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In Sickness and In Health Physician-Nurse Collaboration

In Sickness and In Health Physician-Nurse Collaboration. Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine. Physician-Nurse Collaboration. Objectives: Recall factors that predict retention of RNs Understand how physician-nurse relationships affect this

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In Sickness and In Health Physician-Nurse Collaboration

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  1. In Sickness and In HealthPhysician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

  2. Physician-Nurse Collaboration Objectives: • Recall factors that predict retention of RNs • Understand how physician-nurse relationships affect this • Describe ways/efforts to improve this professional relationship

  3. Physician-Nurse Collaboration • “burnout” • “engagement” • “job satisfaction” • “retention”

  4. Physician-Nurse Collaboration Conceptual Framework for Predicting Nurse Retention Sawatzky JA, Enns CL. Exploring the key predictors of retention in emergency nurses. J NursManag. 2012 Jul;20(5):696-707.

  5. Physician-Nurse Collaboration Impacts many issues: including- • Job satisfaction/intention to leave • Patient outcomes, including LOS • Nursing engagement Autonomy plays a central role in this collaboration!!!!!!! Van Bogaert et al. 2009, Wieck et al. 2010, Cowan et al. 2008, Rafferty et al. 2001

  6. Physician-Nurse Collaboration “Power and authority have traditionally been used to preserve the dominance or hegemony of the medical profession in health care decision-making over other team members” Coombs & Ersser 2004

  7. Physician-Nurse Collaboration Fundamental to: • improved outcomes • error and risk reduction • optimum care/patient satisfaction Clough J, Forum, May 2008 Vol 26 Number 2 p1-2

  8. Physician-Nurse Collaboration Current “pressures” for MD/RN: • financial concerns • technology(i.e. EMR) • “pipeline” shortages of both

  9. Physician-Nurse Collaboration Pauly B, Varcoe C, Storch J, Newton L. Registered nurses' perceptions of moral distress and ethical climate. Nurs Ethics. 2009 Sep;16(5):561-73.

  10. Physician-Nurse Collaboration Puntillo KA, McAdam JL. Communication between physicians and nurses as a target for improving end-of-life care in the intensive care unit: challenges and opportunities for moving forward. Crit Care Med. 2006 Nov;34(11 Suppl):S337.

  11. Physician-Nurse Collaboration • COMMUNICATION!!!!!! • COMMUNICATION!!!!!! • COMMUNICATION!!!!!!

  12. Physician-Nurse Collaboration Puntillo KA, McAdam JL. Communication between physicians and nurses as a target for improving end-of-life care in the intensive care unit: challenges and opportunities for moving forward. Crit Care Med. 2006 Nov;34(11 Suppl):S333.

  13. Physician-Nurse Collaboration ??What can be done about this?? Competent performance and self confidence are the keys to clinical autonomy/collaborative working relations!! Sawatzky JA, Enns CL. Exploring the key predictors of retention in emergency nurses. J NursManag. 2012 Jul;20(5):696-707.

  14. Physician-Nurse Collaboration • Expertise • Autonomy • Responsibility • Interdependence • Deliberation • Dialogue

  15. Physician-Nurse Collaboration Successful collaboration = • Cooperation + • Shared responsibility + • Jointly formulate/carry out patient care plans + • Open communication + • Mutual respect

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