The influence of effective communication, perceived respect and willingness to collaborate on nurses' perceptions of nurse–physician collaboration in China

Wang, Yaya; Wan, Qiaoqin; Guo, Jia; Jin, Xingming; Zhou, Weijiao; Feng, Xiaoyan; Shang, Shaomei

doi:10.1016/j.apnr.2018.04.005

Cited by 34 publications

(32 citation statements)

References 60 publications

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“…Better collaboration has been linked specifically to safety-relevant performance [51] such as fewer hospital-acquired infections [52]. According to a recent study, nurses perceive physicians not as team members, but as independent healthcare workers [21]. In addition, nurses who perceive more respect perceive higher levels of nurse-physician collaboration [21].…”

Section: Discussionmentioning

confidence: 99%

“…According to a recent study, nurses perceive physicians not as team members, but as independent healthcare workers [21]. In addition, nurses who perceive more respect perceive higher levels of nurse-physician collaboration [21]. When nurses work in an environment that supports and recognizes their professional role, they may feel respected, and therefore more confident participating in decision-making during the collaboration process [53] It is helpful if hospital administrators create management regulations for collaborative nurse-physician decision-making and to maximize nurses’ involvement in the decision-making process [21].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, nurses who perceive more respect perceive higher levels of nurse-physician collaboration [21]. When nurses work in an environment that supports and recognizes their professional role, they may feel respected, and therefore more confident participating in decision-making during the collaboration process [53] It is helpful if hospital administrators create management regulations for collaborative nurse-physician decision-making and to maximize nurses’ involvement in the decision-making process [21]. However, self-help efforts for respectful communication between healthcare providers, which may be the foundation for collaboration, are even more important.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it can be helpful to utilize a bottom-up approach [19]. A bottom-up approach to improving patient-safety culture means that patient-safety awareness should be embedded at all staff levels and be seen in all actions [20], and collaboration among healthcare providers can establish effective communication [21] and create a positive patient-safety culture. Communication openness regarding mistakes and failures is a crucial factor in patient-safety; however, communication remains an adaptive challenge that has proven difficult to overcome in the sociotechnical viewpoint that defines healthcare [22].…”

Section: Introductionmentioning

confidence: 99%

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Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Kim

2019

BMC Health Serv Res

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Background Individual and organizational factors correlate with perceived barriers to error reporting. Understanding medication administration errors (MAEs) reduces confusion about error definitions, raises perceptions of MAEs, and allows healthcare providers to report perceived and identified errors more frequently. Therefore, an emphasis must be placed on medication competence, including medication administration knowledge and decision-making. It can be helpful to utilize an organizational approach, such as collaboration between nurses and physicians, but this type of approach is difficult to establish and maintain because patient-safety culture starts at the highest levels of the healthcare organization. This study aimed to examine the canonical correlations of an individual self-efficacy/bottom-up organizational approach variable set with perceived barriers to reporting MAEs among nurses. Methods We surveyed 218 staff nurses in Korea. The measurement tools included a questionnaire on knowledge of high-alert medication, nursing decision-making, nurse-physician collaboration satisfaction, and barriers to reporting MAEs. Descriptive statistics, t-tests, analysis of variance (ANOVA), Pearson’s correlation coefficient, and canonical correlations were used to analyze results. Results Two canonical variables were significant. The first variate indicated that less knowledge about medication administration (− 0.83) and a higher perception of nurse-physician collaboration (0.42) were related to higher disagreement over medication error (0.64). The second variate showed that intuitive clinical decision-making (− 0.57) and a higher perception of nurse-physician collaboration (0.84) were related to lower perceived barriers to reporting MAEs. Conclusions Enhancing positive collaboration among healthcare professionals and promoting analytic decision-making supported by sufficient knowledge could facilitate MAE reporting by nurses. In the clinical phase, providing medication administration education and improving collaboration may reduce disagreement about the occurrence of errors and facilitate MAE reporting. In the policy phase, developing an evidence-based reporting system that informs analytic decision-making may reduce the perceived barriers to MAE reporting.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Kim

2019

BMC Health Serv Res

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“…Similarly, policy Sustainability 2020, 12, 3195 8 of 15 makers and managers can work to facilitate the implementation of collaborative practices among other stakeholders. For instance, managers and policy makers can facilitate communication between professionals through the application of structural tools for communication [81]. A network of authorities, including policy makers, managers, and professionals [76] can contribute to social sustainability development, thus suggesting the next proposition: Proposition 4.…”

Section: Collaborative Healthcare and Social Sustainabilitymentioning

confidence: 99%

The Role of Collaborative Healthcare in Improving Social Sustainability: A Conceptual Framework

2020

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Healthcare systems around the world face both increasing demands and inequality in service distribution. The current trend is for collaboration among healthcare actors, named as collaborative healthcare, in order to address challenges such as these to improve the social sustainability of the system. That is to provide accessible and equitable healthcare services to meet people's health and well-being needs. Based on an integrative literature review, this study aims at crafting a conceptual framework to explore how collaborative healthcare networks contribute to social sustainability and the specific actors involved in these collaborations. It identifies relationships between different collaborative healthcare networks and social sustainability. Interprofessional networks have been the most studied in relation to social sustainability. Communication and sharing information or knowledge have been identified as used collaborative healthcare practices. This study contributes theoretically by considering a new model of the healthcare organization in which collaborative networks play a central role in improving social sustainability. In terms of practical implications, the study provides managers and policy makers with investment insights on a range of collaborative networks and practices.

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Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative study

et al. 2023

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AimThis study aimed to explore challenges faced by clinical nurses in the process of implementing medical orders.DesignA qualitative study using inductive content analysis.MethodsSemi‐structured individual interviews were carried out with 17 participants including nurses, nurse managers and medical doctors who were purposefully selected. The collected data underwent inductive qualitative content analysis.ResultsThe main research finding was the category of ‘unsafe doctor–nurse interaction’. It included three subcategories: ‘conflicts in documenting and executing orders’, ‘not accepting the nurse's suggestions for writing and correcting orders’ and ‘failure to accept the responsibility of orders by the doctor’. Challenges in the professional relationship between doctors and nurses cause mistrust and conflict. They also enhance nurses' concerns about professional and legal issues in the workplace and endanger patient safety.

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The influence of effective communication, perceived respect and willingness to collaborate on nurses' perceptions of nurse–physician collaboration in China

Cited by 34 publications

References 60 publications

Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

The Role of Collaborative Healthcare in Improving Social Sustainability: A Conceptual Framework

Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative study

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