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Values at work.

Richard M Frankel1, Thomas S Inui1, Orit Karnieli-Miller2

  • 1Indiana University School of Medicine.

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Summary
This summary is machine-generated.

Nurse and physician values differ, impacting teamwork and patient safety. Addressing these values conflicts is crucial for improving healthcare relationships and quality of care.

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Area of Science:

  • Healthcare professional relationships
  • Medical sociology
  • Organizational psychology

Background:

  • Interprofessional tensions between nurses and physicians are often attributed to power, hierarchy, education, compensation, and gender dynamics.
  • Less research has focused on the underlying values driving these differences and the impact of unresolved conflicts on patient safety.

Purpose of the Study:

  • To compare the values expressed in affirming and challenging narratives from nurses and physicians within a large health system.
  • To identify specific values that are sources of agreement and disagreement between these professional groups.

Main Methods:

  • Thematic analysis was employed to analyze qualitative narratives from nurses and physicians.
  • Descriptive statistics were used to assess the goodness-of-fit for observed differences in value themes.
  • Narratives were systematically coded into eight distinct values categories.

Main Results:

  • Nurses' affirming narratives centered on emotional investment, altruism, humanism, and service; physicians' on humanism and teamwork.
  • Challenging narratives for nurses highlighted issues of respect, altruism/kindness, and emotional investment.
  • Challenging narratives for physicians also included respect, professionalism, service, humanism, and teamwork, with significant overlap on respect.

Conclusions:

  • Differences in core values contribute to interprofessional tensions and impact work-life satisfaction.
  • While some values (e.g., humanism) showed overlap, others (e.g., respect) revealed significant divergence.
  • Unresolved values conflicts pose a potential threat to healthcare quality, patient safety, and effective interprofessional collaboration.