Addressing the Disrespect Disconnect

Joe Cantlupe, for HealthLeaders Media , February 13, 2012
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As nurses become more involved in coordinated care and multidisciplinary approaches, Kadlick says the impact of nurses on quality will be more fully appreciated. "The nurses can do more—add value to the interaction with physicians and for patients' care," Kadlick says.

According to the survey, patient experience and satisfaction is the top priority among nurse leaders; 72% rank it among their top three priorities. Next is clinical quality and safety at 55% and cost reduction and process improvements at 45%.

"I think nurses believe they could have a voice to make things better, although I think it's misleading to think they can fix it," Kadlick says. "The only true way to do that is to get all the shareholders together to put out a model, and everyone has a voice in planning."

With the advent of healthcare reform, it's a chance for the industry to recognize the evolving role of nurses, Kadlick says.

"When I see the patients coming into the acute care setting, and the baby boomer nurses starting to retire, new nurses are being recruited," Kadlick says. "It's time to be more proactive for nurses with patients and providers.

"Nurses as a whole should take responsibility to be more involved in care coordination; it's that opportunity for us today," Kadlick adds.

This article appears in the February 2012 issue of HealthLeaders magazine.

Joe Cantlupe is a senior editor with HealthLeaders Media Online.
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3 comments on "Addressing the Disrespect Disconnect"

CENotredame (2/15/2012 at 2:45 PM)
Actually, in my > 35 year career as a nurse I have experienced this first hand and have been verbally abused on a daily basis in one job as an educater because the physician did not want me there. Also, I have had a resident speak very disrespectfully to me, in a very non emergent sistuation, as though entitled to do so, although I was at the time old enough to be her mother. I have witnessed physician disrespect towards nurses, and sometimes nusres being unkind and disespectful towards residents, throughout my career so commonly, that the numbers sied by nurse leaders seem rediulously low. My feelings about this have been more affected by my experiences as a patient with significant medical problems as I have seen the limitations that physicians and the medical model bring to the table Nonetheless I have had very rwarding working relationships with physicians as well and found that the team approach really benefitted our patients

ed (2/15/2012 at 2:44 AM)
Quite an interesting article in that the article only appears to address the level of disrespect the nurses may feel. However, I think it is safe to say that the contrary also occurs and I wonder how many physicians feel they are disrespected by nurses. Unfortunately, as far as I know the treatment of physicians, especially in training, by nurses are rarely examined. When it comes to the perception of blame, I certainly do feel that physicians have played a part as they do make the ultimate decisions regarding patient care. I am not sure what to make of the perception that nurses do not share some of the blame for our current health care system, as they appear to be an integral part. Ultimately, improved communication will likely lead to improved healthcare delivery, but I am not sure if performing a one-sided, possibly biased survey is contributing to the solution.

Sue Wintz (2/14/2012 at 9:15 AM)
Thank you for bringing this important topic out into the open. As a board certified professional chaplain, I have worked closely with both physicians and nurses and agree that there is a 'disconnect' that impedes communication. As the article pointed out, it's not only the MDs and RNs that contribute to this, but many other influences, including the organizational culture. Coordinated care and a multidisciplinary approach are the key, however the barriers often set up within the culture can impede this and must be addressed. Professional chaplains are often the overlooked resource by many organizations. Our expertise is communication, not only in assessing patient/family beliefs and values to incorporate them into the plan of care (which increases satisfaction), but also within the team. Often chaplains facilitate communication between members of the team, including physicians and nurses. To increase the overall success of communication in healthcare delivery, organizations would do well to bring all members of the team to the table to talk openly about solutions. This means not only the organizational leaders. The voices of those who do the bedside care - the physicians, nurses, professional chaplains and other disciplines, need to be heard and respected. Together solutions to this issue can be addressed.




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