Linking the Practice Environment to Nurses' Job Satisfaction Through Nurse‐Physician Communication

Manojlovich, Milisa

doi:10.1111/j.1547-5069.2005.00063.x

Cited by 147 publications

(134 citation statements)

References 36 publications

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“…(Pullon, 2008). In the United States, a study of general nurses established strong relations between collegial relationships, stress, and nurses' job satisfaction (Manojlovich, 2005). In Australian the nurse-doctor relationship in mental health has been linked to the effect nurses have in decisions about patient treatment (Elsom et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, professional relationships between doctors and nurses have often remained realized as problematic (Pullon, 2008). In the United States, a study of general nurses established strong relations between collegial relationships, stress, and nurses' job satisfaction (Manojlovich, 2005). In New Zealand, a survey of general nurses found that positive nurse-doctor relationships were linked with advanced levels of communal functioning, vitality, and mental health (Budge, Carryer, & Wood, 2003).…”

Section: Nurse-doctor Relationshipsmentioning

confidence: 99%

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Work environment characteristics as perceived by nurses in Saudi Arabia

Almuhsen

Alkorashy²,

Baddar³

et al. 2017

IJANS

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Summary: The environment that contains; skilled nursing leadership who empowers their staff and improves their autonomy also allowing them to participate in the department and organizational policy, good nurse-doctor relationship, adequate resources and skilled mix staffing, play an essential role to enhance control over nursing practice. Aim: The aim of this study was to identify nurses' perception of work environment characteristics. Methodology: A cross-sectional descriptive research design was used throughout this study. A quota sampling technique was used to recruit the participants (staff nurses and first-line nurse managers) from King Fahd Medical City in Saudi Arabia, who was asked to complete the tool; Perceived Environment Scale-Nursing Work Index (PES-NWI). Findings: 465 nurses participated in this study; 364 were from nurses and 101 from nurse managers, most of the participants were female. Participants were moderately high perceived to their work environments, and there was an association between the characteristics of participants in relation with the work environment. Conclusion: The current study concluded that the nurses' perception of work environment characteristics was moderately high.

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Section: Discussionmentioning

confidence: 99%

Section: Nurse-doctor Relationshipsmentioning

confidence: 99%

Work environment characteristics as perceived by nurses in Saudi Arabia

Almuhsen

Alkorashy²,

Baddar³

et al. 2017

IJANS

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“…2 Effective nurse-physician collaboration has been shown to reduce morbidity and mortality rates, cost of care, and errors and to improve job satisfaction and retention of nursing staff. [3][4][5][6] According to McConaughey 17 Rarely do health care professionals train as teams, yet evidence shows that team training improves team performance and safety outcomes. 19 Our study showed a statistically significant improvement in the perception by nurses and physicians of collaboration and decision making at 2 weeks after high-fidelity simulation team training.…”

Section: Discussionmentioning

confidence: 99%

“…Effective collaboration between registered nurses and physicians has been shown to reduce morbidity and mortality rates, cost of care, and medical errors and to improve job satisfaction and retention of nursing staff. [3][4][5][6] The nursing workforce is expected to decrease by 20% by 2020, putting the profession in a critical shortage. 7 Collaboration between nurses and physicians improves professional job satisfaction and is considered a high priority for retention purposes.…”

Section: Discussionmentioning

confidence: 99%

Enhancing Nurse and Physician Collaboration in Clinical Decision Making Through High-fidelity Interdisciplinary Simulation Training

