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A concordance-based study to assess doctors’ and nurses’ mental models in Internal Medicine

Interprofessional collaboration between doctors and nurses is based on team mental models, in particular for each professional’s roles. Our objective was to identify factors influencing concordance on the expectations of doctors’ and nurses’ roles and responsibilities in an Internal Medicine ward. U...

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Autores principales: Blondon, Katherine S., Chan, K. C. Gary, Muller-Juge, Virginie, Cullati, Stéphane, Hudelson, Patricia, Maître, Fabienne, Vu, Nu V., Savoldelli, Georges L., Nendaz, Mathieu R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5549723/
https://www.ncbi.nlm.nih.gov/pubmed/28792524
http://dx.doi.org/10.1371/journal.pone.0182608
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author Blondon, Katherine S.
Chan, K. C. Gary
Muller-Juge, Virginie
Cullati, Stéphane
Hudelson, Patricia
Maître, Fabienne
Vu, Nu V.
Savoldelli, Georges L.
Nendaz, Mathieu R.
author_facet Blondon, Katherine S.
Chan, K. C. Gary
Muller-Juge, Virginie
Cullati, Stéphane
Hudelson, Patricia
Maître, Fabienne
Vu, Nu V.
Savoldelli, Georges L.
Nendaz, Mathieu R.
author_sort Blondon, Katherine S.
collection PubMed
description Interprofessional collaboration between doctors and nurses is based on team mental models, in particular for each professional’s roles. Our objective was to identify factors influencing concordance on the expectations of doctors’ and nurses’ roles and responsibilities in an Internal Medicine ward. Using a dataset of 196 doctor-nurse pairs (14x14 = 196), we analyzed choices and prioritized management actions of 14 doctors and 14 nurses in six clinical nurse role scenarios, and in five doctor role scenarios (6 options per scenario). In logistic regression models with a non-nested correlation structure, we evaluated concordance among doctors and nurses, and adjusted for potential confounders (including prior experience in Internal Medicine, acuteness of case and gender). Concordance was associated with number of female professionals (adjusted OR 1.32, 95% CI 1.02 to 1.73), for acute situations (adjusted OR 2.02, 95% CI 1.13 to 3.62), and in doctor role scenarios (adjusted OR 2.19, 95% CI 1.32 to 3.65). Prior experience and country of training were not significant predictors of concordance. In conclusion, our concordance-based approach helped us identify areas of lower concordance in expected doctor-nurse roles and responsibilities, particularly in non-acute situations, which can be targeted by future interprofessional, educational interventions.
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spelling pubmed-55497232017-08-12 A concordance-based study to assess doctors’ and nurses’ mental models in Internal Medicine Blondon, Katherine S. Chan, K. C. Gary Muller-Juge, Virginie Cullati, Stéphane Hudelson, Patricia Maître, Fabienne Vu, Nu V. Savoldelli, Georges L. Nendaz, Mathieu R. PLoS One Research Article Interprofessional collaboration between doctors and nurses is based on team mental models, in particular for each professional’s roles. Our objective was to identify factors influencing concordance on the expectations of doctors’ and nurses’ roles and responsibilities in an Internal Medicine ward. Using a dataset of 196 doctor-nurse pairs (14x14 = 196), we analyzed choices and prioritized management actions of 14 doctors and 14 nurses in six clinical nurse role scenarios, and in five doctor role scenarios (6 options per scenario). In logistic regression models with a non-nested correlation structure, we evaluated concordance among doctors and nurses, and adjusted for potential confounders (including prior experience in Internal Medicine, acuteness of case and gender). Concordance was associated with number of female professionals (adjusted OR 1.32, 95% CI 1.02 to 1.73), for acute situations (adjusted OR 2.02, 95% CI 1.13 to 3.62), and in doctor role scenarios (adjusted OR 2.19, 95% CI 1.32 to 3.65). Prior experience and country of training were not significant predictors of concordance. In conclusion, our concordance-based approach helped us identify areas of lower concordance in expected doctor-nurse roles and responsibilities, particularly in non-acute situations, which can be targeted by future interprofessional, educational interventions. Public Library of Science 2017-08-08 /pmc/articles/PMC5549723/ /pubmed/28792524 http://dx.doi.org/10.1371/journal.pone.0182608 Text en © 2017 Blondon et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Blondon, Katherine S.
Chan, K. C. Gary
Muller-Juge, Virginie
Cullati, Stéphane
Hudelson, Patricia
Maître, Fabienne
Vu, Nu V.
Savoldelli, Georges L.
Nendaz, Mathieu R.
A concordance-based study to assess doctors’ and nurses’ mental models in Internal Medicine
title A concordance-based study to assess doctors’ and nurses’ mental models in Internal Medicine
title_full A concordance-based study to assess doctors’ and nurses’ mental models in Internal Medicine
title_fullStr A concordance-based study to assess doctors’ and nurses’ mental models in Internal Medicine
title_full_unstemmed A concordance-based study to assess doctors’ and nurses’ mental models in Internal Medicine
title_short A concordance-based study to assess doctors’ and nurses’ mental models in Internal Medicine
title_sort concordance-based study to assess doctors’ and nurses’ mental models in internal medicine
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5549723/
https://www.ncbi.nlm.nih.gov/pubmed/28792524
http://dx.doi.org/10.1371/journal.pone.0182608
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