The effect of professionalism on the professional communication between nurses and physicians: A phenomenological study (original) (raw)
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International journal of nursing knowledge, 2015
The present study was conducted with the aim of clarifying and reducing the semantic ambiguities around the concept of professionalism. The concept analysis method of Walker and Avant was used. The analysis demonstrated that professionalism in nursing consists of three main pillars: principles of care, communication, and ethics. Given that the process of professionalism in nursing may have positive outcomes for the nurse, the nursing profession, and the health system of the community, these items have been attended to. The present concept analysis can open the way to conducting more extensive research and devising tools to identify the barriers, facilitators, and administrative arrangements by clarifying the concept.
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Purpose: Professional communication and professional values are two basic concepts in operating rooms and should be studied more closely in view of the nature of work, the high circulation of patients in operating rooms. Methods: The present work is a descriptive-analytic study with a cross-sectional design. The sample was 603 operating room doctors and personnel selected from the public hospitals of Shiraz. The data collection instruments were the 41-item professional communication questionnaire and the 26-item professional values scale.Result: Results shows the operating room nurses and doctors were found to perceive the status of professional communication and professional values to be satisfactory. About professional communications, the participants’ perception of the domains of mutual respect and trust (p≤0.001), teamwork (p≤0.001), ethical competence (p≤0.017), and workplace conflicts (p≤0.001) was significant. About professional values, only the dimension of care (p≤0.016) wa...
Effective Communication between Nurses and Doctors: Barriers as Perceived by Nurses
Journal of Nursing & Care, 2018
Effective communication among healthcare providers is the key driver for the success of the healthcare system. All the decisions related to patient care depend on effective communication among healthcare providers. Communication and teamwork are the backbones of the organization and helps to safeguard patients' safety. The study aimed to identify the contributing factors to the communication gap between doctors and nurses at selected private hospitals in Malaysia. The study used a qualitative method with an explorative and descriptive design to elicit the experience of 24 staff nurses from six private hospitals in Kuala Lumpur, Malaysia. A semi-structured interview was conducted to collect the data. The data were analysed using Colaizzi's method for thematic data analysis. The findings of the study suggested three categories as the factors to be responsible for the nurse-physician communication gap as perceived by nurses. The three categories are nurses work readiness; work environment and physician attributes. The respondents also suggested measures to overcome the communication barrier among nurses and physicians. In conclusion, a healthy nurse-physician communication is a vital factor in determining patient safety and quality of care.
Journal of Nursing Education and Practice
Introduction: The establishment of a healthy relationship between healthcare professionals is required for resolving healthcare issues. The professional relationship between physicians and nurses are quite decisive and vital factor for patient care. Therefore, the purpose of this study was to examine the quality of relationship between physicians and nurses in hospitals affiliated with Zanjan University of Medical Sciences, Iran.Methods: In this descriptive-analytic study, a cross-sectional method was used. Nurses working in hospitals affiliated with Zanjan University of Medical Sciences, Iran were selected randomly. A demographic data and a 32-item questionnaire related to the professional relationship between physicians and nurses were used for data collection. Of 160 nursing staff 96 nurses returned the questionnaire. Descriptive and analytical statistics were used for data analysis via the SPSS software.Results: About 75.8% of the nurses were female and 76.8% held a…
Professionalism among nurses working in a tertiary hospital
Journal of Patan Academy of Health Sciences
Introduction: Professionalism in nursing practice ensures safety and quality patient care. A high level of professionalism is essential for developing professional identity. The purpose of this study was to find out the nurses’ professionalism and professional identity. Method: A cross sectional analytical study was conducted in September 2021 among nurses of Patan Hospital. Data were collected using Snizek-Revised Professionalism Inventory and Adam’s Professional Identity Scale via online Google form and printed forms. Spearman’s rho test was used to analyze the correlation between professionalism and professional identity. The associations of professionalism and professional identity with personal characteristics of nurses were measured by Pearson’s Chi-square test. Result: A total of 386 nurses participated in the study. Of the participants, only 181(46.95%) had a membership in any nursing professional organization. A high level of professionalism was perceived by 205(53.1%) with...
