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Identifying learning needs to enhance communication skills between doctors (MDs) and nurses (RNs) in long-term care facilities (LTCFs) to deliver safe care to residents


Identifying learning needs to enhance communication skills between doctors (MDs) and nurses (RNs) in long-term care facilities (LTCFs) to deliver safe care to residents

Richards-Douglas, Marilyn (2016) Identifying learning needs to enhance communication skills between doctors (MDs) and nurses (RNs) in long-term care facilities (LTCFs) to deliver safe care to residents. Masters thesis, Concordia University.

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Identifying learning needs to enhance communication skills between doctors (MDs) and nurses (RNs) in long-term care facilities (LTCFs) to deliver safe care to residents
Marilyn Richards-Douglas
The purpose of the study was to understand how nurses working in LTCFs perceive their communication with doctors in order to give safe care to residents and to identify learning needs to enhance communication skill between doctors and nurses. This qualitative study was based on narratives obtained through interviews with six nurse Team Leaders working in the same LTCF. The interdisciplinary team they lead includes nurses’ aides, licenced practical nurses, the team leader, the head nurse and the doctor and they work with occupational therapists, social workers, ergo-therapists, pharmacists, kitchen aids and nutritionists. Other individuals present on the floor on a continual basis are the family members and companions of the residents. All six team leaders expressed their desire to continue to work in the role of Team Leader and helped better define the following areas of concerns and needs to improve communication in their setting especially with the doctors. The insights gained are discussed under the following titles:
A. Preparedness for Team Leadership in LTCs: Education and Practice as Team Leaders.
--Nursing Education
--Challenges encountered as Team Leader
--Autonomy in Nursing Practice
--The Need To Be Recognized
B. RN Perception/Narratives of Working Relationship with the MD
--Communicating with doctors in LTC
--Perceived Barriers to Effective Communication
--Developing the Skill of Communication
--Strategies for Collaborative Practice

Divisions:Concordia University > Faculty of Arts and Science > Education
Item Type:Thesis (Masters)
Authors:Richards-Douglas, Marilyn
Institution:Concordia University
Degree Name:M.A.
Program:Educational Studies
Date:14 September 2016
Thesis Supervisor(s):Hamalian, Arpi
Keywords:Key Terms Centre Hospitalier Service Longe Durée [CHSLD]/ Long-term care facility [LTCF]: health care sites such as nursing homes that provide a home-like environment for residents who commonly receive care for the duration of their lives. CHF: Congestive heart failure Collaborative practice: “an inter-professional process for communication and decision making that enables the separate and shared knowledge and skills of care providers to synergistically influence the client/patient care provided” (Way, Jones, and Busing, 2000, p. 3 as cited in Donald, 2007). Externship: a student nurse who has completed two years of nursing school and is permitted by the OIIQ to work with a nurse during the summer. The student is paid a salary but her scope of practice is limited and she has to work with the same nurse or two nurses for that period. Intravenous [IV]: the infusion of liquids, fluids, nutrients, medication or blood products via a vein. LPN: Licensed Practical Nurse MD: Medical doctor OIIQ: Ordre des infirmières et infirmiers du Quebec/Order of Nurses of Quebec. PAB: Préposé aux bénéficiaires: Nursing assistant/orderly who provides basic hygiene care to patients. PEG: Percutaneous endoscopic gastrostomy: used to provide feeding to a patient who is incapable of taking food or sufficient food orally. RN: Registered nurse. SBAR: Situation-Background-Assessment-Recommendation: A tool used to enable the nurse to communicate information about a resident’s condition to the doctor by phone. Team leader: An RN within a LTCF who is responsible for ensuring that all members of a unit provide appropriate care to residents. All RNs referred to in this proposal are team leaders whether novice or experienced.
ID Code:981815
Deposited On:04 Nov 2016 19:37
Last Modified:18 Jan 2018 17:53


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