As Leslie arrives in the room with Dr. Eastman he turns to her and says, "Since the patient is a female. I wanted you to be here for my examination of her. I also need to do a simple procedure that will require your assistance as I will be sterile and will need you to hand me instruments." Leslie nods and Dr. Eastman begins his exam, quickly followed by the sterile procedure. A few minute later, Leslie's text pager goes off and alerts her that her assistance is needed with one of her patients. She tells Dr. Eastman that she would be right back and immediately leaves the room to go check on her patient. However, the doctor is absorbed in the procedure and does not notice, The doctor then turns around to ask Leslie for an instrument and realizes that she is no longer in the room. He is quite upset but successfully completes his procedure. After completion of the procedure he goes to find his nurse. He finds her in a patient's room helping another nurse with patient care. Without hesitation he states "We need to talk," She stops. He approaches her at a rapid pace, backing her against the room wall. He is standing in front of her, close enough that she feels extremely uncomfortable. He puts his finger in her face and says quietly, "If you ever walk out on a procedure again, I will have you fired." Then he walks out. Leslie, her coworker, and the patient all stare at each other in awe. Leslie tries to continue her duties but it is evident from the tears now slowly streaming down her face that the incident has shaken her. Leslie has been traumatized by the doctor's misconduct. She is deeply upset, terrified at the thought of losing her job. However, what makes the situation worse is that the incident was witnessed by not only another co...
... middle of paper ...
...er, D.P., & Zimmerman, J.E. (1986). An evaluation of outcome from intensive care in major medical centers. Annals of Internal Medicine, 104(3), 410-418.
Leever, A., Hulst, M., Berendsen, A., Boendemaker, P., Roodenburg, J., & Pols, J. (2010). Conflicts and conflict management in the collaboration between nurses and physicians - A qualitative study. Journal Of Interprofessional Care, 24(6), 612-624.
Nelson, G., King, M., & Brodine, S. (2008). Nurse-physician collaboration on medical-surgical units. MEDSURG Nursing, 17(1), 35-40.
Tabak, N., & Orit, K. (2007). Relationship between how nurses resolve their conflicts with doctors, their stress and job satisfaction. Journal Of Nursing Management, 15(3), 321-331.
Ursiny, T. (2003). The coward's guide to conflict: Empowering solution for those who would rather run than fight. Naperville, Illinois: Sourcebooks.
...mental changes of transforming health care organizations to support interprofessional collaboration and interprofessional education will create a highly functional nursing workforce that is capable of working with other health care professionals to ensure successful health outcomes (Chan et al., 2010). Thus, Administrators and policymakers may use the research of this interprofessional framework to address the crucial need to implement the interprofessional collaboration recommendations to improve the knowledge and skills of interprofessional collaborative teams to coordinate patient-center care. Consequently, there must be collaborative trust and support among all stakeholders in order for interprofessional collaborative practice to advance and have an optimal impact on the quality of patient centered care, healthcare professionals and health care organizations.
Gordon makes a great argument about doctor and nurse relationship. She states that in fact “many doctors still consider nurses to be their handmaidens,” although they are supposed to work together as a te...
Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier University. Taylor, C. (2011). The 'Standard'. Introduction to Nursing -.
Leiter, M. P., Price, S. L., & Spence Laschinger, H. K. (2010). Generational differences in distress, attitudes, and incivility among nurses. Journal of Nursing Management, 18(8), 970-980. Doi: 10.1111/j.1365-2834.2010.01168.x
Though perpetuated through generic television skits, and nursing lore, poor communication does not solely or mainly occur between physician and nurse. According to Wolfle, 2007 (as cited in Arnold & Boggs, 2011), a number of authors have discovered that nurses share more animosity with other nurses.
