in sickness and in health physician-nurse collaboration karen e. johnson, md associate professor of...

25

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

Upload: melinda-purcell

Post on 02-Apr-2015

214 views

Category:

Documents

1 download

Report

Download

Tags:

Embed Size (px):

TRANSCRIPT

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

In Sickness and In HealthPhysician-Nurse Collaboration

Karen E. Johnson, MD

Associate Professor of Pediatrics

Baylor College of Medicine

Page 2: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Page 3: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Page 4: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Page 5: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Page 6: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Page 7: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Physician-Nurse Collaboration

Objectives:

1) Recall factors that predict retention of RNs

2) Understand how physician-nurse relationships affect this

3) Describe ways/efforts to improve this professional relationship

Page 8: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Physician-Nurse Collaboration

• “burnout”• “engagement”

• “job satisfaction”• “retention”

Page 9: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Physician-Nurse Collaboration

Conceptual Framework for Predicting Nurse Retention

Sawatzky JA, Enns CL. Exploring the key predictors of retention in emergency nurses. J Nurs Manag. 2012 Jul;20(5):696-707.

Page 10: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Van Bogaert et al. 2009, Wieck et al. 2010, Cowan et al. 2008, Rafferty et al. 2001

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!!!!!!!

Page 11: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Coombs & Ersser 2004

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”

Page 12: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Clough J, Forum, May 2008 Vol 26 Number 2 p1-2

Physician-Nurse Collaboration

Fundamental to:

1) improved outcomes

2) error and risk reduction

3) optimum care/patient satisfaction

Page 13: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Page 14: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Physician-Nurse Collaboration

Current “pressures” for MD/RN:

1) financial concerns

2) technology(i.e. EMR)

3) “pipeline” shortages of both

Page 15: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

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.

Physician-Nurse Collaboration

Page 16: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Page 17: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

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.

Physician-Nurse Collaboration

Page 18: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Physician-Nurse Collaboration

• COMMUNICATION!!!!!!

• COMMUNICATION!!!!!!

• COMMUNICATION!!!!!!

Page 19: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Page 20: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

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.

Page 21: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Page 22: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

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 Nurs Manag. 2012 Jul;20(5):696-707.

Page 23: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Physician-Nurse Collaboration

• Expertise

• Autonomy

• Responsibility

• Interdependence

• Deliberation

• Dialogue

Page 24: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Physician-Nurse Collaboration

Successful collaboration =• Cooperation +• Shared responsibility +• Jointly formulate/carry out patient care

plans +• Open communication +• Mutual respect

Page 25: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine

Industrial Sickness

Pneumonia in the Critical Care Setting Laura Loftis, M.D., M.S. Associate Professor of Pediatrics and Medical Ethics Baylor College of Medicine

From the NICU to Primary Care: Improving the Quality of the Transition Virginia A. Moyer, MD, MPH Professor of Pediatrics, Baylor College of Medicine Chief,

Baylor College of Medicine Department of Pediatrics 2017...flooding and couldn’t resume normal “Everybody on the administrative side of Texas Children’s is really committed to

Stuart L. Goldstein, MD Professor of Pediatrics Baylor College of Medicine Pediatric Acute Kidney Injury and Biomarkers 6th PCRRT Conference, Rome 2010

David F. Vener, M.D. Database Coordinator Congenital Cardiac Anesthesia Society Assoc. Professor of Pediatrics and Anesthesiology Baylor College of Medicine/Texas

Welcome to Baylor Scott & White Hillcrest...• Is responsible for maintaining the integrity, safety and efficiency of the sterile field ... • General, GYN, and Oncology • Pediatrics

Genome-wide association and functional studies identify 46 ... · Brisbane, QLD 4006, Australia. 46. Department of Pediatrics/Nutrition, Baylor College of Medicine, 1 Baylor Plaza,

Pediatric Acute Renal Failure: CRRT/Dialysis Outcome Studies Stuart L. Goldstein, MD Assistant Professor of Pediatrics Baylor College of Medicine

Houston Special Needs Primary Care Clinic · Houston Special Needs Primary Care Clinic Carl Tapia, MD, MPH, FAAP Assistant Professor of Pediatrics Baylor College of Medicine ... transition

