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Sellman, Derek. "If nurses nurse, why don't doctors doctor?" Nursing Philosophy 16, nr 2 (6.03.2015): 75–76. http://dx.doi.org/10.1111/nup.12081.
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Fagin, Leonard, i Antony Garelick. "The doctor–nurse relationship". Advances in Psychiatric Treatment 10, nr 4 (lipiec 2004): 277–86. http://dx.doi.org/10.1192/apt.10.4.277.
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In this article on getting on with colleagues in the workplace we explore how the nurse–doctor relationship in psychiatry has evolved and discuss its current status in both the in-patient ward and community mental health teams. In particular, we outline the changed roles and expanding responsibilities of nurses in the UK today. We suggest ways in which doctors can improve the relationship and give areas of possible future collaboration between doctors and nurses.
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Pantha, Sandesh, Martin Jones, Nompilo Moyo, Bijaya Pokhrel, Diana Kushemererwa i Richard Gray. "Association between the Quantity of Nurse–Doctor Interprofessional Collaboration and in-Patient Mortality: A Systematic Review". International Journal of Environmental Research and Public Health 21, nr 4 (17.04.2024): 494. http://dx.doi.org/10.3390/ijerph21040494.
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The level of nurse–doctor interprofessional collaboration may influence patient outcomes, including mortality. To date, no systematic reviews have investigated the association between the quantity of nurse–doctor interprofessional collaboration and inpatient mortality. A systematic review was conducted. We included studies that measured the quantity of nurse–doctor interprofessional collaboration and in-patient mortality. Five databases (MEDLINE, EMBASE, PsycINFO, CINAHL, and the Cochrane Register) were searched. Two researchers undertook the title, abstract, and full-text screening. The risk of bias was determined using the Effective Public Health Practice Project (EPHPP) critical appraisal tool. Six reports from three observational studies met the inclusion criteria. Participants included 1.32 million patients, 29,591 nurses, and 191 doctors. The included studies had a high risk of bias. Of the three studies, one reported a significant association and one found no association between the quantity of nurse–doctor collaboration and mortality. The third study reported on the quantity of nurse–doctor collaboration but did not report the test of this association. We found no high-quality evidence to suggest the amount of nurse–doctor interprofessional collaboration was associated with mortality in medical and surgical inpatients. There is a need for further high-quality research to evaluate the association between the amount of nurse–doctor collaboration and patient outcomes.
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Rahayu, Margareta Linda Puji, Idawati Manurung, Merah Bangsawan i Yuni Astini. "Hubungan Komunikasi Perawat Dan Dokter Dengan Kinerja Perawat Perioperatif". Malahayati Nursing Journal 4, nr 6 (1.06.2022): 1412–25. http://dx.doi.org/10.33024/mnj.v4i6.6585.
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ABSTRACT Nurses and doctors really expect good collaboration in their daily work and this shows strong interprofessional interaction and collaboration. Until now, the communication between nurses and doctors has not reached a good level. The purpose of this study was to determine the relationship between nurse and doctor communication with perioperative nurse performance. The research design was cross-sectional, quantitative analytic using total sampling technique, namely perioperative nurses 60 respondents at Yukum Medical Center Hospital, Lampung 2021. Statistical test with chi square test. The results of this study indicate that the average value of nurse and doctor communication and the average performance of nurses, were good, there was a relationship between nurse-doctor communication with nurse performance, with a p value of 0.00, with OR, 45. In conclusion, there was relationship between nurse-physician communication with perioperative nurse performance. More better communication nurse-doctor, more opportunities for better nurse performance. Good communication between nurses and doctors will provide a good working atmosphere and this will further improve the performance of nurses. Suggestions, improvement of nurse doctor communication is done by prioritizing verbal and direct communication. Communication via telephone and social media should only be supportive and of an emergency nature and immediately followed up with direct verbal communication. Improved non-verbal communication in interprofessional collaborative practice can be enhanced by application of integrated patient progress records or documentation. Keywords: Communication, Nurse, Doctor, Performance ABSTRAK Perawat dan dokter sangat mengharapkan kerjasama yang baik dan dalam kerja sehari-hari dan ini menunjukkan interaksi dan kolaborasi antar interprofesioanl yang kuat. Komunikasi antara perawat dan dokter sampai saat ini belum sampai taraf yang baik. Tujuan dari penelitian ini mengetahui hubungan komunikasi perawat dan dokter dengan kinerja perawat perioperatif. Desain penelitian analitik crosssectional, kuantitatif dengan menggunakan teknik total sampling, yaitu perawat perioperatif 60 responden di Rumah Sakit Yukum Medical Center, Lampung 2021. Uji statistika dengan uji chi square. Hasil penelitian ini menunjukan rata-rata nilai komunikasi perawat dan dokter baik dan rata-rata kinerja perawat, ada hubungan antara komunikasi perawat-dokter dengan kinerja perawat, dengan nilai p value 0.00, dengan OR 45. Kesimpulan, ada hubungan antara Komunikasi perawat-dokter dengan kinerja perawat perioperatif. semakin baik komunikasi, semakin membuat peluang kinerja perawat baik. Komunikasi yang baik antara perawat-dokter akan memberi suasana kerja baik dan ini akan semakin meningkatkan kinerja perawat. Saran, perbaikan komunikasi perawat dokter dilakukan dengan lebih memprioritaskan komunikasi verbal dan langsung. Komunikasi melalui telepon dan media sosial sebaiknya hanya penunjang dan bersifat darurat dan segera ditindaklanjuti dengan komunikasi verbal secara langsung. Peningkatan komunikasi dalam non verbal dalam praktik kolaborasi interprofesional dapat ditingkatkan dengan penerapan catatan perkembangan pasien terintegrasi atau dokumentasi. Kata Kunci: Komunikasi, Perawat, Dokter, Kinerja
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Liu, Zhe, Junying Xiang, Fangjing Luo, Xiaoli Hu i Ping Luo. "The Study of Maslow’s Hierarchy of Needs Theory in the Doctor-Nurse Integration Teaching Method on Clinical Interns". Journal of Healthcare Engineering 2022 (18.04.2022): 1–4. http://dx.doi.org/10.1155/2022/6388068.
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The student’s attitude towards the doctor-nurse integrated teaching model and Maslow’s hierarchy of needs theory is an important topic in clinical teaching. In this study, choosing 134 intern doctors and practice nurses who intern from January to December 2020. 67 students are selected as the control group, and the traditional interns teaching mode is adopted. 67 students are selected as the experimental group and Maslow’s hierarchy of needs theory to apply in the doctor-nurse integrated teaching mode. The results show that the doctor-nurse integrated teaching model are accepted by most students, and the application of Maslow’s hierarchy of needs theory in the clinical interns has advantages over the traditional model.
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Leng, Shirie. "Dr. Nurse, Nurse Doctor". Academic Medicine 88, nr 11 (listopad 2013): 1613. http://dx.doi.org/10.1097/acm.0b013e3182a7eeef.
