or residents to have a positive attitude toward open communication with nurses might reduce the communication barrier 20.…”

Section: Discussionmentioning

confidence: 99%

“…A previous study using a questionnaire to clarify physicians’ traits that impede effective nurse–physician communication revealed that physicians’ reluctance to communicate with nurses and physicians’ emotional difficulties were the main reasons for the communication barrier 20. The authors suggested that educating future physicians or residents to have a positive attitude toward open communication with nurses might reduce the communication barrier 20. Although physicians are often the leaders of interprofessional teamwork, diabetes educators21–24 can be leaders in facilitating open communication among members and preventing the problems associated with hierarchical relationships.…”

Section: Discussionmentioning

confidence: 99%

The difficulties of interprofessional teamwork in diabetes care: a questionnaire survey

Kishimoto¹,

Noda²

2014

JMDH

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BackgroundDiabetes is a multifactorial disease and its nature means that interprofessional teamwork is essential for its treatment. However, in general, interprofessional teamwork has certain problems that impede its function. To clarify these problems in relation to diabetes care, a questionnaire survey was conducted.MethodsThe participants who were involved in diabetes-related educational seminars, and medical personnel who were engaged in diabetes care from the National Center for Global Health and Medicine, were asked to complete the questionnaire about perceptions of, and satisfaction with, interprofessional teamwork across multiple health care providers, who were actually involved in diabetes care.ResultsFrom 456 people who were asked to take the questionnaire, 275 people answered. The percentages of the respondents according to profession who considered multidisciplinary teamwork sufficient were as follows: physicians, 20.5%; nurses, 12.7%; registered dietitians, 29.6%; pharmacists, 21.9%; physiotherapists, 18.2%; and clinical laboratory technicians 15.4%. Insufficient interprofessional communication and inconsistency in motivation levels among staff were frequently cited as causes of insufficient teamwork. All professions considered interprofessional meetings or conferences necessary and essential for teamwork.ConclusionThe survey revealed that interprofessional teamwork in diabetes care is currently insufficient. Continuous efforts to change each profession’s perceptions about interprofessional teamwork and efforts to improve the quality of interprofessional meetings are necessary.

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“…It has been suggested that the level of awareness of interprofessional practice among physicians was lower than those of other healthcare professionals [12-14]. Additionally, Japanese physicians have been institutionally expected to play a leadership role in healthcare settings [15].…”

Section: Introductionmentioning

confidence: 99%

Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan

et al. 2013

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BackgroundEffective and efficient interprofessional collaboration (IPC) is needed between departments in a healthcare setting. Although Japanese physicians are expected to provide leadership in IPC, it has been suggested that their perception of IPC is more negative than among other healthcare professionals. The purpose of this study was to clarify Japanese physician’s perceptions of IPC and what factors influenced their views.MethodsThis cross-sectional study surveyed 732 medical doctors at a university hospital and six foundation hospitals in a prefecture located in Tohoku district, northeastern Japan. Those hospitals were approved for delivery of postgraduate clinical training. Physician’s perceptions of IPC were investigated for three items, namely providing patient-centered care, preventing medical accidents, and improving the quality of medical care. A total of 409 doctors who were engaged in clinical practice, responded adequately to the survey. Factors associated with negative perceptions towards IPC among physicians were analyzed using a logistic regression model.ResultsThe proportion of negative perceptions of IPC for providing patient-centered care, preventing medical accidents, and improving the quality of medical care were 41.1%, 34.0% and 33.7%, respectively. Negative perceptions of IPC for providing patient-centered care were associated with older age (50 + years; odds ratio (OR): 2.73; 95% confidence interval (CI): 1.11 - 6.68) and a lower frequency of interprofessional meetings (no meetings; OR: 2.95; 95%CI: 1.43 - 6.08). Negative perceptions of IPC for preventing medical accidents were associated with a lower frequency of interprofessional meetings (no meetings, OR: 3.23; 95%CI: 1.58 - 6.62). Negative perceptions of IPC for improving the quality of medical care were associated with middle age (40 - 49 years, OR: 2.93; 95%CI: 1.20 - 7.12) and a lower frequency of interprofessional meetings (no meetings; OR: 2.75; 95%CI: 1.34 - 5.66).ConclusionsPhysician’s negative perceptions of IPC in our study were associated with age and a lower frequency of interprofessional meetings. Our findings suggest that effective regular interprofessional meetings serve to share information about patients, and to allow physicians to understand each other better, which should have a positive impact on the quality of patient-centered care.

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Doctors’ traits perceived by Japanese nurses as communication barriers: A questionnaire survey

Cited by 20 publications

References 16 publications

Nurse–physician communication – An integrated review

Nurse–physician communication – An integrated review

The difficulties of interprofessional teamwork in diabetes care: a questionnaire survey

Physician’s Perceptions of Interprofessional Collaboration in Clinical Training Hospitals in Northeastern Japan

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