Nurse-Physician Communication in a Nursing Home Setting

Miller, Dulcy B.; Brimigion, Jeanne; Keller, Dorothy Smith; Woodruff, Shirley

doi:10.1093/geront/12.3_part_1.225

Cited by 8 publications

(9 citation statements)

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“…The results of both the quantitative and qualitative parts of our study confirm the findings of previous studies in different settings that identify lack of professionalism 15, 28, 29, inadequate collaboration 30, lack of timely call backs by physicians9, 11, 31, 32, and physician disinterest31 as commonly occurring issues affecting nurse-physician communication. Our study also found that working with a covering physician, time constraints and nurse preparedness were issues of particular importance the LTC setting.…”

Section: Discussionsupporting

confidence: 88%

“…For example, 17% of nurses in our study reported that physicians did not want to address problems in telephone calls, and that this was particularly true for covering physicians who did know know that patient. Very few studies have addressed the issue of communicating with covering physicians in the LTC setting31, but this finding underscores the importance of improving patient management via telephone encounters.…”

Section: Discussionmentioning

confidence: 99%

“…First, we have documented that the problem of nurse-physician communication continues to be an important issue despite almost 40 years of research and effort to improve nurse-physician communication in the LTC setting 16, 31, 39, 40. Second, the mixed-method approach allowed us to develop a communication framework highlighting the inter-relatedness of each stage of nurse-physician communication and its susceptibility to breakdown at any stage because of deficiencies on the part of either party.…”

Section: Discussionmentioning

confidence: 99%

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Nurse-Physician Communication in the Long-Term Care Setting

Tjia¹,

Mazor²,

Meterko³

et al. 2009

Journal of Patient Safety

111

101

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Purpose-Clear and complete communication between health care providers is a prerequisite for safe patient management and is a major priority of the Joint Commission's 2008 National Patient Safety Goals. The goal of this study was to describe nurses' perceptions of nurse-physician communication in the long-term care (LTC) setting.Methods-Mixed-method study including a self-administered questionnaire and qualitative semistructured telephone interviews of licensed nurses from 26 LTC facilities in Connecticut. The questionnaire measured perceived openness to communication, mutual understanding, language comprehension, frustration, professional respect, nurse preparedness, time burden and logistical barriers. Qualitative interviews focused on identifying barriers to effective nurse-physician communication that may not have previously been considered and eliciting nurses' recommendations for overcoming those barriers.Results-Three-hundred seventy-five (375) nurses completed the questionnaire and 21 nurses completed qualitative interviews. Nurses identified several barriers to effective nurse-physician communication: lack of physician openness to communication, logistic challenges, lack of professionalism, and language barriers. Feeling hurried by the physician was the most frequent barrier (28%), followed by finding a quiet place to call (25%) and difficulty reaching the physician (21%). In qualitative interviews, there was consensus that nurses needed to be brief and prepared with relevant clinical information when communicating with physicians and that physicians needed to be more open to listening.Conclusions-A combination of nurse and physician behaviors contributes to ineffective communication in the LTC setting. These findings have important implications for patient safety and support the development of structured communication interventions to improve quality of nursephysician communication.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Nurse-Physician Communication in the Long-Term Care Setting

Tjia¹,

Mazor²,

Meterko³

et al. 2009

Journal of Patient Safety

111

101

View full text Add to dashboard Cite

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“…In both, physician responses to phone calls initiated by nurses in nursing homes were evaluated for time and/or appropriateness of response. Findings from one study suggested that inadequate communication is attributable to physician disinterest in the care of nursing home residents 3 . A more recent study 4 examined physician responses to calls to determine whether disinterest was an issue.…”

mentioning

confidence: 99%

Barriers to Effective Communication in Skilled Nursing Facilities: Differences in Perception between Nurses and Physicians

Cadogan¹,

Franzi

Osterweil³

et al. 1999

J American Geriatrics Society

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Issues related to the perceived competency of nurses by physicians is consistent with existing data from other clinical settings. Differences in awareness about scope of practice and regulatory requirements between the groups may offer a partial explanation for the discordant perceptions. Perceptions by nurses (but not physicians) of unpleasantness and/or disrespect during telephone encounters may reflect the broader ongoing differences in professional culture, social status, and gender inequality between the two groups. Further clarification of the causes of barriers to effective communication is essential in order to plan appropriate interventions.

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“…A 1972 study of nurse‐physician communication in a nursing home setting (3) demonstrated generalized physician disinterest in the care of the ill aged. Reluctance on the part of the covering physicians to care for the institutionalized aged in the absence of their colleagues often resulted in a refusal to sign death certificates.…”

Section: Review Of the Literaturementioning

confidence: 99%

Physicians' Attitudes Toward the Ill Aged and Nursing Homes*

Miller

Lowenstein

Winston

1976

J American Geriatrics Society

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A survey of physicians in private practice (exclusive of pediatricians) was conducted in a medium sized suburban city in the New York metropolitan area, to determine whether physicians' attitudes toward the ill aged and nursing homes were predictors of the quality of medical care available to area nursing home patients. Questionnaires were circulated to 302 practitioners. Of the 28 percent who responded, 32 percent were psychiatrists, 15 percent primary care physicians and 8 percent orthopedists. Physicians felt competent to manage the ill aged, although 50 percent had had no significant degree of exposure to geriatric medicine in their medical education, and 70 percent of the primary care group had had none. Primary care and older physicians were more likely to treat patients in nursing homes. Almost 40 percent viewed the nursing home as a place to die. Although 85 percent studied that physicians should be involved in the nursing home displacement process, only 21 percent believed that they continued to be in charge of their patients after placement. The findings demonstrate generalized medical disinterest in the care of ill aged patients in institutions. The persons responsible for awarding government grants and those involved in planning medical school curricula should pay more attention to the needs of the chronically ill aged.

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Nurse-Physician Communication in a Nursing Home Setting

Cited by 8 publications

References 0 publications

Nurse-Physician Communication in the Long-Term Care Setting

Nurse-Physician Communication in the Long-Term Care Setting

Barriers to Effective Communication in Skilled Nursing Facilities: Differences in Perception between Nurses and Physicians

Physicians' Attitudes Toward the Ill Aged and Nursing Homes*

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