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Dulahu, Wirda Y., Dewi Suryaningsi Hiola, Cindy Puspita Sari Haji Jafar, Andi Mursyidah, Sitti Fatimah M. Arsad, Rozianti H. Biya i Saskia Praditya. "Nurse-Doctor Interprofessional Collaboration In Hospital: Study Description". JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) 5, nr 1 (30.10.2022): 98–109. http://dx.doi.org/10.35451/jkf.v5i1.1298.
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Interprofessional collaboration is a partnership between professions who have different educational backgrounds and work together to solve patient health problems and provide needed health services. Interprofessional collaboration carried out by various health care professionals is an efficient and effective strategy in improving service quality. Interprofessional collaboration is also needed to increase satisfaction and create good quality health services.
The method in this study is a quantitative descriptive survey. Data collection by interview method, measurement by NPCS (nurse-physicians collaboration scale). The sample of this research are nurses and doctors in RSUD Toto Kabila. This activity was carried out by 3 lecturers and 1 partner for about 4 months. Nurse-doctor interprofessional collaboration according to the perception of nurses at the Toto Kabila General Hospital, the results obtained from 129 nurses, a total of 117 (90.3%) nurses rated the doctor's collaborative behavior in the good category and a number of 12 (9.3%) nurses rated the doctor's collaborative behavior in the moderate category. Interprofessional collaboration nurse-doctor according to the perception of doctors at Toto Kabila Hospital showed that most of the respondents, namely 11 (84.6%) respondents considered nurses to carry out interprofessional collaboration well and as many as 2 (15.4%) respondents considered the interprofessional collaboration of nurses sufficient. The results showed that Interprofessional Collaboration between nurses and doctors mostly showed good results but there were still some that were still lacking in implementation so that it was necessary to increase interprofessional collaboration for all aspects of service in hospitals because with good collaboration it will create good quality health services.
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L., J. F. "ADVANCED NURSING PRACTICES ARE INVADING DOCTORS' TURF". Pediatrics 93, nr 3 (1.03.1994): 388. http://dx.doi.org/10.1542/peds.93.3.388.
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When Margaret Manchester was training to be a nurse, she was taught to stand up whenever a doctor entered the room and to offer him her chair. But nurses are no longer handmaidens to the medical profession... Pat Moccia, chief executive of National League for Nursing, said: "What I think we're going to see in the future is that the family doctor is going to be a nurse practitioner. That's where we're headed, as doctors get more specialized, and advanced-practice nurses take over more routine care... But what the nursing groups see as the natural evolution of health care the American Medical Association sees as a growing danger... A 1986 report by the Office of Technology Assessment, an investigative arm of Congress, estimated that 60 to 80 percent of the basic health care performed by doctors could be done by nurses with the same results, at a lower cost. And earlier this year the American Nurse Association released a study comparing care by doctors and nurse practitioners, finding that nurse-practitioners offered better-quality care, as assessed by the accuracy of diagnoses and the completion of comprehensive medical histories, and at a lower cost. Not surprisingly, the A.M.A. challenged those findings.
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Munday, P. E., A. Allan, S. Hearne i A. Gubbay. "The role of the nurse in screening asymptomatic male and female patients in a sexual health clinic". International Journal of STD & AIDS 16, nr 4 (1.04.2005): 281–83. http://dx.doi.org/10.1258/0956462053654348.
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We allocated 278 patients, who said they were asymptomatic and agreed to be randomized to a nurse or doctor clinic, to appointments using a random number system. In all, 35 patients did not attend and 16 were excluded because they did not meet the entry criteria. We used a screening protocol which excluded microscopy from the immediate assessment of patients. The outcome measures were completeness of documentation, proportion of patients accepting HIV tests, infections detected and patient satisfaction. Overall, 3% of items were not completed by doctors and 6% by nurses. HIV tests were carried out on 65% of patients who saw a doctor and 52% who saw a nurse. Thirteen infections were detected by doctors and 27 by nurses. No new cases of gonorrhoea, syphilis or HIV infection were identified. Eighty-eight patients completed a questionnaire after their attendance. Almost all patients were very satisfied with the service and most were prepared to see a nurse on a subsequent visit. We concluded that there are few differences between the performance of doctors and nurses in routine screening of asymptomatic patients.
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Pantha, Sandesh, Martin Jones i Richard Gray. "Stakeholders’ Perceptions of How Nurse–Doctor Communication Impacts Patient Care: A Concept Mapping Study". Nursing Reports 13, nr 4 (6.11.2023): 1607–23. http://dx.doi.org/10.3390/nursrep13040133.
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There is some evidence that aspects of nurse–doctor communication are associated with the quality of care and treatment patients receive whilst they are in hospital. To date, no studies have examined stakeholder perceptions on how patient care is influenced by clinical communication between nurses and doctors. We conducted a concept mapping study to generate a deep understanding of how clinical communication impacts patient care. Concept mapping has six phases: preparation, idea generation, structuring, representation, interpretation, and utilization. A total of 20 patients, 21 nurses, and 21 doctors participated in the study. Brainstorming generated 69 discreet statements about how nurse–doctor communication impacts patient care. The structuring (rating and clustering) phase was completed by 48 participants. The data interpretation workshop selected a five-cluster solution: effective communication, trust, patient safety, impediments to patient care, and interpersonal skills. On the final concept map, the five clusters were arranged in a circle around the center of the map. Clusters were relatively equal in size, suggesting that each concept makes a broadly equal contribution to how nurse–doctor communication influences patient care. Our study suggests that there are multiple aspects of clinical communication that impact patient care. Candidate interventions to enhance nurse–doctor communication may need to consider the complex nature of interprofessional working. Registration: This study was prospectively registered with the Open Science Framework (OSF) on 09.07.2020 (osf.io/9np8v/) prior to recruiting the first participant.
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Chiarella, E. Mary. "Nurses’ liability in doctor-nurse relationships". Contemporary Nurse 2, nr 1 (kwiecień 1993): 6–10. http://dx.doi.org/10.5172/conu.2.1.6.
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Sudirahayu, Ika, i Mira ZAMIDA. "Study of the coding system by doctors and nurses for the diagnosis of patient diseases in hospitals". RADINKA JOURNAL OF HEALTH SCIENCE 1, nr 4 (30.04.2024): 131–39. http://dx.doi.org/10.56778/rjhs.v1i4.242.
