Nurses' role in accomplishing interprofessional coordination: Lessons in 'almost managing' an emergency department team.

Wise, S; Duffield, C; Fry, M; Roche, M

Nurses' role in accomplishing interprofessional coordination: Lessons in 'almost managing' an emergency department team.

Wise, S

Duffield, C

Fry, M

Roche, M

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: J Nurs Manag, 2021, 30, (1), pp. 198-204
Issue Date:: 2021-08-26

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Field	Value	Language
dc.contributor.author	Wise, S https://orcid.org/0000-0003-3513-3471
dc.contributor.author	Duffield, C https://orcid.org/0000-0001-6534-8743
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096
dc.contributor.author	Roche, M https://orcid.org/0000-0002-3831-537X
dc.date.accessioned	2022-01-27T02:20:19Z
dc.date.available	2021-08-23
dc.date.available	2022-01-27T02:20:19Z
dc.date.issued	2021-08-26
dc.identifier.citation	J Nurs Manag, 2021, 30, (1), pp. 198-204
dc.identifier.issn	0966-0429
dc.identifier.issn	1365-2834
dc.identifier.uri	http://hdl.handle.net/10453/153625
dc.description.abstract	AIM: To describe how nurse coordinators accomplished day-to-day interprofessional coordination in an Australian emergency department team, drawing some lessons for the design of nurse coordinator roles in other settings. BACKGROUND: Previous studies have examined leadership within nursing teams, and there are a growing number of registered nurses employed as care coordinators. There is limited literature on how the day-to-day coordination of interprofessional teams is accomplished, and by whom. METHOD: Nineteen semi-structured interviews with emergency department registered nurses, doctors and nurse practitioners analysed thematically. RESULTS: Three themes describe how coordinators accomplished interprofessional coordination: task coordination and oversight, taking action to maintain patient flow and negotiating an ambiguous role. CONCLUSION: Better-defined nurse coordinator roles with clearer authority and associated training are essential for consistent practice. However, accomplishing interprofessional coordination will always require the situated knowledge of the complex nursing-medical division of labour in the workplace and the interpersonal relationships that are only gained through experience. IMPLICATIONS FOR NURSING MANAGEMENT: The design of nurse coordinator roles must include the thorny question of 'who leads' interprofessional teams in the day-to-day coordination of tasks. New and inexperienced nurses may not have the necessary situated knowledge or interpersonal relationships to succeed. However, such roles offer an important development opportunity for future nurse managers.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	J Nurs Manag
dc.relation.isbasedon	10.1111/jonm.13464
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.title	Nurses' role in accomplishing interprofessional coordination: Lessons in 'almost managing' an emergency department team.
dc.type	Journal Article
utslib.citation.volume	30
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Centre for Health Economics Research and Evaluation
utslib.copyright.status	open_access	*
dc.date.updated	2022-01-27T02:20:18Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	30
utslib.citation.issue	1

Abstract:

AIM: To describe how nurse coordinators accomplished day-to-day interprofessional coordination in an Australian emergency department team, drawing some lessons for the design of nurse coordinator roles in other settings. BACKGROUND: Previous studies have examined leadership within nursing teams, and there are a growing number of registered nurses employed as care coordinators. There is limited literature on how the day-to-day coordination of interprofessional teams is accomplished, and by whom. METHOD: Nineteen semi-structured interviews with emergency department registered nurses, doctors and nurse practitioners analysed thematically. RESULTS: Three themes describe how coordinators accomplished interprofessional coordination: task coordination and oversight, taking action to maintain patient flow and negotiating an ambiguous role. CONCLUSION: Better-defined nurse coordinator roles with clearer authority and associated training are essential for consistent practice. However, accomplishing interprofessional coordination will always require the situated knowledge of the complex nursing-medical division of labour in the workplace and the interpersonal relationships that are only gained through experience. IMPLICATIONS FOR NURSING MANAGEMENT: The design of nurse coordinator roles must include the thorny question of 'who leads' interprofessional teams in the day-to-day coordination of tasks. New and inexperienced nurses may not have the necessary situated knowledge or interpersonal relationships to succeed. However, such roles offer an important development opportunity for future nurse managers.

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http://hdl.handle.net/10453/153625