Author Affiliations: Clinical Nurse Manager (Mss Johnson and Stark) and Physician (Drs Khan and Samee), Advocate Aurora Health Care, Chicago, Illinois.
J Nurs Adm. 2020 Jun;50(6):310-313. doi: 10.1097/NNA.0000000000000890.
A physician-nurse shadow program was established to improve interdisciplinary collaboration.
Ineffective communication between physicians and nurses leads to poor outcomes in patient satisfaction, safety, and associate engagement. Physician unfamiliarity of the nursing process is identified as a root cause.
First-year resident physicians shadowed nurses for a 4-hour shift. Residents did not function as a physician during the shadowing experience but participated in nursing workflow and tasks. Participants completed a Likert-scale rating and qualitative survey before and after the shift.
The survey measured confidence in communication and perception of workflow. Confidence levels increased in all areas by 29% for residents and 34% for nurses. Data demonstrated improved physician understanding of nursing workflow and inspired recommendations to enhance communication.
First-year resident physicians practiced direct communication skills and experienced hands-on nursing care during the shadow program. The initiative provided an environment for mutual learning and interdisciplinary relationship-building.
设立了医师-护士影子计划，以改善跨学科合作。
医生和护士之间沟通不畅会导致患者满意度、安全性和员工参与度下降。医生对护理流程不熟悉被认为是一个根本原因。
第一年住院医师轮班 4 小时跟随护士。在影子体验期间，住院医师不作为医生，但参与护理工作流程和任务。参与者在轮班前和轮班后完成了一份李克特量表评分和定性调查。
该调查衡量了沟通信心和对工作流程的看法。住院医师在所有领域的信心水平提高了 29%，护士的信心水平提高了 34%。数据显示，医生对护理工作流程的理解有所提高，并提出了加强沟通的建议。
第一年住院医师在影子计划中实践了直接沟通技巧，并体验了实际的护理工作。该计划为相互学习和建立跨学科关系提供了环境。