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Coding is one of the data processing activities to produce health information, namely by coding disease diagnoses based on ICD-10. The purpose of this study was to get an overview of the coding process by doctors and nurses for the patient's disease diagnosis and the suitability of the coding results at Panembang Senopati Hospital. A descriptive case study using a cross-sectional approach. The population in this study were officers and stakeholders as well as medical record documents for outpatient polyclinic patients, consisting of 9 doctor respondents, 10 nurse respondents, 1 respondent head of medical records, and 1 medical committee chairman. The sampling technique used is purposive sampling. The results of the study found that the coding process was carried out by doctors and nurses at Panemban Senopati Hospital, beginning with an appeal from the medical committee, which was issued with the consideration that the doctor knew more about the diagnosis made, the doctor disposed of it to the nurse if he did not have time to code. Doctors and nurses code using snippets. The diagnosis was coded by a doctor under the complete ICD-10 by 87%, while those that did not match were 13%. Diagnosis coded by nurses according to ICD-10 and completed by 82%, while those that are not appropriate are 18%. The diagnosis of entries by reporting officers according to ICD-10 and complete was 85.5%, while those who were not under ICD-10 were 14.5%.
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Bilabora, Yus Baimbang. "LEGAL PROTECTION FOR PROFESSIONAL NURSES WORKING IN HOSPITAL HEMODIALYSIS ROOMS". Indonesia Private Law Review 4, nr 2 (17.07.2023): 91–110. http://dx.doi.org/10.25041/iplr.v4i2.2986.
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Providing services in the hemodialysis room, doctors, nurses, and even hospitals must also be prepared to be responsible for all related activities. If nurses are required to take actions beyond their authority (collaborative actions), they must get protection for the risks they face. This study examines (1) the procedure for delegating authority from doctors to nurses in providing services in the hemodialysis room, (2) the responsibilities of nurses working in the hospital hemodialysis room, and (3) policies related to legal protection for the professional nurse working in the hospital hemodialysis room. The problem approach used in this research is a normative juridical approach. The normative juridical approach used in this thesis research is the statutory approach. In addition, the research uses secondary data consisting of primary, secondary, and tertiary legal materials. Based on the research results, the procedure for delegating authority from doctors to nurses to provide services in the first hemodialysis room has several stages. First, the implementing doctor must ensure that the authority given is written, the recipient of the authority has the required competence, the willingness of the recipient of authority, and the implementation of hemodialysis under the supervision of the implementing doctor. If the conditions have been met, the delegation of authority can be implemented. Based on the vocational skills and profession of the hemodialysis nurse, delegation of authority can occur on a mandate basis, with active supervision from the implementing doctor. If it is to the requirements for the delegation of authority, then hemodialysis is carried out by skilled nurses under the supervision of the implementing doctor. The responsibilities of a nurse working in a hospital hemodialysis room are regulated based on professional and legal provisions in Indonesia, namely criminal, civil, and administrative. There are several perspectives. Legal protection for nurses in the hemodialysis room is related to competence based on the Regulation of the Minister of Health (Permenkes) of the Republic of Indonesia concerning the Implementation of Dialysis Services in Health Facilities. However, the Standard Operating Procedures for the hemodialysis room are returned to each hospital’s policies.
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CHOI, Jamyung. "Gender of Profession: The Nurse and The Medical Practitioner at the Tokyo Imperial University Hospital". Korean Journal of Medical History 31, nr 3 (31.12.2022): 647–89. http://dx.doi.org/10.13081/kjmh.2022.31.647.
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This article explores the shaping of gender hierarchy between the nurse and the doctor in modern Japan, through the lens of the Tokyo Imperial University Hospital. I understand gender hierarchy of these two medical professions not just in terms of ranks in hospital bureaucracies, salaries, or educational credentials, but also the ways their work was defined, their skill levels were evaluated, as well as the probability of their united actions as members of a single profession to advocate their shared interests. Tokyo Imperial University is Japan’s oldest university, which is the birthplace of modern medical education. The hospital of this university was a symbolic locus for the making of gender hierarchy of the doctor and the nurse, which often transpired in other institutions and articulated in state regulations such as the Nurse Regulations prepared by Home Ministry officials in 1915. In this hospital, doctors who were male, while designing nursing education and labor practices, defined nursing primarily as women’s supplementary labor for doctors. While doctors had an exclusive professional territory, such as diagnosis, surgery, and medication, what nurses’ exclusive professional territory was undefined and how their skill levels could be evaluated remained unclear. In other words, probationary nurses often worked together with trained nurses, which allowed managers of the hospital to exploit their cheap labor, as well as attenuating the professional authority of the trained nurses.</br>But, this process did not go unchallenged. Leaders of nurses at this hospital, such as Suzuki Masa and Ōzeki Chika did not think that nurses should be subordinated to the doctor. As managers of the Tokyo Imperial University Hospital hired unmarried women to have them endure intense labor with low wages, Ōzeki publicly protested a doctor at Tokyo Imperial University to improve nurses’ working environment, and these two soon resigned.</br>After the resignation, Suzuki organized a visiting nurse service company called The Charity Visiting Nurse Corps (jizen kangofukai), and dispatched a group of its member nurses to the clients. Unlike when they worked in the Tokyo Imperial University Hospital, they became an independent service provider, deciding their work schedules, and the fees for their service for themselves. Compared to their wages in the Tokyo Imperial University Hospital, the service fees were two to three times higher in this new company. As nurses came to claim a high pay, visiting nurse service companies of this kind blossomed in Tokyo and other big cities,</br>However, they eventually failed to gain a clear legal definition of what nurses could exclusively do as professionals and how their skills were assessed, and private nurses lost their high demand during the Great Depression. By looking at this process, this article reconfirms the conventional wisdom that the gender hierarchy of doctors and nurses were not biologically given but socially constructed through the interplay of education, employment, state policies, and the market, and considers why nurses’ efforts alone could not challenge the entirety of this hierarchy, without institional supports from the state.
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Saunders, Stuart H. "Doctor? Nurse? Cleaner?" Medical Journal of Australia 175, nr 4 (sierpień 2001): 228. http://dx.doi.org/10.5694/j.1326-5377.2001.tb143112.x.
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Reynolds, Anika, i Stephen Timmons. "The Doctor-Nurse Relationship in the Operating Theatre". British Journal of Perioperative Nursing (United Kingdom) 15, nr 3 (marzec 2005): 110–15. http://dx.doi.org/10.1177/175045890501500301.
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This article examines the organisational culture in theatres, specifically the doctor-nurse relationship, based on the literature and the experience of one author (Anika Reynolds) on placement in theatres. The initial motivation for the study was noticing how well these doctors and nurses got on in a friendly, informal and efficient atmosphere. This relationship between the multidisciplinary team was especially surprising when compared with the experience of hospital wards. Why did such a difference exist?
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Costa, A. "The nurse-doctor collaboration". European Journal of Cancer 37 (kwiecień 2001): S408. http://dx.doi.org/10.1016/s0959-8049(01)81954-7.
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&NA;. "THE NURSE DOCTOR GAME". Nursing 20, nr 6 (czerwiec 1990): 54–55. http://dx.doi.org/10.1097/00152193-199006000-00025.
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&NA;. "IMPROVING NURSE/DOCTOR COMMUNICATIONS". Nursing 20, nr 8 (sierpień 1990): 114–27. http://dx.doi.org/10.1097/00152193-199008000-00041.
