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Collaborative practice between Ontario nurses and physicians: is it possible?

H J Ornstein

    Canadian Journal of Nursing Administration
    |November 1, 1990
    PubMed
    Summary

    Historical factors created an unequal physician-nurse dynamic. Achieving high-quality patient care requires a shift towards balanced nurse-physician collaboration, with shared responsibility and accountability.

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    Area of Science:

    • Healthcare Management
    • Nursing Studies
    • Medical Sociology

    Background:

    • The physician-nurse relationship has historically been unequal, with nurses in subordinate roles.
    • Traditional hierarchies limit the potential for optimal patient care in modern healthcare settings.
    • Technological advancements and ethical complexities necessitate a reevaluation of professional roles.

    Purpose of the Study:

    • To identify barriers to establishing nurse-physician collaborative practice in Ontario.
    • To propose strategies for overcoming these barriers and fostering collaboration.
    • To advocate for a more balanced and equitable professional relationship.

    Main Methods:

    • Qualitative analysis of historical, psychological, social, and cultural factors.
    • Examination of existing literature on nurse-physician dynamics.
    • Exploration of specific challenges within the Ontario healthcare system.

    Main Results:

    • Deep-rooted historical and social factors perpetuate nurse dependency.
    • Current healthcare demands require equal contribution from both professions.
    • Barriers to collaboration include hierarchical structures and role perceptions.

    Conclusions:

    • A collaborative model ensures shared responsibility and accountability for patient outcomes.
    • Overcoming barriers is crucial for enhancing the quality of patient care.
    • Transforming the physician-nurse relationship is essential for contemporary healthcare delivery.

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