Collaboration is an effort of multiple members of a healthcare team to achieve a desired outcome. It is partitive that in healthcare the goal of the patient is centered around the patient needs. Here should be open dialogue and shared decision making amongst all members of the healthcare team and the patient (Davis, 2010). Professional boundaries are the intimate nature of nursing and often present challenges as nurse’s share problems and difficulties with patients that can be quite stressful (ANA, 2010). When the nurse finds that professional boundaries are becoming endangered the nurse should seek assistance from peers or supervisors or seek to remove themselves from the situation (Olin,
Nursing is a unique system that requires good collaboration with others and working together to reach the goal of providing good quality care based on evidence-based-practice. “The role of a colleague is a vital one in any profession. The status of colleague within the care generates pictures of nurses, doctors, pharmacists discussing, on an equal basis, problems and concerns related to healthcare” (Zerwekh & Zerwekh Garneau, 2015, p.144). If nurses can’t get along with other healthcare providers that will jeopardize the patient’s recovery and can take a huge turning point and guide nurses away from providing high quality
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event, our mutual goal is to provide the appropriate care for the patients/residents so they can restore their health after their hip or knee surgery. In the nursing leadership and management textbook it stated “interprofessional practice removes the gatekeeper and allows client access to all caregivers based on expertise needed.” (Kelly & Crawford, 2013, p.35) In this event, my preceptor and I gained knowledge about Revera and will pass on this information to patients who are interested in staying at a retirement home after they discharge from the hospital. One literature talked about how according to the Institute of Medicine, it is critical to have the capacity to work together as part of the interdisciplinary team to assist in delivering high quality, patient-centered care. In addition, effective collaboration among health care professionals results in improved patient care and outcomes. (Wellmon, Gilin, Knauss & Linn, 2012) This indicates the importance of interprofessional collaboration to provide...
Nonviolent Conflict. New York: Columbia University Press, 2011. eBook Collection (EBSCOhost), EBSCOhost (accessed April 22, 2014).
As an advanced practice nurse (APN), one must interact with other medical professionals cooperatively and collaboratively to ensure the best outcomes for his or her patient population. Interprofessional collaboration happens when providers, patients, families, and communities work together to produce optimal patient outcomes (Interprofessional Education Collaborative Expert Panel, 2011). This type of teamwork and cooperation ensures that all of the providers caring for a patient act in a cohesive manner in which everyone including the patient plays a role in the management of the individual’s health. The purpose of this discussion is to evaluate interprofessional practice and provide the view of a
College of Nurses of Ontario,(2009).Practice Guidelines: Conflict prevention and management. Retrieved April 3, 2014 from http://www.cno.org/Global/docs/prac/47004_conflict_prev.pdf
Conflict has been an issue for man since the dawn of civilization. In today’s fast paced world conflict, especially in the workplace, is a frequent occurrence. When that workplace is a health care environment where lives are at stake, emotions run high and collaboration with many different disciplines is required conflict often becomes a prevalent part of everyday life. Conflicts in the workplace can lead to reduced morale, lowered productivity resulting in decreased patient care and can cause large scale confrontations (Whitworth 2008). In the field of nursing whether a conflict is with a peer, supervisor, physician, or a patient and their family, conflict management is a necessary skill.
Collaboration is the foundation to success in any team. In the healthcare setting, interprofessional collaboration (IC) has been a significant trademark among numerous highly successful innovations. Collaboration between nurses and other healthcare providers improves the quality of care, coordination, and communication between the team leading to increased patient safety. Working in a team to achieve common goals implies open communication, respect for others, mutual trust, and honesty. The purpose of this paper is to discuss the meaning of interprofessional collaboration, its implications for practice, describe the role of IC in the provision of patient and family-centered care,
Davenport, Joan M., Stacy Estridge, and Dolores M. Zygmont. Medical-surgical nursing. 2nd ed. Upper Saddle River, N.J.: Pearson Prentice Hall, 2008, 66-88.
Osborn, K. S., Wraa, C. E., Watson, A. B., & Holleran, R. (2014). Medical-surgical nursing: preparation for practice (2nd ed.). Boston: Pearson.