Articlename:Collaboration between hospital physicians and Nurses: An integratedliterature review
Thefollowing essay is a critique of a quantitative research article‘Collaboration between hospital physicians and nurses”. Thearticle is a collection of an integrated literature review. The mainaim of this critique is to ascertain the validity of the content ineach section of the article. It will explore how the humanparticipants were protected during the study. This will entail theevaluation on how the authors addressed the risks and benefits of theparticipants. It will also expound on the data collection tools whileassessing their validity and reliability (Tang, Chan & Zhou,2016). Besides, the process of data analysis and methods used will beassessed. The findings and the implications for practice from thesurvey will also be analysed.The study will conclude by giving ananalysis of how the findings can help enhance nursing practiceespecially in the collaboration between nursing and physicians andits significance in health care provision.
Protectionof human participants
Inthe reviewed studies, the articles used different participantsdepending on their aim while carrying out the study. However, it isparamount to point out that the participants used in most of thereviewed studies were nurses and physicians. Therefore, this impliesthat informed consent was derived from the participants. In most ofthe quantitative studies, the individuals participated voluntarily.Important to note is that, they were from various settings. Privacywas maintained since the information was confidential and in mostcases the reviewed literature did not reveal the name of health carecenters it obtained data from.
Itis salient to point out that the dependent and independent variablesin the study were not clearly stated. The method used to analyze datain this case was the search method and process. Principally, thepublished articles in English which had information concerningresearch studies on the link that exist between physicians and nursecollaboration were used. The information was also searched though thefollowing databases Scopus, PubMed, CINAHL and Wiley Online Library.The search strategies which were employed in the survey include,searching manually of journals expounding on interproffessional care,databases and the ancestry approach in which the list of referencesof the retrieved articles was reviewed for additional relatedjournals.
Theresearchers used different criterion in selecting the articles. Oneof the rationales used was that, the articles included were to havean English publication.Similary they were to be primary researchsources and the time of publication was to range from 2002 to2012.The number of journals that were identified in this case weretwenty three. They were comprehensively bead to ascertain theirrelevance. After a thorough scrutiny six of the journals wereexcluded since their main target was on medical scholars and nurses.Furthermore, their emphasis was not on physician nurse relationshipbut rather on advanced nurse practioneer and nurses. The final reviewincluded 23 journal articles of which 14 of them were quantitativestudies while the rest were qualitative. In the quantitative studies,10 of the articles adopted designs which were descriptivelycomparative in which questionnaires were used in evaluating theperspective of the nurses and physicians towards collaboration.
Inthe reviewed studies, questionnaires were used to assess the attitudethat the nurses and physicians had towards collaboration. Thevalidity and reliability of the questionnaires were appropriatelydocumented. The remaining made use of the experimental designs toascertain the appropriateness of interventions in enhancing thecollaboration between nurses and physicians (Tang, Chan & Zhou,2016). The results also indicated that the nurses and physicians haddifferent understanding pertaining collaboration. While thephysicians viewed that collaboration meant commanding and orderingthe nurses to perform various tasks, the nurses believed that it canbe achieved through sharing of ideas that will work towards improvingthe care of patients.
Datamanagement and analysis
Theanalysis of data was done based on thefindings from the articlesused. For instance, most of the quantitative reviewed articlesanalyses their findings through the use of statistical methods suchas calculation of percentages to ascertain the number of professionswho valued collaboration.
Findingsinterpretations and their implications
Accordingto the results obtained, it was identified that most of thephysicians and nurses recognized the importance of collaboration.Both of them agreed that collaboration is essential in enhancing thehealth of patients. Two of the studies postulated that bothprofessions were in agreement that collaboration is salient in therecovery and satisfaction of the patients. Moreover, they supportedthat collaboration is needed if the safety of the sick is to bemaintained.
However,most of the reviewed articles pointed out that collaboration arevalued more by the physicians as compared to the nurses. On the otherhand, it was ascertained that nurses who viewed collaboration as asalient aspect in improving quality care were more interested to worktogether with the physicians.
Theother studies which used comparative descriptive methods revealeddifferent perceptions on the attitudes of nurses and physicianstowards working together. A study that involved cross cultural surveyidentified that nurses were more enthusiastic towards collaborationthan the physicians.
