Impact of Cooperation Established Between Physicians and Nurses Working at Surgical Clinics on The Tendency of Nurses to Make Medical Errors

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The aim of this study is to determine the effect of cooperation between physicians and nurses working in ‎surgical clinics on the tendency of nurses to make medical errors. The research was carried out in a ‎descriptive manner at Yozgat Bozok University Research and Application Center surgical units between April-‎May 2021. 130 surgical nurses and 40 surgeons were included in the study. In the evaluation of the data, ‎independent two-sample t-test, Mann-Whitney U test, one-way analysis of variance, Duncan test, Kruskal ‎Wallis test, Pearson correlation coefficient, and regression analysis were used. When the Jefferson Physician ‎and Nurse Professional Collaboration Scale mean scores of physicians and nurses were examined; the mean ‎score of nurses was 52.2±5.8, and the mean score of physicians was 50.7±4.6. Nurses' Malpractice Tendency ‎Scale mean score was determined as 236.1±16.5. It was determined that when the Jefferson Physician and ‎Nurse Professional Collaboration Scale score of the nurses increased by one unit, the Malpractice Tendency ‎Scale score increased by 1.247. Statistically, it was determined that there was a weak positive relationship ‎‎(p<0.05). The existence of a healthy and effective cooperation system between physicians and nurses in ‎surgical units is important in preventing medical errors. In our study, it was determined that the physician-‎nurse relationship in surgical units had an effect on the medical error tendency of nurses. In line with the data ‎obtained, it is recommended to measure the reflections of the trainings on the cooperation in order to ‎increase the effective trainings in changing the professional communication within the team on doctor-nurse ‎cooperation in a positive way and to strengthen the concrete data.

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Background and objectives: Effective relationship and collaboration between doctors and nurses is considered the main factor in achieving positive medical results, which is the most important goal of the healthcare system. This study aims to compare attitude of doctors and nurses toward factors associated with doctor-nurse collaboration, including shared education and teamwork, caring as opposed to curing, physician's dominance, and nurses' autonomy. Methods: In this cross sectional, descriptive-comparative study, the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration was used to assess doctor-nurse collaboration in four domains, including shared education and teamwork, caring as opposed to curing, physician's dominance, and nurses' autonomy. To this end, descriptive (mean, standard deviation) and inferential statistics including independent t test, Chi-square, and variance analysis were used. Results: According to the results obtained, compared to doctors, nurses showed a more positive attitude toward shared education and teamwork, caring as opposed to curing, and physicians' dominance, but there was no significant difference between the two groups in nurses' autonomy. Conclusion: With regard to doctor-nurse collaboration, it is essential that doctors and nurses be acculturated in the course of their academic education. Moreover, policies to change pattern of professional relationships from hierarchical to complementary can be effective in enhancing professional autonomy of nurses and reducing impaired professional interactions.
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Background: Medical errors are considered as a major threat to patient safety. To clarify medical errors' status in Iran, a review was conducted to estimate the accurate prevalence of medical errors. Methods:A comprehensive search was conducted in international databases (MEDLINE, Scopus and the Web ofScience), national databases (SID, Magiran, and Barakat) and Google Scholar search engine. The search wasperformed without time limitation up to January 2017 using the MeSH terms of Medical“error(s)”and“Iran”inEndnote X5. Article in English and Persian which estimated the prevalence of medical errors in Iran were eligible tobe included in this review. The JBI appraisal instrument was used to assess the quality of included studies, by twoindependent reviewers. The prevalence of medical errors was calculating using random effect model. Stata softwarewas used for data analysis. Results:In 40 included studies, the most frequent occupational group observed were nursing staff and nursingstudents (21 studies; 52% of studies). The most reported type of error was medication error (25 studies; 62% ofstudies, with prevalence ranged from 10 to 80%). University or teaching hospitals (30 studies; 75% of studies) aswell as, internal/intensive care wards (10 studies; 25% of studies) were the most frequent hospitals and wardsdetected. Based on the result of the random effect model, the overall estimated prevalence of medical errors was50% (95% confidence interval: 0.426, 0.574). Conclusion:Result of the comprehensive literature review of the current studies, found a wide variation in theprevalence of medical errors based on the occupational group, type of error, and health care setting. In thisregards, providing enough education to nurses, improvement of patient safety culture and quality of services andattention to special wards, especially in teaching hospitals are suggested. Keywords:Medical errors, Prevalence, Iran, Systematic review
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Interprofessional collaboration and teamwork between nurses and physicians is essential for improving patient outcomes and quality of health services. This study examined the attitudes of nurses and physicians toward nurse-physician collaboration. A cross-sectional study was conducted among nurses and physicians ( n=414 ) in two main referral public hospitals in the Gaza Strip using the Arabic Jefferson Scale of Attitude toward Physician-Nurse Collaboration. Descriptive statistics and difference of means, proportions, and correlations were examined using Student’s t -test, one-way ANOVA, and Pearson correlation and p<0.05 was considered as statistical significant. Response rate was 42.8% (75.6% for nurses and 24.4% for physicians). Nurses expressed more positives attitudes toward collaboration than physicians (M ± SD on four-point scale: 3.40±0.30 and 3.01±0.35 , resp.) and experience duration was not proved to have an interesting influence. Teamwork approach in the professional practice should be recognized taking into consideration that the relationship between physicians and nurses is complementary and nurses are partners in patient care.