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&NA;. "THE NURSE-DOCTOR GAME". Nursing 21, nr 6 (czerwiec 1991): 60–66. http://dx.doi.org/10.1097/00152193-199106000-00023.
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Robbins, Richard. "Doctor and Nurse Replacement". Southwest Journal of Pulmonary, Critical Care & Sleep 26, nr 4 (24.04.2023): 72–75. http://dx.doi.org/10.13175/swjpccs019-23.
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No abstract available. Article truncated after 150 words. Medscape recently commented on the case of Natasha Valle from Clarksville, Tennessee (1). Pregnant and scared she went to the local Tennova Healthcare hospital because she was bleeding. She didn't know much about miscarriage, but this seemed like one. In the emergency room, she was examined then sent home. She went back when her cramping became excruciating. Then home again. It ultimately took three trips to the ER on three consecutive days, generating three separate bills, before she saw a doctor who looked at her bloodwork and confirmed her fears. The hospital declined to discuss Valle's care, but 17 months before her three-day ordeal, Tennova had outsourced its emergency rooms to American Physician Partners, a medical staffing company owned by private equity investors. APP employs fewer doctors in its ERs as one of its cost-saving initiatives to increase earnings, according to a confidential company document obtained by Kaiser Health News …
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Kuznetsova, N., i Z. Permyakova. "Mastering Teamwork Skills in a Simulation Center". Virtual Technologies in Medicine, nr 3 (9.09.2022): 247. http://dx.doi.org/10.46594/2687-0037_2022_3_1555.
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The problem of the relationship between a doctor and a nurse is the most important in the formation of professional ethics. As society's need for health services increases, doctors and nurses are required to clearly fulfill their professional duties in a friendly team of like-minded people. Professional competencies developed and well-executed improve the quality of medical care.
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Amanbekov, A. "Modern Organizational Technologies in Nursing". Bulletin of Science and Practice 10, nr 5 (15.05.2024): 350–59. http://dx.doi.org/10.33619/2414-2948/102/44.
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Nursing reform is carried out all over the world, defining the most important areas, the organization and implementation of the latest organizational technologies of nursing activities in practical activities, improving nursing education, developing and improving the regulatory framework, introducing research and expanding the competencies of paramedics. The need to adapt to new conditions of activity showed that the role of the nurse should be increased, including by scientific justification for the redistribution of functions between the nurse and the doctor. The new challenges of the millennium entail a shift in focus towards patient orientation, which involves improving the quality of medical services, and this, in turn, addresses the issues of the competent distribution of powers between doctors and nurses. Patient-centered care entails increasing the workload and capacity of nursing staff. Mentoring in nursing is a professional educational relationship between a full-time nurse and a student nurse based on patient care. The mentor is a role model, demonstrating professional roles and practical responsibilities. In addition, the mentor gains access to the student's clinical competence by providing valuable feedback, support and guidance. An effective mentor should develop interpersonal, teaching, and competency assessment skills. New modern organizational technologies in nursing will contribute to the formation of a new generation of nurses as equal partners of the doctor, capable of making independent nursing decisions and providing evidence-based nursing care.
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Noprianty, Richa, i Gendis Kintan Dwi Thahara. "Healthcare Workers Knowledge, Attitude, and Availability of Facilities Toward Compliance Hand Hygiene". Indonesian Journal of Global Health Research 1, nr 1 (30.11.2019): 13–20. http://dx.doi.org/10.37287/ijghr.v1i1.2.
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Failure to perform good hand hygiene is considered as an major cause of Healthcare Associated Infections (HAIs). From the WHO data, compliance rate of nurses hand hygiene activity at the United States is about 50%, Australia 65% while in Indonesia 47%. This study aims to determine healthcare workers knowledge, attitude, and availability of facilities toward that affect hand hygiene compliance. This research method is analytical descriptive with cross-sectional approach. The object of data collection is an healthcare workers (nurse, doctor, and pharmacy) at General Hospitalin West Java as many as 51 samples. Sample selection using stratified sampling method with research instrument in the form of questionnaire and observation sheet about knowledge and attitude to hand hygiene adopted from WHO. The results of this study that obtained in the group of nurse were 48.6% doing imperfect hand hygiene and group of doctor respectively 80.0% and pharmacy were 100.0%. In terms of nurses knowledge about hand hygiene is 59.5%, doctor80.0% and pharmacy 50.0%. In terms of attitudes about the implementation of hand hygiene, the nurses group is 48.6%, doctors respectively 40% and pharmacy 50.00% have a positive attitude. In terms of facilities is 40.5% nurses stated available, doctors 20% and pharmacy 0.00%. There was a significant relationship between hand hygiene with knowledge (p = 0,019), attitude (0.004) and hand hygiene facility (p = 0.040).
Keywords: attitude, hand hygiene, health care, knowledge
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Anisa, Naela Farah, Anisah Ardiana, Dicky Endrian Kurniawan, Nurfika Asmaningrum i Alfid Tri Afandi. "Implementation of Nurse-Doctor Interprofessional Collaboration During the COVID-19 Pandemic According to Nurses' Perceptions in Hospital". Jurnal Kesehatan Pasak Bumi Kalimantan 6, nr 1 (27.07.2023): 64. http://dx.doi.org/10.30872/j.kes.pasmi.kal.v6i1.9998.
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The COVID-19 pandemic poses significant challenges to the collaborative process between health workers. In handling a pandemic, every health professional must collaborate and coordinate with other professionals to produce safe and quality health services. Interprofessional collaboration is a general strategy to achieve the desired quality results effectively and efficiently in improving health services. This study aims to determine the implementation of nurse-doctor collaboration in inpatient rooms based on the perspective of inpatient nurses. This study used a descriptive research approach through a total sampling technique and as many as 151 inpatient nurses at dr. Soebandi Hospital participated as a respondent. Data was collected using a nurse characteristic questionnaire and NPCS (Nurse-Physician Collaboration Scale). Data were analyzed using descriptive methods and categorized as good and bad collaboration. The results showed that 51.7% of nurses had good interprofessional collaboration, and 48.3% reported bad interprofessional collaboration. The results showed that interprofessional collaboration between nurses and doctors showed almost the same results; nearly half of the nurses' perceptions showed results that still needed to be improved. There is a need to increase interprofessional collaboration in all hospital services. Even though the pandemic is a limitation for direct collaboration, collaboration is further enhanced by using supporting communication media, such as by telephone. Good collaboration between doctors and nurses will improve the quality of health services.
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Lucas, Anne M. "On Becoming a Doctor of Nursing Practice". Clinical Scholars Review 8, nr 1 (2015): 75–76. http://dx.doi.org/10.1891/1939-2095.8.1.75.
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Life is a journey in which most people strive for the greater good. Nurses strive for the total good. We want to make a positive impact on every life that we touch. To do this, we push ourselves to be better care providers. This often entails further education, broader experience, and greater skills. And sometimes it is ourselves that we need to nourish to do this. This article chronicles 1 nurse practitioner’s journey and transformation on becoming a doctoral prepared nurse practitioner. This, in turn, not only transformed the nurse’s practice but also transformed many other people’s lives.
