The Nurse Managers Role In Phy

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Collaboration 3 The nurse mangers role in creating a collaborative work environment The nurse manager is vital in creating an environment where nurse-physician collaboration can occur and is the expected norm. It is she, who clarifies the vision of collaboration, sets an example of and practices as a role model for collaboration. The nurse manager also supports and makes necessary changes in the environment to bring together all the elements that are necessary to facilitating effective nurse-physician collaboration. Many authors (Alpert, Goldman, Kilroy, & Pike, 1992; Baggs & Schmitt, 1997; Betts, 1994; Evans, 1994; Evans & Carlson, 1993; Keeman, Cooke, & Hillis, 1998; Jones, 1994) have indicated that nurse-physician collaboration is not widespread and a number of barriers exist. The following will discuss the necessary ingredients for creating a nursing unit that is conducive to nurse-physician collaboration and supported through transformational leadership. The first important barrier according to (Keenan et al., (1998) is concerned with how nurses and physicians have not been socialized to collaborate with each other and do not believe they are expected to do so. Nurse and physicians have traditionally operated under the paradigm of physician dominance and the physician's viewpoint prevails on patient care issues. Collaboration, on the other hand, involves mutual respect for each other's opinions as well as possible contributions by the other party in optimizing patient care. Collaboration (Gray, 1989) requires that parties, who see different aspects of a problem, communicate together and constructively explore their differences in search of solutions that go beyond their own limited vision of what is possible. Many researchers have argued (Betts 1994; Evans & Carlson, 1993; Hansen et al., 1999; Watts et al., 1995) Collaboration 4 that nurses and physicians should collaborate to address patient care issues, because consideration of both the professions concerns is important to the... ... middle of paper ... ...in Nursing & Health. 20(1), 71-80. Betts,V.T. (1994). Removing practice barriers. Health Systems Review. 27(3), 18-19. Cassidy, V.R. & Kroll, C.J. (1994). Ethical aspects of transformational leadership. Holistic Nursing Practice. 9(1), 41-47. Corley, M.C. (1998). Ethical dimensions of nurse-physician relations in critical care. Nursing Clinics of North America. 33(2), 325-335. Evans, J.A. (1994). The role of the nurse manager in creating an environment for collaborative practice. Holistic Nursing Practice. 8(3), 22-31. Evans, S.A. & Carlson, R. (1993). Nurse-physician collaboration: solving the nursing shortage crisis. Journal of the American College of Cardiology. 20(7), 1669-73. Gray, B. (1989). Collaborating: finding common ground for multiparty problems. San Francisco: Jossey-Bass. Hansen, H.E., Biros, N.H., Delaney, N.M., & Schug, V.L. (1999). Research utilization and interdisciplinary collaboration in emergency care. Academic Emergency Medicine. 6(4), 271-279. Heide, B.A., Goldman, L.D., Kilroy, C.M., & Pike, A.W. (1992). Seven Gryzmish: toward an understanding of collaboration. Nursing Clinics of North America. 27(1), 47-59.

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