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The collaborative healthcare team: tensive issues warranting ongoing consideration
Donald R Martin1, Jill L O'Brien, Judith A Heyworth
1DePaul University, Chicago, IL 60614, USA. dmartin@depaul.edu
Journal of the American Academy of Nurse Practitioners
|July 28, 2005
Summary
Physicians (MDs) and advanced practice nurses (APNs) face collaboration challenges. Addressing these tensive issues can improve interprofessional healthcare team partnerships and patient care.
Area of Science:
- Healthcare professional collaboration
- Interdisciplinary team dynamics
- Qualitative research in medicine
Background:
- Physician-advanced practice nurse (APN) professional pairings are increasingly common in interdisciplinary healthcare teams.
- Understanding the dynamics of these partnerships is crucial for effective healthcare delivery.
Purpose of the Study:
- To qualitatively assess tensive issues requiring consideration by physicians (MDs) and advanced practice nurses (APNs) in professional pairings.
- To identify factors influencing the quality of collaboration between MDs and APNs.
Main Methods:
- Conducted semistructured interviews with five MDs and eight APNs.
- Analyzed verbatim transcripts to explore expectations, valued colleague characteristics, and potential improvements in professional associations.
Main Results:
- Identified five key categories of tensive issues: autonomy and interdependence, professional role expectations, flexible role enactment, proactive problem solving, and action learning.
- Highlighted specific challenges and areas for development within physician-APN collaborations.
Conclusions:
- Recognizing and addressing tensive issues can enhance the quality of collaboration between MDs and APNs.
- Implementing targeted communication strategies can strengthen these professional partnerships, ultimately benefiting patient care.