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Tsou, Meng-Ting. "Influence of Prolonged Visual Display Terminal Use on Physical and Mental Conditions among Health Care Workers at Tertiary Hospitals, Taiwan". International Journal of Environmental Research and Public Health 19, nr 7 (22.03.2022): 3770. http://dx.doi.org/10.3390/ijerph19073770.
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This study aimed to examine the effects of prolonged VDT working time on physical and mental health disadvantages among health care workers (HCWs) in tertiary hospitals based on their work characteristics, age, and sex. Included in the study were 945 and 1868 participants in the non-doctor/nurse and doctor/nurse groups, respectively. The questionnaire included VDT usage-related information, the Nordic Musculoskeletal Questionnaire (NMQ), computer vision syndrome (CVS), perceived occupational stress, burnout, the Brief Symptom Rating Scale-5 (BSRS-5), and self-rated health (SRH). After adjustment, multiple logistical regression analysis revealed that the two groups showed that the longer the VDT working time, the higher the risk of muscle pain, severe headaches, severe job stress, and self-assessed bad sleep quality. This showed that the condition of the doctor/nurse group was more severe than that of the non-doctor/nurse group. According to the stratified analysis by sex and age, in the group of women under the age of 30, the adjusted odds ratio value of physical and mental conditions increased with longer VDT working time and was statistically significant. The result show that it is important to reduce daily VDT exposure for doctor, nurses, and women under 30.
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Kawther, Ronia Shawkat, i Esra Tariq Anwer. "Prescription System, Administration of Drug and Medication Dispensing Errors in Treatment Process of Inpatients of Teaching Hospitals in Erbil City". Advanced Medical Journal 4, nr 1 (15.06.2018): 74–77. http://dx.doi.org/10.56056/amj.2018.47.
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Background and objectives: Prescription and medication dispensing errors can cause a significant threat to patients’ safety. This study aimed to evaluate the prescription errors and inpatients’ medication dispensing errors in the treatment processes in teaching hospitals in Erbil city. Methods: This is a case study that investigating 3145 inpatient records in Rizgary and Hawler teaching Hospitals. The study was done in the period between April 1st 2017 and November 30th, 2017. Medical, surgical, and neurological patients` records were included. Infants, children and maternal records were excluded from the study. Results: According to the categorizing medication errors Algorithm Index, (67%) of errors considered non harmful including spelling (6%), using drug brand names (6%), absence of doctor signature (16%), absence of pharmacist signature (5%), absence of nurse signature (3%), absence of follow up by doctors (2%), patients education before discharge (5%), drug recording on the drug chart by nurse (8%), drug availability16%. Also, 33% of them recorded as harmful; which involved (drug dosing instruction missing, dose interval (6%), contraindication (7%), drug-drug interactions (5%), non- laboratory monitoring (2%), sensitivity test of drug (4%), alternative drug (1%), adverse effects (2%), and laboratory monitoring (3%). Conclusions: Medication errors of Rizgary Teaching Hospital are common. The contraindication, absence of doctors’ signature, drug unavailability, wrong dose, using brand names, lacks of drug recording on the drug chart by nurse, absence of nurse signature are the main medical errors. There was lack of collaboration between doctor, clinical pharmacist and nurses in the hospital.
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Sinubu, Trisca J. V., Lenny Gannika i Andi Buanasari. "HUBUNGAN PENGALAMAN KERJA PERAWAT DENGAN PERSPEKTIF KOLABORASI PERAWAT-DOKTER DI RSU GMIM PANCARAN KASIH". JURNAL KEPERAWATAN 9, nr 2 (3.11.2021): 24. http://dx.doi.org/10.35790/jkp.v9i2.36778.
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AbstractCollaboration between the nursing profession and doctor profession is influenced by workexperience in the success of the quality of health services provided to patients in hospital. Thisstudy aims to to find the correlation between nurse work experience and collaborativeperspective between nurse-doctor in RSU Gmim Pancanran Kasih of manado. type of in thestudyis analytic research by using cross sectional approach. Sampling in this study usingsimple random sampling method. The sample is determined using the Slovin formula, this studyinvolved 114 respondents. The instrument in this study used questionnaire with ordinalmeasuring scale. The data analysis using the chi-square test, the results of the Chi-Square testobtained ρ value = 0.008 <0.05, indicated that there is a relationship between work experienceand a collaborative nurse-doctor perspective in RSU Gmim Pancanran Kasih of manado. Thework experience at Gmim Pancaran Kasih Hospital is categorized as good, thus, thecollaborative perspective of nurses – doctors is identified in a good level.Keywords: Keywords : Work experience; Nurse-Doctor Collaboration; NurseAbstrakKolaborasi antara profesi perawat dengan profesi dokter dipengaruhi oleh pengalaman kerjadalam keberhasilan dari kualitas pelayanan kesehatan yang diberikan kepada pasien di rumahsakit. Penelitian ini bertujuan untuk mengetahui hubungan pengalaman kerja perawat denganperspektif berkolaborasi antara perawat-dokter di RSU Gmim Pancanran Kasih. Jenispenelitian yang digunakan,yaitu penelitian analitik dengan pendekatan cross sectional.Pengambilan sampel dalam penelitian ini menggunakan metode simple random sampling.Sampel ditentukan menggunakan rumus Slovin, sampel yang diperoleh berjumlah 114.Instrument penelitian yang digunakan adalah kuesioner dengan skala ukur ordinal. Analisisdata menggunakan uji chi-square, hasil uji Chi-Square diperoleh ρ value = 0,008 < 0,05 makadisimpulkan terdapat Hubungan Pengalaman Kerja Perawat Dengan Perspektif BerkolaborasiPerawat – Dokter di RSU Gmim Pancaran Kasih Manado. Pengalaman kerja yang ada di RSUGmim pancaran kasih manado dikategorikan baik, sehingga Perspektif Berkolaborasi Perawat– Dokter yang di dapatkan adalah baik.Kata kunci: Pengalaman Kerja; kolaborasi perawat-dokter; Perawat
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Ikeda, Yukihiro. "Hazardous Home Medical Care Waste Collection: A Six Year Follow-up Study". Open Waste Management Journal 10, nr 1 (31.05.2017): 23–29. http://dx.doi.org/10.2174/1876400201710010023.