Journal of Multidisciplinary Healthcare, 2021
Background: Nurse-physician communication remains a public health challenge in the health care setting of developing countries. Clear and respectful nurse-physician communication is very crucial for the health of the patients. Numerous studies have shown that inter-professional communication gaps are the leading cause of adverse medical events that compromise the quality of patient care in the clinical setting. Although it has negative consequences and wider effects on patient care, nurse-physician communication in patient care is rarely studied in Africa. In eastern Ethiopia, predictors of nurse-physician communication in patient care have not been studied. Therefore, this study was aimed to assess nurse-physician communication in patient care in public hospitals of Harari Regional State and Dire-Dawa city administration, Eastern Ethiopia. Methods: The multicenter-mixed methods (a quantitative cross-sectional and phenomenological qualitative) were conducted from March 07 to April 07, 2019 in public Hospitals of Eastern Ethiopia. A total of 440 nurses and physicians working in public hospitals in the Harari Regional State and Dire-Dawa administration were enrolled in the study. Participants were approached through a simple random sampling technique. Data were collected using a pretested, self-administered questionnaire and entered into Epi-Data version 3.1, and exported to STATA software (version SE 14) for further analysis. Descriptive statistics were carried out using frequency tables, proportions, and summary measures. Multivariable logistic regression analysis was carried out to identify the true effects of the selected predictor variables on the outcome variable after controlling for possible confounders. Statistical significance was declared at p-value <0.05. Qualitative data were collected from 10 key informants using a semi-structured questionnaire and analyzed using statistical software, Open Code (version 4.2) by thematic analysis method. Results: Overall, the magnitude of the level of nurse-physician communication in patient care was found to be 53.2% [95% CI (48.9-58.0)]. In the final model of multivariable analysis, being in the age group of 31-40 [(AOR=0.42, 95% CI (0.25-0.72)], ever married nurse or physician [(AOR=2.28, 95% CI(1.41-3.69)], being a nurse professional [AOR=2.36, 95% CI (1.23-4.54)], a salary class of 2250-3562ETB [(AOR=0.25, 95% CI (0.08-0.84)], higher score for organizational related factors [(AOR=0.58, 95% CI (0.36-0.92)], and higher score for work-related attitude behaviors [(AOR=0.62, 95% CI(0.39-0.984)] were factors independently associated with the poor level of nurse-physician communication in patient care. In the qualitative findings, unattractive working environments and
Effective Communication Among Doctors and Nurses: Barriers as Perceived by Doctors
The Malaysian Journal of Nursing
Background: Hospital medicine is characterized as a multifaceted team-based activity with a necessity for a high level of accuracy, timely, and reliable communication. Effective communication among healthcare providers is the key to successful collaboration within the healthcare system. Effective communication can improve patient safety, job satisfaction, and reduce burn out syndrome among nurses. The purpose of the study was to identify the factors contributing to the competency gap between and doctors in four private hospitals in Malaysia. Method: The study used a descriptive qualitative design to elicit the experience of 15 doctors from three private hospitals. A semi-structured interview was conducted to collect the data. The data were analyzed using Colaizzi's method for thematic data analysis. Results: The findings of the study suggested three main categories as the factors contributing to the communication gap among nurses and doctors as perceived by specialist doctors. The three categories include nurses training attributes, graduate nurse attributes, and work environment attributes. The nurses training attributes include entry requirements for student's recruitment into the nursing program, undergraduate training process, and assessment of student nurses. The graduate nurse's attributes had nine elements. The elements include a post-registration thirst for knowledge, medical English knowledge, self-confidence, stress management skills, critical thinking, and clinical judgment skills, perceived power on the authority of doctors, passion to work, time management skills as well as stress and personal factors of nurses. The working environment attributes included workload of nurses, teamwork among nurses Preceptorship, and appreciation of nurses by the organization. The informants also suggested measures to overcome the competency gaps among nurses. Conclusion: In conclusion, the nurse's communication competency is a vital factor in determining patient safety and quality of care. The quality of nursing care has a significant impact on the image of any health care organization. Therefore, it is crucial to identify the factors contributing to poor communication among nurses and doctors and to initiate interventions to fill the communication gap.
