Effective Nurse-Physician Collaborations: A Systematic Literature Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/620414
Title:
Effective Nurse-Physician Collaborations: A Systematic Literature Review
Other Titles:
Interprofessional Collaboration
Author(s):
House, Sherita L.
Lead Author STTI Affiliation:
Rho Lambda
Author Details:
Sherita L. House, RN, CCRN, sjohn356@yahoo.com
Abstract:
Session presented on Tuesday, September 20, 2016: Significance and Background: Positive nurse–physician collaborations are essential to good patient care outcomes, such as decreased health care costs (Hughes & Fitzpatrick, 2010; Rose, 2011), length of stay (Tschannent & Kalisch, 2009), and hospital-acquired infections (Boev & Xia, 2015). By contrast, ineffective nurse–physician collaborations have been linked to poor patient care outcomes (Hughes & Fitzpatrick, 2010). The Institute of Medicine (IOM) recommends that health care professionals improve quality of care through increased trust, respectful communication, and good working relationships (Page, 2004). Positive nurse-physician collaborations can serve as an antidote for workplace incivility. The Theory of Relational Coordination (RC) is an excellent framework to assess nurse-physician collaboration in acute care settings. Methods and Analysis: A search in PubMed, CINAHL, and PsychInfo was conducted to identify empirical studies of nurse’s perceptions of nurse-physician collaborations. Inclusion criteria included: peer-reviewed and English-text journal articles published from 2000-2015. Articles were excluded if they examined nursing or medical students perceptions of nurse-physician collaborations. Findings and Implications: Fourteen quantitative studies and one qualitative study were included in this review. Team work, communication, and shared decision-making were common and recurring attributes of RN-MD collaboration.  Collaboration and coordination between nurses and physicians varied across hospital units. Similarly, nurses and physicians defined collaboration differently. On some units, nurses and physicians rated their collaborative interactions as less than optimal, and on other units, nurses and physicians reported high-quality collaborative interactions. Most studies (n =12) did not use a theoretical framework to examine nurse-physician collaborations and none of the studies used RC. Given this variability, future research studies would benefit from a standard definition of collaboration and a reliable, valid instrument to analyze nurse-physician collaboration across units. Furthermore, The RC survey can provide nurse leaders and managers with baseline knowledge of interdisciplinary collaboration among healthcare providers on their unit. Based on the results, interventions could be developed to improve interdisciplinary collaboration on their unit.
Keywords:
RN-MD collaboration; Shared decision making; Relational Coordination
Repository Posting Date:
16-Sep-2016
Date of Publication:
16-Sep-2016
Other Identifiers:
LEAD16R02
Conference Date:
2016
Conference Name:
Leadership Connection 2016
Conference Host:
Sigma Theta Tau International
Conference Location:
Indianapolis, Indiana, USA
Description:
Leadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.titleEffective Nurse-Physician Collaborations: A Systematic Literature Reviewen
dc.title.alternativeInterprofessional Collaborationen
dc.contributor.authorHouse, Sherita L.en
dc.contributor.departmentRho Lambdaen
dc.author.detailsSherita L. House, RN, CCRN, sjohn356@yahoo.comen
dc.identifier.urihttp://hdl.handle.net/10755/620414-
dc.description.abstractSession presented on Tuesday, September 20, 2016: Significance and Background: Positive nurse–physician collaborations are essential to good patient care outcomes, such as decreased health care costs (Hughes & Fitzpatrick, 2010; Rose, 2011), length of stay (Tschannent & Kalisch, 2009), and hospital-acquired infections (Boev & Xia, 2015). By contrast, ineffective nurse–physician collaborations have been linked to poor patient care outcomes (Hughes & Fitzpatrick, 2010). The Institute of Medicine (IOM) recommends that health care professionals improve quality of care through increased trust, respectful communication, and good working relationships (Page, 2004). Positive nurse-physician collaborations can serve as an antidote for workplace incivility. The Theory of Relational Coordination (RC) is an excellent framework to assess nurse-physician collaboration in acute care settings. Methods and Analysis: A search in PubMed, CINAHL, and PsychInfo was conducted to identify empirical studies of nurse’s perceptions of nurse-physician collaborations. Inclusion criteria included: peer-reviewed and English-text journal articles published from 2000-2015. Articles were excluded if they examined nursing or medical students perceptions of nurse-physician collaborations. Findings and Implications: Fourteen quantitative studies and one qualitative study were included in this review. Team work, communication, and shared decision-making were common and recurring attributes of RN-MD collaboration.  Collaboration and coordination between nurses and physicians varied across hospital units. Similarly, nurses and physicians defined collaboration differently. On some units, nurses and physicians rated their collaborative interactions as less than optimal, and on other units, nurses and physicians reported high-quality collaborative interactions. Most studies (n =12) did not use a theoretical framework to examine nurse-physician collaborations and none of the studies used RC. Given this variability, future research studies would benefit from a standard definition of collaboration and a reliable, valid instrument to analyze nurse-physician collaboration across units. Furthermore, The RC survey can provide nurse leaders and managers with baseline knowledge of interdisciplinary collaboration among healthcare providers on their unit. Based on the results, interventions could be developed to improve interdisciplinary collaboration on their unit.en
dc.subjectRN-MD collaborationen
dc.subjectShared decision makingen
dc.subjectRelational Coordinationen
dc.date.available2016-09-16T14:25:50Z-
dc.date.issued2016-09-16-
dc.date.accessioned2016-09-16T14:25:50Z-
dc.conference.date2016en
dc.conference.nameLeadership Connection 2016en
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationIndianapolis, Indiana, USAen
dc.descriptionLeadership Connection 2016 Theme: Personal. Professional. Global. Held at the Marriott Downtown, Indianapolis.en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.