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Background: Domestic medical waste from Home Medical Care (HMC) is a concern in Japan. In 2005, the Japanese government provided that HMC waste is collected by municipalities. HMC waste includes infectious or sharps, thus such waste should be collected by doctor or nurse. Nevertheless, no studies have examined the collection of separate HMC waste items, such as needles and infectious agents. Objective: To demonstrate the current HMC waste collection status for individual items and to assess whether HMC waste collection rate by nurses has been changed since the initial study. Methods: A questionnaire was mailed and delivered 1,022 offices, from which 677 office nurses replied for the follow-up study, 27 had closed down, and five had integrated with other offices. Thus, the final analysis was conducted in 645 offices. Offices were classified into three groups according to the size of the local population. Results: Most of the used syringes and needles, were collected by a nurse or doctor. More nurses in small-sized cities collected used syringes and needles from patients’ homes than nurses in medium- or large-sized cities. In contrast, more doctors in large-sized cities collected used syringes and needles from patients’ homes than doctors in small- or medium-sized cities. HMC waste collection rates by nurses for all city sizes had decreased since the baseline study. Both 2009 and 2015 study, the collection rate of HMC waste by nurse was as high as small-sized city and lower as large-sized city. The trend of this did not change over six years. Conclusion: The collection rate of HMC waste by nurses has declined in the last six years. This indirectly indicated that the HMC waste collection rate of municipalities improved in six years. Safe HMC waste collection program awareness should be promoted among nurses, doctors and patients. It is necessary for healthcare workers to work in cooperation with municipalities. The development of standardized guidelines for HMC waste handling protocols should be a priority for all municipalities.
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Murayama, Toshikatsu. "A PROFESSIONAL CONTEST OVER THE BODY: QUACKERY AND RESPECTABLE MEDICINE IN MARTIN CHUZZLEWIT". Victorian Literature and Culture 30, nr 2 (27.08.2002): 403–19. http://dx.doi.org/10.1017/s106015030230202xh.
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IT IS NOT LIKELY THAT MANY readers of Martin Chuzzlewit will remember Mr. Bevan’s profession. The gentleman so kind as to lend Martin and Mark Tapley money to go back to England is not just one of few honest persons in the vulgar, shoddy world of Dickens’s America, but a doctor as well: “[H]e made Martin acquainted with his name, which was Bevan: and with his profession, which was physic, though he seldom or never practised” (280; ch.17). We find many other medical persons in the novel: Jobling the doctor, Lewsome the medical assistant, and Mrs. Gamp, the most famous or notorious nurse in English literature, but they are not highly commendable characters and never offer effective cures to their patients. Jobling is a pretentious swindler, and Lewsome assists, albeit unintentionally, Jonas Chuzzlewit’s attempt to murder his father. One would be reluctant to be nursed by Sairey Gamp, however tremendous she is as a product of a great literary imagination. As if to endorse the reader’s suspicion, Old Martin Chuzzlewit does not trust any doctors and has an amateur, Mary Graham, carry “a small medicine-chest” to care for him (26; ch. 3). The doctor treating Lewsome never seems very efficient in his practice (410, 416; ch. 26), and the only apparently reliable doctor “seldom or never practise[s].” No doctor or nurse can give proper treatment to the numerous sick people in this text full of physical disorders.
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Ojak Haholongan Nadeak, Jasmen. "MECHANISMS AND LEGAL RESPONSIBILITIES OF NURSES IN CARRYING OUT EMERGENCY MEASURES IN THE INTENSIVE CARE UNIT". International Journal of Advanced Research 12, nr 01 (31.01.2024): 792–98. http://dx.doi.org/10.21474/ijar01/18188.
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In carrying out their duties and authority in treating patients in the Intensive Care Unit (ICU), a nurse is required to obtain a mandate from a doctor, which is a legal relationship that arises as a result of delegation of authority. This certainly has a clear mechanism because it will have legal consequences if errors or omissions occur in the delegation of authority. In fact, there are still cases that have fatal consequences for patients and those who are asked to be held accountable are nurses whose capacity is only as recipients of mandates. The method in this research is empirical juridical and normative juridical, based on field data and statutory regulations and related documents. The results of this research show that doctors who are unable to carry out medical procedures due to certain factors may ask the nurse for help to carry out medical procedures, provided that the doctor is obliged to provide a clear delegation of authority to the nurse in writing to carry out the medical procedure. Delegation of authority to carry out medical procedures from doctors to nurses as intended in Article 27 letter a Minister of Health Regulation Number 26 of 2019 concerning Explanation of Law No. 38 of 2014 concerning Nursing can take the form of delegation of delegated authority or mandate. Delegation of authority to carry out medical procedures must be done in writing to professional nurses or trained vocational nurses. Emergency actions carried out by nurses aim to save the patients life and prevent further disability. The delegation of authority is mandatorily given by doctors to nurses to carry out medical procedures under the supervision of the medical personnel who delegate authority. The form of accountability can be in the form of civil law, criminal law and administrative law, so that all three can provide their own sanctions for violations that occur due to losses, negligence or administrative errors.
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Stein, Leonard I., David T. Watts i Timothy Howell. "The Doctor–Nurse Game Revisited". New England Journal of Medicine 322, nr 8 (22.02.1990): 546–49. http://dx.doi.org/10.1056/nejm199002223220810.
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Robinson, D. K. "Nurse Practitioner or mini-doctor?" Accident and Emergency Nursing 1, nr 1 (styczeń 1993): 53–55. http://dx.doi.org/10.1016/0965-2302(93)90027-w.
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Borovik, N. V., i L. V. Maksimova. "Organization of nurses’ independent appointment when providing primary health care to the population in the Togliatti City Clinical Polyclinic No. 3". Medsestra (Nurse), nr 12 (12.12.2023): 41–50. http://dx.doi.org/10.33920/med-05-2312-05.
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When implementing the priority state project “Creation of a new model of a medical organization providing primary health care”, one of the expected results is an even distribution of functionality between doctors and nursing staff in the process of providing medical care[1]. Modern types of primary health care (PHC) models dictate the need for change, a transition from the historical model, where the doctor occupies a leading position in the provision of medical care, to a model where the doctor and nurse are equal participants of a single team[2]. The article describes the main directions of organizing independent appointment by nurses when providing primary health care to the population in the Togliatti City Clinical Polyclinic No. 3.
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Graves, Barbara A., Stephen Tomlinson, Marilyn Handley, JoAnn S. Oliver, Heather Carter-Templeton, Susan Gaskins, Marsha H. Adams i Felecia Wood. "The Emerging Doctor of Education (EdD) in Instructional Leadership for Nurse Educators". International Journal of Nursing Education Scholarship 10, nr 1 (31.08.2013): 195–201. http://dx.doi.org/10.1515/ijnes-2012-0024.
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AbstractThe nursing faculty shortage is directly related to the ongoing shortage of nurses. As a result of many nursing faculty retiring, the discipline of nursing is losing its most experienced educators. The need is great for programs that will increase access and prepare nurse educators. Doctorate degrees for nurses have evolved in myriad ways. Discussions over the nature of doctoral education for the preparation of nurse educators are at the forefront of debates in nursing education. In response to National League for Nursing (2007; Core competencies of nurse educators, http://www.nln.org/profdev/corecompletter.htm) and Institute of Medicine (2010; The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press, http://thefutureofnursing.org/IOM-Report) calls to increase the number of nursing faculty, the colleges of nursing and education at a major university have combined to establish a collaborative doctoral program. This article describes the historical evolution of the nursing doctorate degrees and the development and implementation of the EdD in Instructional Leadership for Nurse Educators.
