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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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An interview study about how nurses and physicians talk about the same concepts differently.

Ragnhild Holgaard1, Birgitte Bruun2, Frederik Zingenberg2

  • 1Center for Human Resources, Copenhagen Academy for Medical Education and Simulation (CAMES), Capital Region of Denmark, Herlev Hospital, 25th floor, Herlev Ringvej 75, Herlev, 2370, Denmark. Hannah.ragnhild.drejer.holgaard@regionh.dk.

BMC Medical Education
|June 26, 2024
PubMed
Summary
This summary is machine-generated.

Healthcare professionals, particularly nurses and physicians, exhibit differing communication styles regarding leadership and decision-making. Understanding these variations in social and cognitive capabilities is crucial for preventing medical errors and improving patient safety.

Keywords:
Concept formationDecision-makingEducation of healthcare professionalsFaculty developmentLeadershipSocial and cognitive capabilities

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Area of Science:

  • Medical Education
  • Healthcare Professional Communication
  • Cognitive and Social Capabilities in Medicine

Background:

  • Varying understandings of social and cognitive capabilities among healthcare professionals can lead to behavioral discrepancies and errors.
  • Misaligned expectations due to differing conceptual interpretations may contribute to adverse incidents.
  • This study investigates concept variations among medical educators at the Copenhagen Academy for Medical Education and Simulation.

Purpose of the Study:

  • To examine variations in how educators discuss social and cognitive capabilities.
  • To identify how professional backgrounds influence the understanding and communication of these concepts.

Main Methods:

  • Semi-structured interviews were conducted with educators.
  • Directed content analysis was employed, using codes derived from non-technical skills models.
  • Analysis focused on variations in how participants discussed shared concepts.

Main Results:

  • Nurses and physicians demonstrated distinct approaches to discussing leadership and decision-making.
  • Nurses emphasized group dynamics and external factors in leadership and decision-making.
  • Physicians primarily focused on individual efforts when describing leadership and decision-making.

Conclusions:

  • Patterned differences in leadership and decision-making descriptions correlate with professional backgrounds (nursing vs. physician).
  • Discrepancies in understanding these concepts can foster misunderstandings and compromise patient safety.
  • Educating professionals on conceptual specificity and clear communication is recommended to mitigate risks.