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Related Experiment Videos

Understanding collaboration between nurses and physicians as knowledge at work.

Jane Stein-Parbury1, Joan Liaschenko

  • 1Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Kuring-gai Campus, Lindfield, New South Wales, Australia. jane.stein-parbury@uts.edu.au

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|August 29, 2007
PubMed
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Nurse-physician collaboration in intensive care units breaks down when case knowledge is prioritized over patient-specific knowledge, impacting confused patient care. Understanding knowledge use is key to improving teamwork.

Area of Science:

  • Healthcare Management
  • Nursing Science
  • Medical Sociology

Background:

  • Nurse-physician collaboration is vital for patient outcomes, particularly in intensive care units (ICUs).
  • Traditional barriers like hierarchy, sex, and class differences impede effective collaboration.
  • Physicians' perception of ultimate decision-making authority can also hinder teamwork.

Purpose of the Study:

  • To investigate how intensive care unit (ICU) culture and daily practices influence the care of confused patients.
  • To analyze the factors contributing to breakdowns in nurse-physician collaboration within the ICU setting.

Main Methods:

  • Utilized a model of knowledge types (case, patient, person) applied to clinical work.
  • Analyzed data from a previous study focusing on collaboration failures.

Related Experiment Videos

  • Examined the interplay between knowledge utilization and collaborative practice.

    • Main Results:

    • Collaboration failures stemmed from the differential use of knowledge types by nurses and physicians.
    • Certain knowledge types were favored irrespective of clinical relevance, while others were disregarded.
    • This selective knowledge application occurred within the ICU's specific cultural context.

    Conclusions:

    • Analyzing collaboration through the lens of knowledge use provides novel insights.
    • Breakdowns in care for confused patients were linked to the ICU culture's emphasis on case knowledge over patient knowledge.
    • Shifting focus to patient-specific knowledge can potentially enhance nurse-physician collaboration.