In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of...
-
Upload
melinda-purcell -
Category
Documents
-
view
215 -
download
1
Transcript of In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of...
![Page 1: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/1.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/2.jpg)
![Page 3: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/3.jpg)
![Page 4: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/4.jpg)
![Page 5: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/5.jpg)
![Page 6: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/6.jpg)
![Page 7: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/7.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/8.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/9.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/10.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/11.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/12.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/13.jpg)
![Page 14: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/14.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/15.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/16.jpg)
![Page 17: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/17.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/18.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/19.jpg)
![Page 20: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/20.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/21.jpg)
![Page 22: In Sickness and In Health Physician-Nurse Collaboration Karen E. Johnson, MD Associate Professor of Pediatrics Baylor College of Medicine.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/22.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/23.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/24.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022070308/551c3f845503467b488b4a5a/html5/thumbnails/25.jpg)