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]

1. Do nurse/physician relationships affecting patient outcome, nurse satisfaction, and patient satisfaction? Share some personal experiences or experiences that others have had on these topics. This is such a controversial issue and I believe it truly does affect us in our career.
   

[RN-JB]

Please feel free to have a group discussion regarding this topic... THANK YOU VERY MUCH!

https://allnurses.com/general-nursing-discussion/do-you-get-897845.html#post7692191

[nichefinder]

interesting topic!!! well, most of drs at my hospital are quite friendly and nice since we are teaching hospital, and they tend to be residents, so they feel more "human-like" :) just kidding lol. anyways, there's always that couple doctors i want to avoid at all cost to talk.

back to the content, I haven't seen or read any research on that topic, but i think it would make sense to see favorable outcome if physicians are easier to talk to... but regardless of their friendliness, we have to report some critical things like troponin or arrythmia anyways.

[RN-JB]

https://allnurses.com/nurse-colleague-patient/nurse-satisfaction-nurse-897840.html. I am doing research on this topic so if you wouldn't mind answering some of the surveys on that link....

Back to your response, I agree that physicians at my hospital in the most part are pretty friendly but there are definitely some physicians who it seems are always in disagreement or provide nursing staff support. Why do you think that is? Like, I said, I have had relationships of both positive and negative outcomes, but can't quite pinpoint why it occurs.

[anon456, BSN, RN]

I have built a rapport with the doctors and it really has made things go well. The regulars know me and if I call because I am worried about a patient, they take me seriously. I appreciate that very much and it is a good outcome for the patient because they get early attention rather than waiting until they sicker.

I have difficulty with the surgeons who I often have to call at home and wake up over something like pain. Those orders should have been in place during day shift and now I have to wake up a grumpy doctor whom I've never met to ask about pain meds. That is unpleasant.

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.

[Ruby Vee, BSN]

In my personal opinion, the more the doctors respect you and your judgement, the more apt you are to get them to write what you need for your patient.

The time you spend just schmoozing with the doctors will serve you well in the end. If they know you and like you, they'll be more likely to listen to you. Plus, it makes the job ever so much more pleasant to LIKE and get along with the people you work with.

[RN-JB]

https://allnurses.com/nurse-colleague...se-897840.html. I am doing research on this topic so if you wouldn't mind answering some of the surveys on that link....

[macawake, MSN]

1. Do nurse/physician relationships affecting patient outcome, nurse satisfaction, and patient satisfaction? Share some personal experiences or experiences that others have had on these topics. This is such a controversial issue and I believe it truly does affect us in our career.
   

You ask three different questions. All of them interesting. However, they are in my opinion all “large” enough to be addressed separately. Trying to answer them all at once is in my opinion a big undertaking.

My personal opinion is that physician/nurse relationships may well impact a nurse’s work satisfaction level. Does it affect patient outcome? I’m sure that a very hierarchical organization and/or a tyrannical physician who won’t listen to and respect a nurse’s opinion may potentially endanger patients and adversely affect their outcome if nurses are afraid to report their observations and recommendations. (Personally I will call and wake up a physician at 3 am if I feel that the patient’s condition warrants it, but of course I prefer a civil response from said physician over a snarky one).

Will you be looking at and include existing research on the topics in your background? I’m quite sure that I’ve read a few studies on healthcare hierarchical organizations vs patient safety and if I remember correctly the results identify strict hierarchies as a risk factor.

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 above quote is from the link OP posted).

In you project description (background/aim) you state that: “Nurse satisfaction of the job is vital to the continued success of the medical profession”. First of all, is this statement a fact or an opinion? Will the medical profession fail if nurses are unhappy at work? Maybe it’s a language thing. English is my third language so I apologize if I’m wrong.

What is your target population? Eligibility criteria? Any exclusion criteria? How do you know that people posting on AllNurses meet your criteria? I could be an airline pilot with no nursing experience whatsoever. I could even be a medical doctor It’s impossible for you to know if you are interviewing a representative sample of your target population. If the sample is not representative of your target population that will most likely have a negative effect on your study’s external validity. Will your result be generalizable? Is it possible for another researcher to replicate the study?

I realize that my post might be perceived as negative. I’m not aiming for that though. I’m trying to be helpful. If you do your research this way I think you need to discuss your chosen method and how it might affect your result. Perhaps that has been your intention all along. I wish you luck with your research, as I started of saying: I think the questions you ask are very interesting and I do believe that it benefits both healthcare employees and patients if healthcare providers promote a workplace with positive and respectful working relationships between all categories of healthcare workers.

[StNeotser, ASN, RN]

It has been dependent on environment. When I worked night shift at a rehab, most patients still had their primary care physicians. They didn't know me. Sometimes I would get either them or their on-call. The worst case scenario was I once got an order to "do whatever the F I wanted" This was at 2am. Of course this type of thing affects patient outcome.

When working at a facility or organization where the physicians are also part of the organization, things go much better.

[FineAgain]

There are several physicians I really, really don't want to call. I had to call one of them to advise him of his patient's acute change in mental status. I told him what was going on and he said "is there a question in all this"? But most of the docs I call are responsive, thoughtful and if not cheery at least pleasant. I like it when they ask what I think because it is a team effort. MY eyes are on the patient, not theirs. I love it (not) when I have to call with BP outside the parameter by 1 point or 2. I always ask "when do you want this rechecked and at what BP do you want to be called". That saves me and the physician a call and a wake up. I think the relationship you build is important. Like a previous poster said they know when you call, it is because you need to!

[Altra, BSN, RN]

Unable to participate in your survey, as I feel your problem statement is significantly flawed. Nurse job satisfaction and nurse-physician collaboration impact on patient outcomes are two very different concepts. You have not established any relationship between the two.