Nurses' perceptions of the dynamics and impacts of teamwork with physicians in labour and delivery.
Interprofessional teamwork is touted as essential to positive patient, staff, and organizational outcomes. However, differing understandings of teamwork and divergent professional cultures amongst healthcare providers influence the success of teamwork. In labour and delivery, nurse-physician teamwor...
| Publicado en: | Journal of Interprofessional Care Vol. 39; no. 4; pp. 556 - 567 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul/Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186746199&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186746199 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561820 57N jtl: Journal of Interprofessional Care issn: 13561820 maglogo: Y pubinfo: dt: Jul/Aug2025 vid: 39 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 186746199 186746199 186746199 10.1080/13561820.2018.1562422 186746199 ppf: 556 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Nurses' perceptions of the dynamics and impacts of teamwork with physicians in labour and delivery. aug: au: Gleddie, Megan Stahlke, Sarah Paul, Pauline affil: University of Alberta, Edmonton Clinic Health Academy, Edmonton, Alberta, Canada sug: subj: Perinatal Nurses Psychosocial Factors Nurse Attitudes Power Physicians Interprofessional Relations Teamwork Labor Delivery, Obstetric Human Canada Female Adult Physicians, Family Obstetricians Anesthesiologists Neonatologists Interns and Residents Patient Safety Family Centered Care Maternal Health Services Ethnographic Research Decision Making, Clinical Respect Autonomy Communication Trust Professional Recognition Intention Personnel Retention Ethics, Nursing Pregnancy Outcomes Thematic Analysis Labor and Delivery Nurses Psychosocial Factors Adult: 19-44 years Female ab: Interprofessional teamwork is touted as essential to positive patient, staff, and organizational outcomes. However, differing understandings of teamwork and divergent professional cultures amongst healthcare providers influence the success of teamwork. In labour and delivery, nurse-physician teamwork is vital to safe, family-centered maternity care. In this focused ethnography, the perceptions of obstetrical nurses were sought to understand nurse-physician teamwork and the features that facilitate or impede it. These nurses acknowledged working in a normative hierarchy, with physicians ultimately responsible for patient care decision-making. They described myriad ways in which they navigated traditional power dynamics and smoothed working relationships with physicians, such as circumventing disrespectful behaviors, venting with each other, highlighting their own autonomy, using tactical communication, and managing unit resources. According to these nurses, key facilitators of functional nurse-physicians relationships were time, trust, respect, credibility, and social connection. Further, the nature of their working relationships with physicians influenced their perceptions regarding intent to stay, workplace morale, and patient outcomes. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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