Developing and testing a tool to measure nurse/physician communication in the intensive care unit

National Center for Interprofessional Practice and Education's picture
Submitted by National Center... on Dec 16, 2014 - 9:54am CST

Resource Type: 
Journal Article

OBJECTIVES: The purpose of this study, conducted in 3 intensive care units (ICUs) at 1 Department of Veterans Affairs Medical Center, was to develop tools and procedures to measure nurse/physician communication in future studies.

METHODS: We used mixed methods in a multistaged approach. Qualitative data came from 4 observations of patient care rounds and 8 interviews with nurses and physicians. Quantitative data came from anonymous surveys distributed to nurses in all 3 ICUs (n = 66). We administered the Safety Organizing Scale to measure nurses' self-reported behaviors that enable a safety culture. Analysis of variance was the main statistical test.

RESULTS: Qualitative data were used to create an observation data collection tool and a working protocol, to measure nurse/physician communication in a future study. Analysis of variance revealed significant differences between the 3 units (f = 4.57, P = 0.02). There also were significant differences on 4 of 9 items of the Safety Organizing Scale. Using mixed methods, we gained multiple perspectives that helped us to clarify and validate the context and content of communication. Quantitative analysis showed significant differences between the 3 ICUs in nurses' perceptions of a safety culture. According to qualitative analyses, nurses from the unit which reported the weakest safety culture also were the least satisfied in their communication with physicians. Qualitative analyses corroborated quantitative findings and demonstrated the importance of contextual influences on nurse/physician communication.

CONCLUSIONS: Through the tools and protocol we created, more realistic strategies to promote effective communication between nurses and physicians may be developed and tested in future studies.

Please note: The full text of this article is only available to those with subscription access to the Wolters Kluwer Health database. Contact your institutional library or the publisher for details.

Milisa Manojlovich
Sanjay Saint
Jane Forman
Carol E. Fletcher
Rosalind Keith
Sarah Krein
Outcomes-based Evaluation Tools