Understanding collaboration between nurses and physicians as knowledge at work

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dc.contributor.author Stein-Parbury, J
dc.contributor.author Liaschenko, J
dc.date.accessioned 2010-05-14T07:45:17Z
dc.date.created 2010-05-14T07:45:17Z en_US
dc.date.issued 2007-01
dc.identifier.citation American journal of critical care, 2007, 16 (5), pp. 470 - 477
dc.identifier.issn 1062-3264
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.
dc.publisher American Association of Critical-Care Nurses
dc.title Understanding collaboration between nurses and physicians as knowledge at work
dc.type Journal Article
dc.parent American journal of critical care
dc.journal.volume 5
dc.journal.volume 16
dc.journal.number en_US
dc.journal.number 5 en_US
dc.publocation United States en_US
dc.publocation Los Alamitos, USA
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.conference Digital Image Computing Techniques and Applications
dc.for 1110 Nursing
dc.personcode 870045
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.date.activity 2007-12-03
dc.location.activity Glenelg, Australia
dc.description.keywords Behavior Education, Continuing Health Knowledge, Attitudes, Practice
dc.description.keywords Humans
dc.description.keywords Intensive Care Units
dc.description.keywords Interviews as Topic
dc.description.keywords Models, Theoretical
dc.description.keywords Patient Care, Physician-Nurse Relations, Quality of Health Care
pubs.embargo.period Not known
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 - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc true
utslib.collection.history Closed (ID: 3)

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