Nurse satisfaction: Nurse-physician relationship impact

[RN-JB]

I am currently completing a research assignment on the nurse-physician relationship led by nurse perception of job satisfaction and the impact on patient outcome. Join me in helping solve the nurse-physician gap!! Please take both surveys, as one is mainly a demographic and the other follows Likert-scale responses. Also, I have some questions you can answer and will be posting a group discussion thread, so individuals can converse about the topic in a group. The postings will be available a little over a week. Consent is at the bottom of this posting.. THANK YOU!

PLEASE COPY AND PASTE TO TAKE THE SURVEYS!!

https://www.surveymonkey.com/s/MHTMHT8

https://www.surveymonkey.com/s/MNBJHVQ

https://www.surveymonkey.com/s/XMYYCL3

PLEASE ANSWER THE QUESTIONS AS YOU FEEL COMFORTABLE: (WILL NOT INCLUDE OR REQUIRE NAME)- ANSWERS WILL ONLY BE SEEN BY OTHERS ANSWERING THE POST BY USERNAME

Focus Individual Response Questions via Internet Discussion Forum

**Random open-ended questions to members of the focus group

1. Describe what type of relationship you (nurse) would like to have with physicians.

1. What overall achievement do you (nurse) feel would result as positive attitudes and collaborative nurse-physician interaction are displayed?

1. Do specific interactions you (nurse) have had with physicians cause job termination/searching for a new job?

1. What are distinctive negative characteristics noted in physicians? What are distinctive positive characteristics noted in physicians? And due to those characteristics, how do they affect overall successful outcomes and length of stay for the patient? Provide an example.

1. What are distinctive negative characteristics noted in nurses? What are distinctive positive characteristics noted in nurses? And due to those characteristics, how do they affect overall successful outcomes and length of stay for the patient? Provide an example.

1. How relevant is collaborative nurse-physician relationship in regards to your (nurse) overall satisfaction? Provide percentage and accompanying factors that are higher impact on your job satisfaction views.

1. Do you (nurse or physician) feel level of education plays a role in physician respect and physician inquiry for care recommendations? Why or why not?

1. Do you (nurse or physician) feel that specialty unit nurses have a better relationship will physicians? Why or why not?

1. What alternative factors, then level of education and specialty units, do you perceive as affecting the nurse-physician relationship? Please elaborate.

1. Does the nurse-physician relationship have a great impact on patient outcome and patient satisfaction? Please describe.

Participant Informed Consent

MSN: Leadership and Management

Capstone:Nurse-Physician Relationship Impact on Nurse Satisfaction

J. B.

You are invited to participate in a research project being conducted by researchers from Western Governors University. Jacqueline B., RN BSN is conducting research to determine the impact of the nurse-physician relationship on nurse job satisfaction and the nurse perception of impact on patient outcome.

Project Description:

The purpose of this research is to alleviate one of the posed complications encountering registered nurses that affect job satisfaction. The expansion of the medical field invites an increased number of positions available, and the need to prevent a nurse shortage is heightened. Nurse satisfaction of the job is vital to the continued success of the medical profession, enabling care for the amplified patient volume while meeting patient expectations. The main question to be answered in this research is for nurses to describe the nurse-physician relationship impact on job satisfaction and overall perception of that relationship on patient outcome.

The basis for the curriculum will be an open discussion forum regarding the topic among attendees, direct question-answer responses interview through group observation, and a question-answer written survey discussing factors contributing to nurse satisfaction and significance of the nurse-physician relationship through personal experience and perceived experiences. All attendees are expected to attend and participate in all three sessions prior to research session termination.

The research will take place through the allnurses.com website.

Benefits:

There is no specific benefit to the participant at this point in the study. The benefits of this study, especially to the interviewee are related to changes to become invoked as a result of this research and research that has already been conducted. The benefits are associated with the nurse-physician relationship gap, establishing a positive, teamwork-inspired environment to increase overall job satisfaction. This directly affects the attendee who assumes the position of a registered nurse or medical staff personnel working closely in a nurse-physician intertwined relationship. There are no risks to providing input and experience in this research. However, the long-term benefits of increased job satisfaction and cooperative, conductive nurse-physician relationships can exceed the lack of current benefit.