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Rosso, Chiara, Alami Aroussi Aaron, Angelo Armandi, Gian Paolo Caviglia, Marta Vernero, Giorgio Maria Saracco, Marco Astegiano, Elisabetta Bugianesi i Davide Giuseppe Ribaldone. "Inflammatory Bowel Disease Nurse—Practical Messages". Nursing Reports 11, nr 2 (1.04.2021): 229–41. http://dx.doi.org/10.3390/nursrep11020023.
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Background and Objectives: Patients affected by inflammatory bowel diseases (IBDs) are complex patients with various problems from a clinical and psychological point of view. This complexity must be addressed by a multidisciplinary team, and an inflammatory bowel disease nurse can be the ideal professional figure to create a link between doctor and patient. The objective of this comprehensive review is to describe the figure of inflammatory bowel disease nurses and the various benefits that their introduction into a multidisciplinary team can bring, as well as a focus on how to become an inflammatory bowel disease nurse. Materials and Methods: A search on the PubMed database was performed by associating the terms “IBD” or “inflammatory bowel disease” with the Boolean term AND to the various issues addressed: “life impact”, “communication”, “fistulas”, “ostomy”, “diet”, “incontinence”, “sexuality”, “parenthood”, “fatigue”, “pain management”, and “follow up appointments”. Regarding the analysis of the benefits that the IBD nurse brings, the terms “IBD”, “inflammatory bowel diseases”, “Crohn’s disease”, and “ulcerative colitis” were used, associating them with the terms “benefit”, “costs”, “team”, and “patients”. Finally, regarding the focus on how to become an IBD nurse, an IBD nurse was interviewed. Results: An IBD nurse is a valuable nursing figure within the multidisciplinary team that takes care of patients with IBD because this nurse performs important functions from both a clinical assistance point of view (management of fistulas, ostomies, infusion of biological drugs) and an information and therapeutic education point of view (communication with patients, direct contact with patients by telephone or email). Furthermore, this nurse performs the “filter” function between doctor and patient, saving time for doctors that will be used for more outpatient visits. Conclusions: The introduction of an inflammatory bowel disease nurse is therefore recommended for multidisciplinary organizations dealing with the clinical course of patients suffering from IBD.
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Kerry, TP, P. G. T. Cudahy, H. L. Holst, A. Ramsunder i N. G. McGrath. "A doctor at a PHC clinic: A ‘must-have’ or ‘nice-to-have’?" South African Medical Journal 113, nr 1 (20.12.2022): 24–30. http://dx.doi.org/10.7196/samj.2023.v113i1.16700.
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Background. Many patients have their healthcare needs met at primary healthcare (PHC) clinics in KwaZulu-Natal (KZN), without having to travel to a hospital. Doctors form part of the teams at many PHC clinics throughout KZN, offering a decentralised medical service in a PHC clinic.Objectives. To assess the benefit of having a medical doctor managing patients with more complex clinical conditions at PHC clinic level in uMgungundlovu District, KZN. Two key questions were researched: (i) were the patients whom the clinic doctors managed of sufficient clinical complexity that they warranted a doctor managing them, rather than a PHC nurse clinician? and (ii) what was the spectrum of medical conditions that the clinic doctors managed?Methods. Doctors collected data at all medical consultations in PHC clinics in uMgungundlovu during February 2020. A single-pagestandardised data tool was used to collect data at every consultation.Results. Thirty-five doctors were working in 45 PHC clinics in February 2020. Twenty-six of the clinic doctors were National HealthInsurance (NHI)-employed. The 35 doctors conducted 7 424 patient consultations in February. Staff in the PHC clinics conducted 143 421 consultations that month, mostly by PHC nurse clinicians. The doctors concluded that 6 947 (93.6%) of the 7 424 doctor consultations were of sufficient complexity as to warrant management by a doctor. The spectrum of medical conditions was as follows: (i) consultations for maternal and child health; n=761 (10.2%); (ii) consultations involving non-communicable diseases (NCDs), n=4 372 (58.9%) – the six most common NCDs were, in order: hypertension, diabetes, arthritis, epilepsy, mental illness and renal disease; (iii) consultations involving communicable diseases constituted 1 745 (23.5%) of cases; and (iv) consultations involving laboratory result interpretation 1 180 (15.9%).Conclusion. This research showed that at a PHC clinic the more complex patient consultations did indeed require the skills and knowledge of a medical doctor managing these patients. These data support the benefit of a doctor working at every PHC clinic: the doctor is a ‘musthave’ member of the PHC clinic team, offering a regular, reliable and predictable medical service.
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Koibichuk, Vitaliia, Henryk Dzwigol i Svitlana Stenko. "Conflict Management in Health Care Institutions". Health Economics and Management Review 2, nr 4 (2021): 71–77. http://dx.doi.org/10.21272/hem.2021.4-07.
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Conflicts negatively affect the teamwork atmosphere. They lead to a deterioration of the psychological microclimate and reduce employability and deteriorate workers’ health. The authors noted that conflicts arise from different points of view, interests, manners, and management styles of conflict parties. Thus, an essential skill of any health care leader is the ability to prevent conflicts, reduce their negative consequences, resolve disputes, and create an atmosphere of mutual intelligibility. This study is devoted to conducting theoretical and practical research on conflict management in healthcare to form proposals for reducing the conflict level in healthcare institutions. The research uses methods of a systematic approach, sociological survey, testing, questionnaires, systematization, comparison, and logical generalization. The practical analysis of the conflict management process was carried out in the municipal non-profit enterprise of the Sumy Regional Council «Regional Diagnostic Center in Shostka». The study sample consists of ten doctors and ten nurses. This study conducted the following questionnaires: «Are you a conflicted person?»; «Assessment of patients’ conflict personality»; «Assessment of personality conflict»; «Assessment of balance in conflicts and propensity to nervous breakdowns», K. Thomas’ test «Identification of behaviors in conflict situations», A. Asinger’s methods of diagnosing aggression in the relationship. The findings showed that nurses are characterized by a higher level of personal conflict than doctors. Besides, in most conflict situations, health professionals prefer cooperation as a tactic of negotiation in conflicts. However, a third of conflict situations are characterized by the parties’ «opposition». The results showed that the most common conflict situations are the doctor-doctor and nurse-nurse. Conflicts between doctor-patient and nurse-patient occurred approximately equally. 75% of respondents indicated an average level of aggression. Based on the obtained results, to prevent and reduce the number of conflicts in health care institutions, the authors emphasized the importance of counseling and psychological work to resolve disputes, creating conditions for positive psychological relations between health professionals and patients, active use of information, communication, social-psychological, organizational technologies of conflict management.
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Lederer, Susan E. "Playing Doctor, Playing Nurse: Perspectives on the Origins of the Toy Doctor and Nurse Kits". Nursing History Review 25, nr 1 (2017): 117–30. http://dx.doi.org/10.1891/1062-8061.25.1.117.