Maxson

Dozois

Holubar

et al. 2011

Mayo Clinic Proceedings

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N early a decade has passed since the Institute of Medicine released its seminal report To Err is Human: Building a Safer Health System. 1 The report described the US health care system as a decade or more behind other high-risk industries in its attention to ensuring basic safety. One recommendation was that Congress should create a center for patient safety within the Agency for Healthcare Research and Quality (AHRQ). The AHRQ was asked to set standards, communicate with members about safety, and develop training programs that create a culture of safety across disciplines. 1 The AHRQ supports simulation research through its patient safety program, recognizing that "simulation in health care creates a safe learning environment that allows researchers and practitioners to test new clinical processes and to enhance individual and team skills before encountering patients." 2 OBJECtIvE: To determine whether interdisciplinary simulation team training can positively affect registered nurse and/or physician perceptions of collaboration in clinical decision making.PARtICIPANtS AND MEtHODS: Between March 1 and April 21, 2009, a convenience sample of volunteer nurses and physicians was recruited to undergo simulation training consisting of a team response to 3 clinical scenarios. Participants completed the Collaboration and Satisfaction About Care Decisions (CSACD) survey before training and at 2 weeks and 2 months after training. Differences in CSACD summary scores between the time points were assessed with paired t tests.RESuLtS: Twenty-eight health care professionals (19 nurses, 9 physicians) underwent simulation training. Nurses were of similar age to physicians (27.3 vs 34.5 years; p=.82), were more likely to be women (95.0% vs 12.5%; p<.001), and were less likely to have undergone prior simulation training (0% vs 37.5%; p=.02). The pretest showed that physicians were more likely to perceive that open communication exists between nurses and physicians (p=.04) and that both medical and nursing concerns influence the decision-making process (p=.02). Pretest CSACD analysis revealed that most participants were dissatisfied with the decisionmaking process. The CSACD summary score showed significant improvement from baseline to 2 weeks (4.2 to 5.1; p<.002), a trend that persisted at 2 months (p<.002). CONCLuSION:Team training using high-fidelity simulation scenarios promoted collaboration between nurses and physicians and enhanced the patient care decision-making process. Effective collaboration between registered nurses and physicians has been shown to reduce morbidity and mortality rates, cost of care, and medical errors and to improve job satisfaction and retention of nursing staff. [3][4][5][6] The nursing workforce is expected to decrease by 20% by 2020, putting the profession in a critical shortage. 7 Collaboration between nurses and physicians improves professional job satisfaction and is considered a high priority for retention purposes. The literature has outlined the importance of nurse-physician collaboration b...

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“…Moral distress not only affects individual behavior but also the workplace environment. [52][53][54][55][56][57][58] For example, distressed health care providers can experience decreased job satisfaction, [59][60][61] unsettling physical symptoms such as insomnia and headaches, and disruptive psychological symptoms such as loss of confidence and self-worth. 26 Moreover, nurses' moral distress has been associated with absenteeism, burnout, intentions to quit, and leaving the profession.…”

Section: 50mentioning

confidence: 99%

Screening Situations for Risk of Ethical Conflicts: A Pilot Study

Pavlish¹,

Hellyer²,

Brown-Saltzman³

et al. 2015

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Describe the impact of ethical conflict in the intensive care unit (ICU) for patients, families, and health care workers. 2. Describe risk factors and early warning signs of potential ethical conflicts with ICU patients. 3. Explain key results of ethical risk factor screening for critical care nurses. Results Older patients with multiple comorbid conditions and aggressive treatments were frequently assessed to be at risk for ethical conflicts. Nurses who witnessed patients' suffering and deterioration were likely to initiate the screening process. The most prominent family risk factors included unrealistic expectations and adamancy about treatment. The most prominent early indicators were signs of patients' suffering, unrealistic expectations, and providers' own moral distress. High-risk situations averaged a greater number of risk factors and early indicators than did medium-and low-risk situations. Certain risk factors featured prominently in high-risk situations. Conclusions A phenomenon of shared suffering emerged from the study and signifies the importance of relational strategies such as routine family conferences and ethics consultation.

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Linking the Practice Environment to Nurses' Job Satisfaction Through Nurse‐Physician Communication

Cited by 147 publications

References 36 publications

Work environment characteristics as perceived by nurses in Saudi Arabia

Work environment characteristics as perceived by nurses in Saudi Arabia

Enhancing Nurse and Physician Collaboration in Clinical Decision Making Through High-fidelity Interdisciplinary Simulation Training

Screening Situations for Risk of Ethical Conflicts: A Pilot Study

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