Collaboration between Nurse and Physicians



Collaboration between Nurse and Physicians

Good cooperation between doctors and nurses is of great importance for quality care. Communication or information exchange is very important between Nurses and Physicians. However, it is important to assess the pros and corns of this relationship, before stressing its importance. There are many factors that must be kept in mind when building such a relationship and one must understand the complexity of the relationship.

The general shortage of nursing staff that threatens our society in 2030, the choices are limited when it comes to Nurse and Physician relationship. Giger and De Geest evoke the shortage of doctors, nor the complexity of modern healthcare, requiring a team with complementary skills and capabilities. The nurses work for extended time into the sphere of traditional doctors, they are cheaper and have more time to spend with patients.

Obedience is a more deeper issue than the issue of money, which is crucial. If we analyze the role of Physicians and Doctors, there are significant differences. Doctors need to take risks and confront to uncertainty, while nurses are more likely to follow protocols and provide predefined care." In other words, the two professions work in two very different models. And, contrary to what one might expect, the model most threatened, because the most critical, the most independent-minded and therefore more disruptive to the ongoing industrialization of care is that of doctors (Huddleston, 2004).

In another article, Rhona Knight recalls that nurses operate in a blurry world titles, training, knowledge, skills of all kinds, which does not facilitate the assignment of work. Especially, those who argue for APN nurses replace GPs in primary care, she replied that the management of uncertainty, if taken seriously, it would require that they receive instruction in basic science and reasoning critical.

In the Netherlands, for example, nurses can take care of all of the anesthetic procedure, a doctor merely supervise several rooms. In many countries, "nurse endoscopists' split the doctors to cope with growing demand, especially because of cancer screening.On a medical level, the experience is mixed, however: not being trained to "work as independently as physicians," says one doctor interviewed by Coombes, nurses are disabled to handle their problems . No matter: the "management", whatever it is, does everything to foster a movement of substitution since, "for the price of a doctor, it is possible to have two nurses." Hence, the collaboration with same ratio appears to be a difficult task (Johnson, 2001a).

The thing to understand is that nurse-physician relations are only the special case of a larger phenomenon. Because it extends, becomes more complex, and is enriched by new forms of practice, requiring new skills. In the continuum of health professions, ranging from nurse to doctor, to the medical assistant, pharmacist, physiotherapist, psychologist, midwife, the radiology technician - the roles will not stop redefine itself. New social and technical occupations appear, carrying increasingly specialized knowledge (LeTourneau, Fisher, 2004).

It is arch-sure the doctors will see their position challenged, but ...