Nurse-Physician Communication in the Long-Term Care Setting

Abstract

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.

Examining differences in nurses' language, accent, and comprehensibility in nursing home settings based on birth origin and country of education

“…Four items were adapted from a previously used questionnaire studying nurse-physician communication and language comprehension. 19 The four questions included how often (1) medical providers (physicians, NPs, physician assistants); (2) other nurses; (3) residents; and (4) family members have difficulty understanding what the nurse participant is saying due to their language or accent (e.g., "How often does a medical provider (Physician, Nurse Practitioner, Physician Assistant) have difficulty understanding what you are saying due to your language or accent?"). Participants responded using a 5-point frequency scale ranging from "Never" to "Always."…”

“…The survey consisted of 77 total items with 5 sections: (1) Nurse Characteristics; (2) Nursing Home Patient Safety Culture; (3) Adverse Event Disclosure; (4) Language & Accent Assessment 19 ; and, (5) Intent to Stay. This paper reports specifically on sections 1 and 4 as detailed below.…”

“…18 Tjia and colleagues also observed language barriers in nurseephysician relationships across long-term care facilities and reported that 12% of the surveyed nurses reported difficulty understanding the physician's language or accent or felt physicians had difficulty understanding them due to language or accent. 19 There has been no research that examines nurse-to-nurse communication or nurseto-resident or family in nursing homes.…”

Implementasi Komunikasi Efektif Perawat-Dokter dengan Telepon di Ruang ICU Rumah Sakit Wava Husada

“…komunikasi (misal: "Apa saja yang dapat mengefektifkan Hampir 70% kejadian sentinel yaitu kejadian yang komunikasi antara perawat dengan dokter melalui telepon mengakibatkan kematian atau cedera yang serius di ?"). Pertanyaan terbuka berdasarkan dari pengembangan rumah sakit disebabkan karena buruknya komunikasi oleh Tjia et al (5). Pembuatan analisis data menggunakan (1,3).…”

“…perawat kurang suka menunggu lama untuk berbicara Model teknik komunikasi yang secara umum digunakan di kepada dokter melalui telepon (5 dan meningkatkan keselamatan pasien (23). Kebiasaan dokter yang juga ditemukan di dalam studi ini, Pelatihan komunikasi bagi perawat merupakan solusi yang adalah dokter menghentikan pembicaraan selama diungkapkan responden untuk mengatasi masalah telepon, dokter terburu-buru berkomunikasi, dan komunikasi telepon yang tidak efektif.…”