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Lederer, Susan E. "Playing Doctor, Playing Nurse: Perspectives on the Origins of the Toy Doctor and Nurse Kits". Nursing History Review 25, nr 1 (1.01.2017): 117–30. http://dx.doi.org/10.1891/1062-8061.25.117.
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Gumelar, Irvan Eka, i Dey Ravena. "DELEGATION OF AUTHORITY FOR MEDICAL ACTION FROM DOCTORS TO NURSES IN HEALTH SERVICES FACILITIES". Interdental Jurnal Kedokteran Gigi (IJKG) 18, nr 1 (25.06.2022): 14–19. http://dx.doi.org/10.46862/interdental.v18i1.4309.
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This delegation of authority for medical action from doctors to nurses is prioritized by looking at the qualification, abilities, competencies and experience in the field of health sciences. The description of nurse‟s authority in carrying out the duties is mandated in law Number 38 0f 2014 concering nursing. the most common is the difference is meaning between medical ethics and nursing ethics. Both terms are based on two English verbs “to cure” and “to care”. The main task of the doctor is to cure, which includes the diagnosis of disease. While the nurses completes the activities of doctors by treating according to his scientific discipline. This paper aims to find out and understand the importance of delegating the authority of medical action from doctors to nurses in health care.
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Siyoto, Sandu, i Albert Ronald Tule. "Analysis of Bed Occupancy Rate (BOR) in Terms of Internal Factors (Procedures, Doctor, Nurse, Facilities and Infrastructure)". Global Journal of Health Science 11, nr 13 (13.11.2019): 77. http://dx.doi.org/10.5539/gjhs.v11n13p77.
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The purpose of the study was to describe service procedures, doctor services, nurse services, facilities and infrastructure, and Bed Occupancy Rate (BOR) and to determine the effect of service procedures, doctor services, nurse services, facilities and infrastructure on bed occupancy rates (BOR). This research was conducted at Caruban Hospital with a sample of 214 people drawn randomly from 480 populations, data were collected by questionnaire and analyzed by descriptive and ordinal regression. The results of the data analysis show that service presiders, doctor services, nurse services, facilities and infrastructure, and bed occupancy behavior (BOR) are in the “good” category and there is an influence of service procedure, doctor services, nurse services, and facilities and infrastructure on behavior bed occupancy (BOR).
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Cockey, Carolyn Davis. "Should Your Doctor Be a Nurse?" AWHONN Lifelines 2, nr 3 (czerwiec 1998): 19–22. http://dx.doi.org/10.1111/j.1552-6356.1998.tb01027.x.
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Calpin‐davies i Akehurst. "Doctor–nurse substitution: the workforce equation". Journal of Nursing Management 7, nr 2 (marzec 1999): 71–79. http://dx.doi.org/10.1046/j.1365-2834.1999.00113.x.
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Read, A. M. "Doctor or nurse? The patients' choice". Postgraduate Medical Journal 76, nr 894 (1.04.2000): 212–14. http://dx.doi.org/10.1136/pmj.76.894.212.
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Sweeney, Cameron Young. "Itʼs like the doctor spoke Klingon". Journal of the American Academy of Physician Assistants 31, nr 11 (listopad 2018): 58. http://dx.doi.org/10.1097/01.jaa.0000546486.89098.33.
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Miller, Anne, Carlos Scheinkestel i Michelle Joseph. "Team coordination in an Intensive Care Unit". Proceedings of the Human Factors and Ergonomics Society Annual Meeting 51, nr 11 (październik 2007): 687–91. http://dx.doi.org/10.1177/154193120705101118.
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Researchers have the need for improved coordination and continuity of care in health-care environments, but little research has been undertaken to better understand how coordination occurs and how it might be improved. Using Klein's (2001) phases of coordination this exploratory study provides a profile of the contributions of role-based communications to team coordination in an Intensive Care Unit. All communication events for five patients for five consecutive days were logged and analysed using a hierarchical loglinear analysis. Nurses to nurse communications were found to focus mainly on the planning phase of coordination of short-term time horizons. Doctor to doctor communication events were characterized as formal and involved the planning and direction phases of team coordination and informal nurse to doctor communication events focused on planning and team assessment phases of coordination. Further analysis is required to determine how these contributions interact and what the vulnerabilities might be.
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Łukasiewicz, Jacek, i Bożydar L. J. Kaczmarek. "HEALTH CARE WORKERS STRATEGIES FOR COPING WITH STRESS". Acta Neuropsychologica 21, nr 4 (11.09.2023): 387–94. http://dx.doi.org/10.5604/01.3001.0053.8853.
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Working as a doctor, nurse, and midwife is associated with great responsibility for the health and life of patients. It is a source of many burdens, which result in marked, chronic stress leading to professional burnout and related consequences affecting all spheres of life. The research aimed to analyze healthcare workers’ preferred stress-coping strategies.The study encompassed 134 healthcare workers practicing the profession of doctor, nurse, and midwife, working in the cities of Lublin in the period from May 2022 to February 2023. We employeda self-made questionnaire and the Stress Coping Inventory (Mini-COPE). The PS IMAGO 9.0 program was used for the calculations and analysis of the results.The strategies of coping with stress most often used by doctors, nurses, and midwives were based on active coping and planning. The three surveyed groups of healthcare workers differ statistically significantly in using the denial strategy. Nurses are more likely than physicians to use denial as a coping strategy. There were no statistically significant differences in the remaining strategies of coping with stress.Healthcare workers in stressful situations often choose active ways of dealing with them, especially active coping and planning. An important factor that strengthens the choice of active strategies for coping with stress seems to be training aimed at improving the professional qualifications of healthcare workers.
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Baring, D., C. Murray, J. Singh, A. Davidson i M. I. Syed. "Prospective, blinded study of nasal injuries: comparison of doctor and nurse assessment". Journal of Laryngology & Otology 123, nr 12 (2.10.2009): 1338–42. http://dx.doi.org/10.1017/s0022215109991071.
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AbstractObjectives:This study aimed to compare an experienced ENT treatment room nurse's ability to assess nasal injuries with that of junior doctors.Design:One hundred consecutive patients with nasal injuries were assessed prospectively in two phases, followed by a telephone survey.Main outcome measures:Comparison of nasal injury assessment, advice, and outcomes regarding cosmesis, airway obstruction and patient satisfaction.Results:In the first phase, there was almost perfect agreement between doctor and nurse assessments regarding the management of nasal fractures (p < 0.0001). There was no deterioration in outcomes in the nurse assessment only patient group with regards to cosmesis and airway obstruction. Ninety-four per cent of patients were satisfied with nurse-only assessment.Conclusions:Our study showed that an experienced treatment room nurse was as effective as experienced junior doctors in assessing and advising patients with nasal injuries. Following this study, the nurse involved began to independently assess patients with nasal injuries attending the unit.