Collaborative Practice between Doctors and Nurses in Patients Management: Attitude of Teamwork

Wiwik Kusumawati(1*), Romdzati Romdzati(2)


(1) Universitas Muhammadiyah Yogyakarta, Yogyakarta, Special Region of Yogyakarta, Indonesia
(2) Universitas Muhammadiyah Yogyakarta, Yogyakarta, Special Region of Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Background:  Interprofessional collaboration is essential in providing higher-quality health services and ensuring patient safety.

Objective: This study aims to assess the attitude of cooperation between doctors and nurses as first line health workers in an academic health facility and explore their perspectives on the collaboration attitude between doctors and nurses.

Methods: This study used a mixed-method design. The quantitative sample was chosen randomly but with total sampling for the primary clinic. Data on the attitude of cooperation between doctors and nurses from the questionnaire results were analyzed descriptively. The sample for the qualitative study was selected purposively, each health service consisted of 1 doctor and one nurse, so the number of informants was six. The qualitative data were transcribed verbatim and analyzed qualitatively using the constant comparative method.

Results: The results showed that of 84 respondents, 54 doctors, and 30 nurses, 95% showed a good teamwork attitude. Some respondents (5%) showed a bad attitude, especially on three items, namely item no 4 (doctors do not have the right to change the treatment plan that has been made), 13 (doctors do not have to be the final determinant) and 18 (possibility of other professions to become leaders). The results of the qualitative analysis show that there are five final themes, namely: 1. teamwork is good; 2. the role of the profession; 3. the importance of interprofessional communication; 4. openness to receive feedback; 5—patient safety and PCC.

Conclusion: Both professions have distinct but equal and complementary roles in patient management, each with their own advantages or capabilities. Open communication, which includes getting criticism, can help overcome a poor cooperative attitude.

Keywords


Collaborative practice; doctor; nurses; teamwork

Full Text:

PDF

References


Hamid NZA, Rasid SZA, Maon S, Hassan NM, Suddin L. Interprofessional Communication and Interprofessional Collaboration (IPC) among Health Care Professionals. In: BE-ci 2016 International Conference on Business and Economics. 2016.

Goldsberry JW. Advanced practice nurses leading the way: Interprofessional collaboration. Nurse Educ Today [Internet]. 2018 Jun 1 [cited 2022 Aug 10];65:1–3. Available from: https://pubmed.ncbi.nlm.nih.gov/29518668/

Interprofessional Education Collaborative Expert Panel. Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington DC; 2011.

Denti I, Orbayinah S. Persepsi dan sikap untuk bekerjasama antara responden yang terpapar Interprofessional Education (IPE) dan yang tidak terpapar IPE. [Yogyakarta]: Universitas Muhammadiyah Yogyakarta; 2017.

Homeyer S, Hoffmann W, Hingst P, Oppermann RF, Dreier-Wolfgramm A. Effects of interprofessional education for medical and nursing students: enablers, barriers and expectations for optimizing future interprofessional collaboration - a qualitative study. BMC Nurs [Internet]. 2018 Apr 10 [cited 2022 Aug 10];17(1). Available from: https://pubmed.ncbi.nlm.nih.gov/29643742/

Falana TD, Afolabi OT, Adebayo AM, Ilesanmi OS. Collaboration between Doctors and Nurses in a Tertiary Health Facility in South West Nigeria: Implication for Effective Healthcare Delivery. International Journal of Caring Sciences. 2016;9(1):165.

Elsous A, Radwan M, Mohsen S. Nurses and Physicians Attitudes toward Nurse-Physician Collaboration: A Survey from Gaza Strip, Palestine. Nursing Research and Practice. 2017;2017:1–7.

Hornby S, Atkins J. Collaborative Care: Interprofessional Interagency and Interpersonal. 2nd ed. Blackwell Publishing; 2000.

Kaini BK. Interprofessional Team Collaboration in Health Care . Global Journal of Medical Research [Internet]. 2017 [cited 2022 Aug 10];17. Available from: https://medicalresearchjournal.org/index.php/GJMR/article/view/1288

Morley L, Cashell A. Collaboration in Health Care. J Med Imaging Radiat Sci [Internet]. 2017 Jun 1 [cited 2022 Aug 10];48(2):207–16. Available from: https://pubmed.ncbi.nlm.nih.gov/31047370/

Siedlecki SL, Hixson ED. Relationships between nurses and physicians matter. Online Journal of Issues in Nursing. 2015;20(3).

Blastland M, Freeman ALJ, van der Linden S, Marteau TM, Spiegelhalter D. Five rules for evidence communication. Nature 2021 587:7834 [Internet]. 2020 Nov 18 [cited 2022 Aug 10];587(7834):362–4. Available from: https://www.nature.com/articles/d41586-020-03189-1

Kadda O. Effective physician - Nurse communication. Health Science Journal. 2013;7(3).

Amudha P, Hamidah H, Annamma K, Ananth N. Effective Communication between Nurses and Doctors: Barriers as Perceived by Nurses. Journal of Nursing and Care. 2018;7(3).

Flood B, Smythe L, Hocking C, Jones M. Interprofessional practice: beyond competence. Advances in Health Sciences Education [Internet]. 2019 Aug 1 [cited 2022 Aug 10];24(3):489. Available from: /pmc/articles/PMC6647467/

Franco NP, Cordero MAWC. Collaboration Effort between Physicians and Nurses: A Feedback Tool for the Review of the Hospitals. International Journal of Nursing. 2017;4(1):19–26.

Mulidan, Suza DE, Arruum D. The Influence of Reinforcing Nurse-Doctor Inter-professional Collaboration on Patient Safety Target at RSUP H. Adam Malik, Medan. Journal of Nursing and Health Science . 2019;8(5):43–9.

Wang YY, Wan QQ, Lin F, Zhou WJ, Shang SM. Interventions to improve communication between nurses and physicians in the intensive care unit: An integrative literature review. International Journal of Nursing Sciences. 2018 Jan 10;5(1):81–8.

Sánchez HF, Bastian M del CS, Salazar EMDÁ, Díaz NM, Zepeta DH, Ruiz MC. Interventions to enhance teamwork in healthcare professionals: a mini review. Nursing & Care Open Access Journal [Internet]. 2018 Mar 28 [cited 2022 Aug 10];Volume 5(Issue 2). Available from: https://medcraveonline.com/NCOAJ/NCOAJ-05-00125.php

WHO. Patient Safety Incident Reporting and Learning Systems: Technical Report and Guidance. Geneva; 2020.

Hardavella G, Aamli-Gaagnat A, Saad N, Rousalova I, Sreter KB. How to give and receive feedback effectively. Breathe [Internet]. 2017 Dec 1 [cited 2022 Aug 10];13(4):327–33. Available from: https://breathe.ersjournals.com/content/13/4/327


Article Metrics

Abstract view : 367 times
PDF - 97 times

DOI: https://doi.org/10.26714/magnamed.10.1.2023.48-59

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Indexed by

 

      

 

Creative Commons License

MAGNA MEDIKA by APKKM is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.