Understanding collaboration between nurses and physicians as knowledge at work

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dc.contributor.author Liaschenko, Joan en_US
dc.contributor.author Stein-Parbury, Jane en_US
dc.date.accessioned 2010-05-14T07:45:17Z
dc.date.available 2010-05-14T07:45:17Z
dc.date.created 2010-05-14T07:45:17Z en_US
dc.date.issued 2007
dc.date.issued 2007 en_US
dc.identifier 2006013887 en_US
dc.identifier.citation Stein-Parbury Jane and Liaschenko Joan 2007, 'Understanding collaboration between nurses and physicians as knowledge at work', American Association of Critical-Care Nurses, vol. 16, pp. 470-477. en_US
dc.identifier.issn 1062-3264 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/6237
dc.description.abstract BACKGROUND: Collaboration between nurses and physicians is linked to positive outcomes for patients, especially in the intensive care unit. However, effective collaboration poses challenges because of traditional barriers such as sex and class differences, hierarchical organizational structures in health-care, and physicians' belief that they are the final arbiter of clinical decisions. OBJECTIVE: To further analyze the results of an investigation on how intensive care unit culture, expressed through everyday practices, affected the care of patients who became confused. METHODS: A model of the types of knowledge (case, patient, and person) used in clinical work was used to analyze the breakdown in collaboration detected in the original study. RESULTS: Breakdown of collaboration occurred because of the types of knowledge used by physicians and nurses. Certain types of knowledge were privileged even when not applicable to the clinical problem, whereas other types were dismissed even when applicable. CONCLUSION: Viewing collaboration through the conceptual lens of knowledge use reveals new insights. Collaboration broke down in the specific context of caring for patients with confusion because the use of case knowledge, rather than patient knowledge, was prominent in the intensive care unit culture. en_US
dc.publisher American Association of Critical-Care Nurses en_US
dc.relation.isbasedon en_US
dc.title Understanding collaboration between nurses and physicians as knowledge at work en_US
dc.parent American journal of critical care en_US
dc.journal.volume 16 en_US
dc.journal.number en_US
dc.journal.number 5 en_US
dc.publocation United States en_US
dc.identifier.startpage 470 en_US
dc.identifier.endpage 477 en_US
dc.cauo.name Clinical Nursing: Practices and Outcomes en_US
dc.conference Verified OK en_US
dc.for 111000 en_US
dc.personcode 870045 en_US
dc.personcode 0000041592 en_US
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.description.keywords Behavior Education, Continuing Health Knowledge, Attitudes, Practice; Humans; Intensive Care Units; Interviews as Topic; Models, Theoretical; Patient Care, Physician-Nurse Relations, Quality of Health Care en_US

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