Confidentiality:

All information will be kept confidential, as reviewing will only be completed by the researcher, Jacqueline B. All participants will remain anonymous, as information will be grouped based on similar backgrounds, but no specific names will be utilized in this research. The data collected and reviewed regarding participant responses will not be altered or adjusted in this study.

Voluntary participation and withdrawal:

All participants are expected to log in and participate in the group discussions, interviews, and surveys. All participants are eligible to withdraw from video or audio taping. However, this study will not include any audio or video taping sessions. Participants may choose to eliminate or refuse response to any question that causes discomposure during the website entry.

Questions, Rights and Complaints:

The researcher can be reached through two contact options, website username or email. Address all questions to Jacqueline B., researcher, username for allnurses.com is RN-JB. The participant has the option to request the results of the study from the researcher.

Consent statement:

Each participant who signs this informed consent below is acknowledging the proposed study and willing to participate in the research. By answering and submitting the survey is another method to sign the consent.

________________________

Signature of Participant

_________________________

Typed/printed Name

__________________________

Date

[RN-JB]

I am sorry that you are unable to participate but first you must understand the research question, as nurse job satisfaction impact on patient outcome and nurse-physician collaboration on patient outcome are two different concepts. However, that is not what is being researched in this paper. The main question to be answered in this research is: What is the nurse-physician relationship impact on nurse job satisfaction and overall nurse perception of that relationship on patient outcome? THE ENTIRE PAPER IS ON THE IMPACT OF THE NURSE-PHYSICIAN RELATIONSHIP. But thank you for your time.

[RN-JB]

does anyone have any positive or negative relationship between the nurse and physician experiences that something good or bad happened to a patient?

[Ruby Vee, BSN]

does anyone have any positive or negative relationship between the nurse and physician experiences that something good or bad happened to a patient?

Years ago, when I was a relatively new nurse and had not yet acquired much wisdom, I worked on a hematology/oncology floor. One of my patients was a rather snappish older lady (probably about the age I am now) who had a propensity for complaining about everything and demanding that the doctors be called "RIGHT NOW!" for every little discomfort. Since she was once again out of remission with her leukemia, there were a lot of little discomforts.

We did the midnight blood draw and sent off a chem panel, a CBC with diff, coagulation studies -- just as we did on everyone. At about 0200, the lady decided she needed to go to the bathroom right NOW, and climbed over her siderails with predictable results. I heard the "thunk" -- there's no sound quite like a large, living body hitting the hard tile floor -- from halfway down the hall and came running. When I got there, I could see that she already had a huge hematoma on her forehead, and it was visibly growing. Just about then, the lab called a panic platelet count of

I paged the intern, a man whose disdain for any nurse without blonde hair and a big bosom was notorious and whose disdain for me personally was far MORE notorious since I had quite publically answered his dinner invitation with "Oh, yes doctor! I'd LOVE to meet your wife!" (Note to self: Be more subtle when in public.) His answer to my request that he come and examine the patient was met with "I'm sleeping now. And don't call me again for anything that cow wants!" Not in such language, of course. His was far more colorful. Thinking that he must not have understood the problem I called back. The language and suggestions for my personal edification were more colorful. The charge nurse that night was also a new nurse, whose experience was less than mine, only all of it on that unit. He wouldn't even answer the phone when she called.

We were in a large, university teaching hospital and because of that, the intern was not the most senior resident on call that night. We went up the ladder and the Oncology fellow came to examine the patient, order a stat Head CT and pretty much saved the day. Had we been in a community hospital, there would probably have been no one else on site.

