week 5 hsa 515 respond to discussion question and one peer discussion 12 front apa

In the discussion preparation, you were asked to analyze the major professional roles played by physicians and nurses as they apply to physicians’ conduct in the medical arena and to nurses in the role of adjuncts to physicians. You were also asked to evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st-century U.S. hospitals. Provide your evaluation and analysis in the discussion.

Moshe Bielsky is the student response …In the discussion preparation, you were asked to analyze the major professional roles played by physicians and nurses as they apply to physicians’ conduct in the medical arena and to nurses in the role of adjuncts to physicians. You were also asked to evaluate the degree and quality of care that physicians, nurses, and medical technologists provide in their primary roles, including, but not limited to, patient safety and satisfaction as required in 21st-century U.S. hospitals. Provide your evaluation and analysis in the discussion.

Patient satisfaction and quality of care is the most sought out goal for any healthcare organization. By doing so, a healthcare organization must work together, or the organization could create a decrease in quality of care, patient satisfaction, employee satisfaction and or retention, and an increase in patient errors. Throughout the years it has been viewed that the healthcare organization is like a food chain. The doctors are the highest of the food chain because they make a lot of the decisions, get paid the most, and do less of the messy work. Whereas the nurses don’t get paid nearly enough and do all the dirty/grimy work then this trickles down the food chain / health care chain and so on… In reality, Doctors and nurses work hand in hand, and work together and need to be on the same page in order to deliver the best quality of care to the patients.

The articleexamines perceptions of the relationship between nurses and physicians in clinical settings in which they practice together; and analyzed the impact of nurse-physician relationships on nursing care decisions. The article states how nurses were asked whether “a physician’s attitude affects how you ask a question or makes you reluctant to report a change in a patient’s clinical condition?” The article concluded with a statistic that 55% of nurses said a physician’s behavior impacted nursing decisions, and that younger, less experienced nurses were more likely to report being affected by negative physician behaviors than older nurses or nurses with more experience.

It goes on to stating how the level of the nurses roles has an affect with staff. Nurses are most likely to be affected by a physician’s behavior and the advance practice nurse the least likely. The article also explained how younger nurses (<45 years of age) and/or less experienced nurses (<20 years of experience) were more likely to report being affected by negative physician behaviors than older or more experienced nurses.

This is a semi sore subject when talking to fellow co-workers of mine as many of the nurses have felt that one or more doctor before in their career has talked down to them or had a rude demeaning tone. Just as this study has suggested this is seen more with newer or younger nurses who seem to get yelled out, or questioned by the physician. When there is this fear or animosity a nurse can feel uncomfortable. This could result in a nurse not approaching or paging a doctor when a clinical change is found. The nurse may not want to help a doctor draw labs or complete an order placed by the doctor on time. This could ultimately lead to patient harm. Although it is not every doctor or every nurse who may not see eye to eye, it does happen more often then none. May it be that the doctor is trying to prove as an authority figure over the nurse, and/or prove something to their fellow coworkers or superiors? Or may it be that a nurse wants to stand up for themself and not get walked all over.

Most importantly what I have learned and seen over the years, is when a circumstance happens like this it is best to address the issue with both parties. Both parties should explain how the actions or statements have come across to the other party and how this can affect the long term care of patients. The goal is to bridge the gap and understand how all parties are affected and perceive situations differently. Knowing each employee has the same goal and is on the same page to deliver high quality safe patient care will be key.

Reference:

(n.d.). Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No3-Sept-2015/Articles-Previous-Topics/Relationships-between-Nurses-and-Physicians-Matter.html

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