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Medication communication between nurses and doctors for paediatric acute care: An ethnographic study
Narelle Borrott1, Sharon Kinney2,3, Fiona Newall2,3,4,5
1Melbourne School of Health Sciences, The University of Melbourne, Parkville, VIC, Australia.
Journal of Clinical Nursing
|October 6, 2016
Summary
Effective nurse-doctor communication is crucial for safe paediatric medication management. Hierarchical structures and communication styles impact patient care, highlighting the need for interprofessional respect and clarity.
Area of Science:
- Healthcare communication
- Patient safety
- Paediatric medication management
Background:
- Interprofessional communication significantly impacts medication safety and patient care outcomes.
- Understanding communication dynamics is essential for preventing medication errors.
Purpose of the Study:
- To investigate nurse-doctor communication patterns in paediatric medication management within inpatient settings.
- To identify factors influencing effective medication communication between nurses and doctors.
Main Methods:
- An ethnographic study utilizing semi-structured interviews, observations, and focus groups.
- Thematic analysis of transcribed data using the Medication Communication Model.
- Research conducted in three Australian tertiary paediatric hospital clinical areas.
Main Results:
- Nurses and doctors demonstrated commitment to safe medication management, influenced by professional roles and identities.
- Communication varied, with nurses and junior doctors often using tentative language, while senior doctors used direct language.
- Hierarchical structures and communication barriers, such as doctors not verbalizing documented medication changes, caused frustration and impacted nurses' ability to administer medications safely.
Conclusions:
- Collaborative practice between nurses and doctors is complex, with dedication to patient safety driving effective medication management.
- Communication shortcomings can lead to medication incidents, underscoring the need for interprofessional understanding and respect.
- Interdisciplinary education and clear communication strategies are recommended to improve medication accuracy and efficacy.
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