Had I spent any time cultivating my relationships with the house staff, things might have been different. Perhaps that intern would have respected me enough to have come to see the patient. Perhaps not. It took me far too many years to note that the nurses who have the best, friendliest relationships with the house staff got what they asked for more often than I did. Now, of course,I'm old and crusty so flirtation and dating is off the table. Thank God! I try to teach all of my orientees that it's worth their time to say hello to the housestaff in the morning and to remember what interests them. Dr. Joe is engaged and looking at wedding venues, so ask him about whether he found one or tell him about your girlfriend who got married on a tour boat. Dr. Pete's wife just had twins, and he's looking unusually bright eyed -- are they sleeping through the night? Dr. Sue and her partner just came back from a trip to Africa -- did they bring pictures?

Not so many decades ago, when I was in my 30s and not so young and stupid, I worked with a pulmonologist I'll call Horace Horrible who was well known for a bad temper and a habit of disrespecting nurses. No one wanted to call him because he'd scream at them. Quite by accident, I discovered that he and I shared a passion for scuba diving. So every morning, I'd greet him with a cheery hello and pass a comment about an article I'd read about diving in Hawaii or ask him how that new dive computer was working out. At first he was awful, but after months of my persistence, he'd stop and chat with me for a minute about diving.

It so happened that one day anesthesia came by to see my patient prior to his CABG. My patient was a rather large gentleman with an intra-aortic balloon pump in his right femoral artery. Because of that, his head wasn't to be raised more than 30 degrees. The anesthesiologist, stethescope in hand, brusquely ordered me to "Sit him up so I can listen to his lungs."

"I can't sit him up," I said, explaining why. "But I'm happy to help you roll him to his side so you can listen."

That unleashed a tirade that was worthy of Horace Horrible and ended with "You wouldn't ask the medical director of your unit to help you turn a patient! You wouldn't ask Dr. Horrible to help you! Then don't ask ME. I'm a DOCTOR."

As I was standing there, too stunned to think of an immediate response I heard from behind me, "What's up Ruby? Do you need help turning this guy?" And Dr. Horrible himself stepped into the room and helped me turn the patient on his side. The anesthesiologist paled visibly, and after he and Dr. Horrible had a private word outside the room, he came and apologized to me. That's the benefit of having a good working relationship with your providers. They'll have your back when you need it!

[tnbutterfly - Mary, BSN]

Moved to Nurse Colleague / Patient Relations for more response.

[traumaRUs, MSN, APRN]

Merged duplicate threads.

[macawake, MSN]

I will also sometimes get residents responding to a patient and they will ask me "what do you recommend?" and I tell them in a polite way, if they don't know what to do, perhaps they need to consult with their senior or attending. My job is to alert them to negative changes in the patient, not to recommend treatment.

I usually report in SBAR format with a recommendation when contacting a physician. If I omit the R part, often even the seniors/attendings will ask what I recommend. I don't interpret that as that they don't know what the appropriate action would be. They realize that I have "eyes on" the patient and they trust my judgement and experience. I don't think that they are abandoning their "physician responsibilities" by asking for my input, I think that they are being smart. Of course they still have the final say and responsibility in medical matters.

I enjoy my job more when I am forced to critically think about different courses of action and treatment possibilities. I also think that experienced nurses are a valuable resource and support for a young fledgling doctor. I've had quite a few recent graduate physicians express that opinion. Their job is a daunting one when they first start out and I believe it benefits the patients to draw on the teams collective knowledge and experience.

[toomuchbaloney]

http://www.medscape.com/viewarticle/821288

I believe that this little-known company, Press Ganey, from South Bend, Indiana, has become a bigger threat to the practice of good medicine than trial lawyers. They are the leading provider of patient satisfaction surveys for hospitals and physicians. For the past decade, the government and healthcare administrators have embraced the "patient is always right" model and will punish providers that fail to rate well in these surveys. Press Ganey's CEO, Patrick Ryan, said, "Nobody wants to be evaluated; it's a tough thing to see a bad score, but when I meet with physician groups I tell them the train has left the station. Measurement is going to occur."^[1] Obamacare has budgeted $850 million in reduced Medicare reimbursement for hospitals with lower scores.

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