I'm not sure how meaningful the answers can be; your premise is seriously flawed.
Quote from Joe V
Nurses, Physicians, and hospital Administration all strive, in their respective roles, to ensure high quality, safe, and efficient patient care.
While all concerned possibly should
have the same objective and may want to create the appearance of providing that great care, the reality is often much different. Painting them all with the same brush is not helpful in my opinion and may in fact be the root of the problem.
Not everyone entered or remains in healthcare for the same reasons. For many, the priority may be simply to maintain an income, or leave a legacy, or build a career, or stay in a certain geographic region. And while most want to see good care given, when that competes with their actual primary objective the resulting decisions don't necessarily support good care.
I'll give some examples.
1) A CEO gets brought in to turn a failing hospital around. She feels strongly her career hinges on doing so. The board makes it clear they believe the problem isn't lack of budget, but ineffective leadership, so the new CEO is hamstrung in hiring staff to ease chronic shortages, or making conditions more attractive financially.
2) A nurse manager recognizes his unit has problems with productivity and caring. But the bad apples are connected socially with the DON who makes it clear she won't support any discipline against her friends. To go against the DON means the nurse risks his job, and there are few opportunities in this small community where he's finishing an NP program.
3) An HR President is aware of morale problems organization wide that are causing mass defections of valuable staff. The agency is in the middle of a buyout, and to present anything other than a glowing picture could cause a loss in value to executive stock options, so the morale and staff defections are ignored.
4) A nurse is aware of chronic and dangerous regulatory noncompliance. Escalating the concerns through every avenue available results in nothing other than subtle retaliation. The nurse's mental health begins to suffer as a result, so efforts at advocating for good care and treatment of her patients and colleagues are abandoned.
None of the above examples involve bad people per se
or anyone who didn't enter their role seeking to see good care delivered, but their priorities resulted in less than desired outcomes. I'm not suggesting nurses can and should do nothing. But to lay the problems at the feet of "communication difficulties, egos, and tunnel vision" is short sighted. Quite often the decisions made which then inform the actions of the people involved are - or feel like - a matter of survival. In the end, the only thing we can do as individuals is interact with others with as much kindness and compassion as possible on every occasion. That doesn't require the cooperation of or mutual goal setting with anyone else.