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"That was a good shift".

Anya Johnson1, Helena Nguyen1, Sharon K Parker2

  • 1Work and Organisational Studies, University of Sydney Business School, University of Sydney , Sydney, Australia.

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|September 8, 2017
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Summary
This summary is machine-generated.

Interprofessional collaboration between advanced practice nurses (APNs) and junior doctors improved patient management and junior doctors' learning during overtime shifts. This initiative reduced work pressure and enhanced team climate and well-being.

Keywords:
Boundary spanningInterprofessional collaborationJunior doctorsLearning and developmentNursePatient managementTeam working

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Area of Science:

  • Healthcare Management
  • Interprofessional Education
  • Nursing Practice

Background:

  • Junior doctors' overtime shifts are crucial for patient care and skill development but are often stressful.
  • Effective interprofessional collaboration is needed to support junior doctors during these shifts.

Purpose of the Study:

  • To investigate interprofessional collaboration between advanced practice nurses (APNs) and junior doctors.
  • To enhance junior doctors' learning and patient management during overtime shifts.

Main Methods:

  • A mixed-methods evaluation of an intervention in an adult tertiary referral hospital.
  • Phase 1: Compared tasks and ward rounds on intervention vs. regular shifts using regression analysis.
  • Phase 2: Explored stakeholder experiences through interviews with junior doctors, APNs, and administrators.

Main Results:

  • Intervention associated with increased self-initiated ward rounds by junior doctors.
  • Significantly reduced doctors' engagement in carried-over tasks and total tasks for first-year junior doctors.
  • Interviews indicated reduced work pressure, improved team climate, situation awareness, skills, confidence, and well-being.

Conclusions:

  • Redesigning overtime shifts to foster interprofessional collaboration benefits patient management.
  • This collaboration supports junior doctors' learning, skill development, and overall well-being.
  • APN-doctor collaboration is a valuable strategy for optimizing hospital operations and medical training.