Background: All humans are fallible. Because physicians are human, unintentional errors unfortunately occur. While unintentional medical errors have an impact on patients and their families, they may also contribute to adverse mental and emotional effects on the involved provider(s). These may include burnout, lack of concentration, poor work performance, posttraumatic stress disorder, depression, and even suicidality. Objectives: The objectives of this article are to 1) discuss the impact medical error has on involved provider(s), 2) provide potential reasons why medical error can have a negative impact on provider mental health, and 3) suggest solutions for providers and health care organizations to recognize and mitigate the adverse effects medical error has on providers. Discussion: Physicians and other providers may feel a variety of adverse emotions after medical error, including guilt, shame, anxiety, fear, and depression. It is thought that the pervasive culture of perfectionism and individual blame in medicine plays a considerable role toward these negative effects. In addition, studies have found that despite physicians' desire for support after medical error, many physicians feel a lack of personal and administrative support. This may further contribute to poor emotional well-being. Potential solutions in the literature are proposed, including provider counseling, learning from mistakes without fear of punishment, discussing mistakes with others, focusing on the system versus the individual, and emphasizing provider wellness. Much of the reviewed literature is limited in terms of an emergency medicine focus or even regarding physicians in general. In addition, most studies are survey- or interview-based, which limits objectivity. While additional, more objective research is needed in terms of mitigating the effects of error on physicians, this review may help provide insight and support for those who feel alone in their attempt to heal after being involved in an adverse medical event. Conclusions: Unintentional medical error will likely always be a part of the medical system. However, by focusing on provider as well as patient health, we may be able to foster resilience in providers and improve care for patients in healthy, safe, and constructive environments.
The purpose of this systematic review was to explore nurses' and physicians' perceptions of nurse-physician collaboration and the factors that influence their perceptions. Overall, nurses and physicians held different perceptions of nurse-physician collaboration. Shared decision making, teamwork, and communication were reoccurring themes in reports of perceptions about nurse-physician collaboration. These findings have implications for more interprofessional educational courses and more intervention studies that focus on ways to improve nurse-physician collaboration.
Interprofessional Education Health Education Interprofessional education is an approach to develop healthcare students for future interprofessional teams. It is implemented when two or more professions learn with, from and about each other to improve collaboration and the quality of care. Advocates suggest that IPE is important to cultivate mutual trust and respect, and to confront misconceptions and stereotypes, dispelling prejudice and rivalry between professionals. IPE provides an ability to share skills and knowledge between professions and allows for a better understanding, shared values, and respect for the roles of other healthcare professionals. Interprofessional education is not implemented as an actively applied in Turkey. However, in recent years, draws attention to these practices in international level.
Each year, nearly 7 million hospitalized patients acquire infections while being treated for other conditions. Nurse staffing has been implicated in the spread of infection within hospitals, yet little evidence is available to explain this association. We linked nurse survey data to the Pennsylvania Health Care Cost Containment Council report on hospital infections and the American Hospital Association Annual Survey. We examined urinary tract and surgical site infection, the most prevalent infections reported and those likely to be acquired on any unit within a hospital. Linear regression was used to estimate the effect of nurse and hospital characteristics on health care-associated infections. There was a significant association between patient-to-nurse ratio and urinary tract infection (0.86; P = .02) and surgical site infection (0.93; P = .04). In a multivariate model controlling for patient severity and nurse and hospital characteristics, only nurse burnout remained significantly associated with urinary tract infection (0.82; P = .03) and surgical site infection (1.56; P < .01) infection. Hospitals in which burnout was reduced by 30% had a total of 6,239 fewer infections, for an annual cost saving of up to $68 million. We provide a plausible explanation for the association between nurse staffing and health care-associated infections. Reducing burnout in registered nurses is a promising strategy to help control infections in acute care facilities.
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