Understanding collaboration between nurses and physicians as knowledge at work.
BACKGROUND: Collaboration between nurses and physicians is linked to positive outcomes for patients, especially in the intensive care unit. However, effective collaboration poses challenges because of traditional barriers such as sex and class differences, hierarchical organizational structures in h...
| Published in: | American Journal of Critical Care Vol. 16; no. 5; pp. 470 - 479 |
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| Main Authors: | , |
| Format: | CEU exam questions research Journal Article |
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American Association of Critical-Care Nurses
Sep2007
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106180587&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106180587 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Sep2007 vid: 16 iid: 5 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 106180587 2009663068 10.4037/ajcc2007.16.5.470 NLM17724244 106180587 ppf: 470 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Understanding collaboration between nurses and physicians as knowledge at work. aug: au: Stein-Parbury J Liaschenko J affil: Professor, Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, and the South Eastern Sydney Illawarra Area Mental Health Service, New South Wales, Australia sug: subj: Collaboration Critical Care Critical Care Nursing Knowledge Nurse-Physician Relations Academic Medical Centers Adult Audiorecording Australia Communication Confusion Data Analysis Education, Continuing (Credit) Ethnographic Research Field Notes Interviews Knowledge Classification Nurse Attitudes Evaluation Nursing Assessment Nursing Knowledge Organizational Culture Participant Observation Patient Assessment Purposive Sample Qualitative Studies Registered Nurses Students, Medical Triangulation Human Adult: 19-44 years ab: BACKGROUND: Collaboration between nurses and physicians is linked to positive outcomes for patients, especially in the intensive care unit. However, effective collaboration poses challenges because of traditional barriers such as sex and class differences, hierarchical organizational structures in health-care, and physicians' belief that they are the final arbiter of clinical decisions. OBJECTIVE: To further analyze the results of an investigation on how intensive care unit culture, expressed through everyday practices, affected the care of patients who became confused. METHODS: A model of the types of knowledge (case, patient, and person) used in clinical work was used to analyze the breakdown in collaboration detected in the original study. RESULTS: Breakdown of collaboration occurred because of the types of knowledge used by physicians and nurses. Certain types of knowledge were privileged even when not applicable to the clinical problem, whereas other types were dismissed even when applicable. CONCLUSION: Viewing collaboration through the conceptual lens of knowledge use reveals new insights. Collaboration broke down in the specific context of caring for patients with confusion because the use of case knowledge, rather than patient knowledge, was prominent in the intensive care unit culture. pubtype: Academic Journal doctype: CEU exam questions research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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