ArticleInternational journal of qualitative studies on health and well-being2017
ICU nurses and physicians dialogue regarding patients clinical status and care options-a focus group study.
Article in International journal of qualitative studies on health and well-being, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- How nurses contribute to medical treatment decision-making with physicians: a scoping review.BMJ open · 2026Article
- Use and effectiveness of directed, closed-loop communication in the operating theatre: mixed methods analysis of simulated clinical emergencies.British journal of anaesthesia · 2025Article
- Nurses' care coordination competence in mechanically ventilated patients in intensive care units: a cross-sectional study.BMC health services research · 2025Article
- A systematic scoping review of group reflection in medical education.BMC medical education · 2024Article
- Identifying the unique behaviors embedded in the process of interprofessional collaboration in the ICU.Journal of interprofessional care · 2023Article
- Collaboration between nurses and doctors in the decision-making process when considering ending the life-prolonging treatment of intensive care patients.Nursing open · 2023Article
- Nurses' perception on competency requirement and training demand for intensive care nurses.International journal of nursing sciences · 2022Article
- Nurses' perception of their role in extracorporeal membrane oxygenation care: A qualitative assessment.Nursing in critical care · 2022Article
- The Fifth International Survey of Critical Care Nursing Organizations: Implications for Policy.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2020Article
- The current status of nurses-doctors collaboration in clinical decision and its outcome in Tanzania.Nursing open · 2019Article
- Using Incident Reports to Assess Communication Failures and Patient Outcomes.Joint Commission journal on quality and patient safety · 2019Article
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Authors and funding
3 authors.
Funding
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Abstract
Nurses and physicians work side-by-side in the intensive care unit (ICU). Effective exchanges of patient information are essential to safe patient care in the ICU. Nurses often rate nurse-physician communication lower than physicians and report that it is difficult to speak up, that disagreements are not resolved and that their input is not well received. Therefore, this study explored nurses' dialogue with physicians regarding patients' clinical status and the prerequisites for effective and accurate exchanges of information. We adopted a qualitative approach, conducting three focus group discussions with five to six nurses and physicians each (14 total). Two themes emerged. The first theme highlighted nurses' contributions to dialogues with physicians; nurses' ongoing observations of patients were essential to patient care discussions. The second theme addressed the prerequisites of accurate and effective dialogue regarding care options, comprising three subthemes: nurses' ability to speak up and present clinical changes, establishment of shared goal and clinical understanding, and open dialogue and willingness to listen to each other. Nurses should understand their essential role in conducting ongoing observations of patients and their right to be included in care-related decision-making processes. Physicians should be willing to listen to and include nurses' clinical observations and concerns.
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