Improving peer relationships through contracting in primary nursing

Effective peer group relationships are essential in both primary nursing and the peer review process. Yet professional peer behaviors are frequently lacking in primary nursing groups. These authors believe that if some of the problems in peer relationships are not resolved, primary nursing could be doomed to failure. Here they discuss the concept of "peer contracting" as a potentially useful method for facilitating the development of more professional peer group relationships. From their experience with peer contracting, they present some practical considerations regarding its use and value. Their discussion raises some critical points concerning problems in peer group relationships, and it stimulates further exploration of the nature, use, and implications of peer contracting as a vehicle that can help primary nursing realize its potential.