ashley deal university of central florida. nurse physician communication in the acute care setting...
TRANSCRIPT
IMPROVING NURSE-PHYSICIAN
COMMUNICATIONTHROUGH COLLABORATIVE
COMMUNICATION
Ashley DealUniversity of Central Florida
Background
Nurse Physician communication in the acute care setting is one of the key components of a healthy work environment and allows for improved patient care and nursing satisfaction
Background
One of the AACN’s Standards for creating a health work environment is Skilled Communication.
“Nurses must be as proficient in communication skills as they are in clinical skills” (AACN, 2005)
One of the elements of skilled communication focuses on seeking to “protect and advance collaborative relationships among colleagues” including physicians (AANP, 2005).
“Communication between nurses and physicians is the one
factor that is most associated with excess hospital mortality”(Manojlovich & DeCicco, 2007).
Background
Nurse physician communication is vital to ensuring safe and quality patient care
Effective nurse physician communication improves nursing job satisfaction and also decreases burn out syndrome among nurses (Kadda, 2013)
Also allows for decreased job stress.
What are the barriers to effective
communication between nurses and
physicians?
Barriers
Communication involves two parities and in this case nurses and physicians are the parties being examined
There are barriers on both the nurses side and the physicians side that hinder effective communication
Barriers
Hierarchical authority structure Sexism Experience Support from management lack of formal training or education on
effective communication Ineffective leadership
Role of the Nurse Leader
The nurse leader needs to be proficient at skilled communication in order to set an example for their team
The nurse leader should allow for education or training sessions for staff in skilled communication and effective nurse-physician communication
The nurse leader needs to provide support to staff and act as a liaison between staff nurses and physicians
Nurse Leader
Nurse leaders and management play in an important role in providing information and communicating to allow for effective care coordination and to avoid unsafe care and errors (Huber, 2010).
Role of the Nurse Leader
Improve the leadership team’s ability to exercise shared leadership in promotion of collaborative relationships among all nurses and physicians
Enhance or modify individual and team collaborative communication behaviors and processes, including open, timely, and accurate communication; enhanced team coordination; improved interdisciplinary problem (Boyle & Kochinda, 2004).
Alternative Solutions
Utilizing the SBAR communication tool Situation Background Assessment Recommendation
Research shows that SBAR dose not allow for complete communication of key information (Joffe, 2013)
Solution
Collaborative communication nursing and physician leaders create the
environment for collaborative communication among healthcare providers, and collaborative communication is associated with positive patient, nurse, and physician outcomes ((Boyle & Kochinda, 2004))
Solution
Collaborative communication allows for nurses and physicians to effectively communicate with one another
Collaboration allows nurses to have a voice in their patients care
Implementation
Multidisciplinary rounds Allows for nurses and physicians to discuss
patients together and provides nurses a voice in patient care
“Nurse-physician rounds have the potential to improve relationships between caregivers, and
positively affect communication and perception of patient care. Greater
understanding may contribute to safer medical care and more satisfied patients” (Burns,
2011)
Implementation
Collaborative meeting Allowing a time for nurses and physicians to
meet in an organized and professional manner to address concerns of communication between nurses and physicians
Nurse leaders and management should also be involved to assist in facilitating positive communication and outcomes
Review negative communication situations and create plans to avoid repeating the same mistakes
Evaluation
Evaluation would be based on nursing satisfaction of communication between nurses and physicians
Improved communication should also yield improved patient care and decreased errors
ReferencesAmerican Association of Critical-Care Nurses (2005). AACN STANDARDS FOR ESTABLISHING AND
SUSTAINING HEALTHY WORK ENVIRONMENTS. Retrieved March 30, 2014, from
http://www.aacn.org/WD/HWE/Docs/HWEStandards.pdf
Boyle, D., & Kochinda, C. (2004). Enhancing collaborative communication of nurse and
physician leadership in two intensive care units. The Journal Of Nursing
Administration, 34(2), 60-70. Burns, K. (2011). Professional Issues. Nurse-Physician Rounds: A Collaborative Approach To
Improving Communication, Efficiencies, and Perception of Care. MEDSURG
Nursing, 20(4), 194-199.
Joffe, E., Turley, J. P., Hwang, K. O., Johnson, T. R., Johnson, C. W., & Bernstam, E. V. (2013).
Evaluation of a Problem-Specific SBAR Tool to Improve After-Hours Nurse-
Physician Phone Communication: A Randomized Trial. Joint Commission Journal On
Quality & Patient Safety, 39(11), 495-501.
References
Kadda, O. (2013). Effective Physician - Nurse
communication. Health Science Journal, 7(4), 237-238.
Manojlovich, M., & DeCicco, B. (2007). Healthy work
environments, nurse-physician communication, and patients'
outcome. American Journal Of Critical Care, 16(6), 536-543.
Robinson, F., Gorman, G., Slimmer, L., & Yudkowsky, R. (2010).
Perceptions of effective and ineffective nurse-physician
communication in hospitals. Nursing Forum, 45(3), 206-216.
doi:10.1111/j.1744-6198.2010.00182.x