Inassessing the quality of the collaboration and its effectiveness,three quantitative studies revealed that nurses valued collaborationmore than the physicians. Communication was noted as a crucial factorin enhancing the collaboration. In regard to the perception, fourquantitative studies stated that there is lack of clarity amongprofessions when it comes to communication. This hinders qualitypatient care and leads to medical errors which in turn jeopardize thesafety of patients. The problem was mainly observed in medicalsurgical wards.
Severalfactors were identified as the ones which affect the collaborationbetween the two porofessions.One of the factor was trust and respect.In this case, it was articulated that the physicians do not valuethe efforts of the nurses in their work thus making the latter feeldevalued (Burns, 2011). The study revealed other factors such as lackof equality in power, misunderstanding of roles and variedpriorities. It was also explained that collaboration can be enhancedthough availing interprofession education.
Severalimplications can be derived from the findings. In the first case, theexistence of unequal power is prevalent in most health patient cares.Nurses are sometimes denied the opportunity to exploit their skillsin decision making (Nair, D.M., et al, 2012). Hence, this call forhospital programs which will ensure that the nurses and physicianslearn from each other. Substantial steps should be taken in handlingconflicts in the places of work (Griffin, 2011).This can be done through creation of open forums and conductions ofmeetings to discuss on the experiences and hoe to promotecollaboration in the workplace (Chiocchio, Lebel & Dubé, 2016).
Validityof the findings
Thefindings are valid since they reflect on the reality of thesituations in most of the health cares. This is because getting aninsight of the role of attitudes in collaboration enables nurses andphysicians to realize the challenges facing them and come up withsolutions to curtail the problems.
Limitationsof the study
Therewere various flaws in the literature review. There is a possibilitythat the search method used in selecting the articles might have leftout some important literature. In addition, the articles used mayhave been subject to bias in their methodological aspects.
Suggestionsmade for further studies
Inthe literature review it was found out that most of the study on theattitudes was carried out in the western countries, therefore it isimperative that a study be carried out in other settings. There isalso the need for intervention studies which thoroughly use therigorous methods in order to evaluate the ability of the studies inenhancing collaboration (Nathanson et al, 2011)
Thereviewed studies used variety of questionnaires in evaluating theperceptions of physicians and nurses in collaboration. Despite thefact that they were varied and reliable, each of them measured adifferent aspect of collaboration in different settings. In thefuture study it is advisable that the search be narrowed in order toenhance better understanding. On the same note, the results of thereview identified numerous factors that have an impact on thephysician nurse collaboration. Further research should make use of avalid instrument that expounds on attitudes at a broader perspective.Moreover, research should be done to analyze on the role of nurseadministrators and senior physicians in enhancing collaboration.
Summarily,the integrated literature review highlighted on the attitudes whichnurses and physicians have towards collaboration. This can beinfluenced by a number of factors such as respect, communication,power and prioritization of tasks. As illustrated earlier, strategiessuch as interprofession education can foster the collaboration.Working together and sharing of the ideas between the two professionsis important and therefore it should be embraced.
Burns,K. (2011) Nurse-physician rounds: a collaborative approachtoimproving communication, efficiencies, and perception of care.MedsurgNursing, 20 (4), 194–199.
Chiocchio,F., Lebel, P., & Dubé, J. (2016) Informational roleself-efficacy: a validation in interprofessional collaborationcontexts involving healthcare service and project teams BMC HealthServices Research, 161-7 doi:10.1186/s12913-016-1382-x
C.J.Tang1, S.W. Chan2, W.T.& Zhou3, 2016 Collaboration betweenhospital physicians andNurses: An integrated literature review
Nair,D.M., et al. (2012) Frequency of nurse-physician collaborativebehaviorsin an acute care hospital. Journal of InterprofessionalCare, 26 (2), 115–120.
Nathanson,B.H., et al. (2011) How much teamwork exists between nursesand juniordoctors in the intensive care unit? Journal of Advanced Nursing, 67(8), 1817–1823.
Griffin,D. (2011). Hospitals. Sudbury, MAass.: Jones & BartlettLearning.
Powell,R. (2011). Self-efficacy in nurse-physician communication andcollaboration