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Coincidental collaboration: Creating a global nursing leadership community of practice
Communities of Practice are an efficient and effective way for global nurse leaders to connect, enhance leadership practice, and create a sustainable infrastructure for nursing leadership development and advancement.
Developing new knowledge through leadership, teamwork, and collaboration: A QSEN academic task force success
The goal of this presentation is to share the results of an autoethnographic study that examined facilitators and barriers to conducting a national multi-site study in nursing academia unsupported by grant funding. The ...
Phi Gamma: Virtually connecting and collaborating to catalyze global nurse leadership development
Phi Gamma Virtual Chapter connects members and leaders worldwide. Phi Gamma successfully collaborates with educational institutions; other organizations; and Sigma chapters. As a result, the development of nurse leaders ...
Mentoring future nurse leaders: Collaboration between a Sigma Theta Tau Chapter and a nursing student association
(2016-03-17)
Session presented on Saturday, July 25, 2015:
Mentoring is increasingly being used in nursing and by nursing organizations with the aim of contributing to personal, professional and leadership development. Shea (1999) ...
Interprofessional Collaboration: Nurses and Physicians Continue to View Collaboration Differently
(2017-07-25)
Purpose:
Interprofessional collaboration fosters quality and safety clinical outcomes and is a requisite element in our complex healthcare delivery environment. Yet, as noted by The Joint Commission (2009), the relationship between nurses and physicians has been a major determinate of the quality of healthcare. Hierarchical power relationships between nurses and physicians were first described by Stein in 1967. Power dynamics, whether real or perceived, impede teamwork, collegiality, and patient advocacy. Although significant progress has been since Stein’s seminal article, conflict and discord persists leading to errors and increased healthcare costs (Crawford, Omery, & Seago, 2012; Nair, Fitzpatrick, McNulty, Click, & Glembocki, 2012).
Frontline nurses at a southwestern United States community acute care hospital identified collaboration as a topic of research interest. Seven frontline nurses developed a research study to explore interprofessional collaboration. The team was sponsored by medical and nursing leadership and mentored by two PhD prepared clinical nurse specialists.
The purpose of the research study was to investigate the current state of collaboration between nurses and physicians at a non-profit acute care hospital in the southwestern United States.
Methods:
Following Institutional Review Board approval, the frontline nurses conducted a non-experimental, concurrent mixed methods study. Quantitative data included the use of two instruments. The Positive Professional Practice Environment Assessment Scale (PPEAS) consists of 13 items on a 1-10 point Likert Scale. Eight items are scored from disagree (1) to agree (10); three items are scored from insignificant (1) to significant (10), and two items are scored from poor (1) to excellent (10). The scale produces an overall score and four subscale scores (presence of positive physician characteristics, presence of positive nurse characteristics, presence of positive organizational characteristics, and presence of positive decision making characteristics The PPEAS has an overall Cronbach’s alpha of 0.86 with subscale alpha’s from 0.73 - 0.89 (Siedlecki & Hixson, 2011). The Collaborative Behavior Scale – Shortened (CBSS) has eight items with a 1-4 point Likert scale (1 = rarely; 4 = nearly always) and produces an overall score to measure the degree of collaborative behaviors. The CBSS has reported a Cronbach’s alpha of 0.96 (Stichler, 2013). Recruitment via convenience sampling included 355 nurses and 82 physicians who completed the quantitative instruments. One focused qualitative question (If you could improve collaboration between physicians and nurses, what two strategies/priorities/areas would you suggest?) resulted in responses from 144 nurses and 53 physicians. Data was analyzed using SPSS, Version 22 and by first cycle holistic and second cycle thematic coding.
Results:
Analysis of quantitative data was completed using descriptive statistics, t-tests, one-way analysis of variance analysis and post-hoc Sheffē. Physician respondents were predominantly male (81.35%), with a mean age of 51.95 years and 19.7 mean years in practice. The majority were board certified (93.7%) and primary practice areas were surgical (45.0%), medical (27.5%), or anesthesia (21.3%). Nurse respondents were predominantly female (90.95%), with a mean age of 44.17 years, and 17.51 mean years in practice. Most nurses had bachelor’s degrees in nursing (67.0%), and 51.3% had a specialty certification. Primary practice areas were inpatient units (acute care 22.6%; progressive care 22.1%, intensive care 21.0%). Comparing the two professions, physicians generally rated collaboration significantly higher than nurses as measured by the PPEAS overall score (physicians M = 8.05, SD = 1.36; nurses M = 7.69, SD = 1.39, p = .037) and CBBS (physicians M = 3.40, SD = 0.55; nurses M = 2.69, SD = 0.76, p
Qualitative data analysis produced four interpersonal and interactional themes of rounding, respect, roles, and communication.
Conclusion:
Physician respondents perceived a greater level of collaboration than nurse participants, which is congruent with prior quantitative research findings (Nair et al., 2012; Wauben et al., 2011). The distinct differences in nurses’ collaboration scores by practice area support the concept of unit level influences on interpersonal relationships (Donaldson & Mohr, 2000). Qualitative data analysis revealed respect and rounding as methods to improve collaboration from a nursing perspective, while physicians emphasized role delineation as a potential improvement area. Improved communication was a priority emphasized by both professions.
Nurse leaders can influence the interprofessional environment by recognizing entity level measures of collaboration may not be reflective of a unit level work environment. Assessment of provider interprofessional dynamics at the unit or department level is paramount to addressing and improving relationships in the clinical setting. As the current study has shown, collaborative perspectives vary by role and settings. Successful interventions to improve interprofessional practice should recognize these differences and tailor strategies based on an understanding of the specific practice environment. In this study, the richness of exploring collaboration through both quantitative and qualitative methods resulted in a more robust assessment of the interprofessional environment. Collaborative interprofessional interactions are critical to achieve and sustain quality patient outcomes and interprofessional role satisfaction....
Leadership in academia during a pandemic
This presentation describes how leadership at the department, college, and university levels enabled nursing faculty to provide quality education through online learning and simulation during a pandemic.
Transformative leadership for true workplace collaboration: Strengthening workplace culture through attention to workplace bullying affronts
(2017-03-03)
Session presented on Saturday, March 18, 2017:
Transformative leadership is governance devoted to change in individuals and in social systems. It emphasizes actions aimed simultaneously toward organizational effectiveness ...
Creating healthy work environments in critical care nursing
(2017-03-03)
Session presented on Saturday, March 18, 2017:
Having unhealthy working conditions in healthcare results inthe erosion of the quality, efficiency and safety of patient care delivery and attrition from the profession of ...
Encouraging virtual leadership and member collaboration
(2017-10-05)
The primary goal of Phi Gamma Chapter is making a difference worldwide through creation of a global community of nurses and places importance on encouraging nurse leaders from all over the world. Phi Gamma Chapter communicates ...