International nursing review
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Ineffective physician-nurse collaboration has been shown to cause work dissatisfaction among physicians and nurses and compromised the quality of patient care. ⋯ This review has highlighted important aspects of physician-nurse collaboration that could be addressed by future research studies. These include: developing a comprehensive instrument to assess collaboration in greater depth; conducting rigorous intervention studies to evaluate the effectiveness of improvement strategies for physician-nurse collaboration; and examining the role of senior physicians and nurses in facilitating collaboration among junior physicians and nurses. Other implications include inter-professional education to empower nurses in making clinical decisions and putting in place policies to resolve workplace issues.
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Comparative Study
Nurses' preferred end-of-life treatment choices in five countries.
Previous research has focused on physician's perspectives of end-of-life (EOL) decision making as well as patient and family EOL decision making. There is a lack of research pertaining to the EOL treatment preferences of nurses and especially nurses working in a variety of care settings. ⋯ This study is the first to examine and compare nurses' preferred EOL treatment choices in five countries from three different continents. The findings of this study raise several important questions for healthcare researchers, for policy development, and highlight the need for further international collaboration.
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Documentation is central to the management of patients in hospitals. Nurses are trained to follow the Ministry of Health Jamaica's policy on documentation, which is available in all public hospitals. ⋯ The study showed high levels of accurate documentation by nurses at a referral hospital in Western Jamaica and the nurses appeared to be familiar with the required documentation guidelines with policy manuals available on each ward. Weaknesses in discharged planning and patient teaching were identified, which should be addressed by targeted continuing nursing.