Background: Nurse–physician communication has been shown to have a significant impact on the job satisfaction and retention of staff. In areas where it has been studied, communication failure between nurses and physicians was found to be one of the leading causes of preventable patient injuries, complications, death and medical malpractice claims. Objective: The objective of this study is to determine perception of nurses and physicians towards nurse-physician communication in patient care and associated factors in public hospitals of Jimma zone, southwest Ethiopia. Methods: Institution based cross-sectional survey was conducted from March 10 to April 16, 2014 among 341 nurses and 168 physicians of public hospitals in Jimma zone. Data was collected using a pre-tested self-administered questionnaire. Data was entered into EpiData version 3.1 and exported to Statistical Package for Social Sciences (SPSS) version 16.0 for analysis. Factor analysis was carried out. Descriptive statistics, independent sample t-test, linear regression and one way analysis of variance were used. Variables with P-value < 0.05 were considered as statistically significant. Results: The response rate of the study was 91.55%. The mean perceived nurse-physician communication scores were 50.88±19.7% for perceived professional respect and satisfaction, and 48.52±19.7% for perceived openness and sharing of patient information on nurse-physician communication. Age, salary and organizational factors were statistically significant predictors for perceived respect and satisfaction. Whereas sex, working hospital, work attitude individual factors and organizational factors were significant predictors of perceived openness and sharing of patient information in nurse-physician communication during patient care. Conclusion: Perceived level of nurse-physician communication mean score was low among nurses than physicians and it is attention seeking gap. Hence, the finding of our study suggests the need for developing and implementing nurse-physician communication improvement strategies to solve communication mishaps in patient care. KEY WORDS: Communication, Nurse-Physician, Nurse-Physician Communication, Perceived Nurse-Physician Communication
Professionalism in Nursing: An Integrative Review of the Literature
Journal of Holistic Nursing and Midwifery, 2023
Professionalism in nursing is a fundamental concept for providing effective and high-quality nursing care. Due to the complexity and multiple sides of this concept, it lacks a clear and precise definition. This ambiguity has created different and even poor interpretations of meanings and characteristics, making its accurate measurement difficult. Objective: This study aims to review the literature to provide the definition and attributes of "professionalism in nursing" and formulate a conceptual model for it. Materials and Methods: In the present study, the integrated review method was used in five stages: Specifying the problem, searching the literature, evaluating and extracting data, analyzing data, and presenting the results. The studies published in English or Persian were searched in international databases, such as CINAHL, EBSCO, PubMed, ProQuest, The Cochrane Library, EMBASE, SAGE, Science Direct, and Google Scholar search engine, as well as national databases, including SID, MagIran, IranDoc, and the medical sciences theses search engine. Results: After reviewing and analyzing 54 studies (17 qualitative studies, 27 quantitative studies, 4 mixed-method studies, 4 review studies, and 2 guidelines), the definition, attributes, antecedents, and consequences of "professionalism in nursing" were stipulated. The attributes included academic specialized knowledge, continuous pursuit of competence, autonomy, professional commitment, professional interaction, accountability, adherence to ethical principles and values, and advocacy. The antecedents were personal/occupational, organizational, and social factors. The consequences were individual and social outcomes. Conclusion: The results of integrative review of the literatures showed professionalism in nursing has evolved and encompassed new attributes and dimensions. Due to the comprehensiveness of the provided conceptual model, it can be used to design a tool to evaluate the professional qualities of nurses in their jobs.