Department of Pediatrics Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas Parental Experience: Diagnostic Dilemma with congenital

HONEY CHILD PROJECT - University of Texas System Red...HONEY CHILD PROJECT Charleta Guillory, MD, FAAP Associate Professor of Pediatrics Baylor College of Medicine Associate Director

Psychology Section Department of Pediatrics Baylor … Pre-Doctoral Psychology Internship Texas Children’s Hospital Psychology Internship Psychology Section Department of Pediatrics

Frank X. Placencia, M.D. Department of Pediatrics Baylor College of Medicine Texas Childrens Hospital Familial Consequences of Providing Long-Term Care

What’s Your Diagnosis?? Ben Taub Float Department of Pediatrics Baylor College of Medicine August 20, 2007

Baylor College of Medicine Department of Pediatrics...Today, Baylor College of Medicine faculty members based at Texas Children’s edit the major textbooks used worldwide to train

Baylor Scott & White Health Baylor University Medical ...... · Baylor Scott & White Health . Baylor University ... largest not-for-profit medical centers in the ... White Health

Arlington Pediatrics, Ltd. - Home - Arlington Heights, ILarlingtonpediatrics.com/files/2014/07/Your-Childs... · Chronic sickness or medical condition in the child or another family

Motion sickness in carspublications.lib.chalmers.se/records/fulltext/162898.pdf · sickness, car sickness, air sickness, space sickness, travel sickness and simulator sickness. If

Update on Rhinosinusitis 2013 AAP Guidelines Review...Professor, Surgery and Pediatrics, Baylor College of Medicine Update on Rhinosinusitis 2013 AAP Guidelines Review CDC: Acute Rhinosinusitis

Psychology Section Department of Pediatrics Baylor College ...media.bcm.edu/documents/2017/a1/np...of this brochure). Fellows may also participate in multidisciplinary clinics/staffings

Parenteral Nutrition in Infants and Children - … · Invited Review Parenteral Nutrition in Infants and Children Robert J. Shulman and Sarah Phillips Department of Pediatrics, Baylor

Baylor College of Medicine Department of Pediatrics 2016 · 2020-01-16 · 2 Department of Pediatrics 2016 Annual Report Department of Pediatrics 2016 Annual Report 3 Welcome Welcome

Emerging Trends in Procedural Sedation - SOHM … · Emerging Trends in Procedural Sedation Krista Preisberga, MD Assistant Professor of Pediatrics Baylor College of Medicine

Systematic Reviews and the American Academy of Pediatrics Virginia A. Moyer, MD, MPH Professor of Pediatrics Baylor College of Medicine

Pediatric CRRT: The Prescription Stuart L. Goldstein, MD Associate Professor of Pediatrics Baylor College of Medicine

Family Teamwork and Type 1 diabetes Barbara J. Anderson, Ph.D. Professor of Pediatrics Associate Head, Psychology Section Baylor College of Medicine Texas

Case Study: Jennifer and James Amy B. Middleman, MD, MSEd, MPH Assistant Professor, Department of Pediatrics, Adolescent Medicine Section, Baylor College

From Baylor to Baylor

American Academy of Pediatrics Section on Emergency Medicine September 12, 2010 Charles G Macias MD, MPH Baylor College of Medicine- Texas Children’s Hospital

Clinical Hypnosis Caroyl Gilbert, RN, MSN, CPNP-PC Baylor College of Medicine Department of Pediatrics Gastroenterology, Hepatology, and Nutrition

Psychology Section Department of Pediatrics Baylor College of … · 2015-10-27 · 5 Within this rotation, fellows will have the opportunity to engage in psychological, behavioral,

Congestive Heart Failure in Children - relaped.com · Congestive Heart Failure in Children Jack F. Price, MD* *Department of Pediatrics, Baylor College of Medicine, and Advanced Heart

Kim Newman, BSN, RN, CIC Baylor Scott & White Baylor ... · Baylor Scott & White –Baylor University Medical Center Dallas ([email protected]) Kim Newman has nothing

Pediatric CRRT: The Prescription Stuart L. Goldstein, MD Professor of Pediatrics Baylor College of Medicine