Research on the existing problems of clinical doctor-nurse collaboration

Abstract

Objective To investigate key bonding point and existing problems of clinical doctor-nurse collaboration,in order to improve the collaboration and provide reference for seamless cooperation between doctors and nurses.Methods Open questionnaires were used to find out the bonding point of doctor-nurse collaboration and its problems.Questionnaire on existing problems of doctor-nurse collaboration ( doctor volume and nurse volume) was also designed for further analysis.247 nurses and 211 doctors in a third class A hospital in Shanxi province were included in this investigation,to work out the collaboration between nurses and doctors and the cause of existing problems.Results The score rates in 8 doctor - nurse bonding point were 30.35％ ～84.5％ in nurse volume and 31.3％ ～ 84.3％ in doctor volume.The highest score in both nurse and doctor volume was doctor' s operating dimension,which accounted for 84.5％ and 84.3％.Among 10 worst doctornurse collaboration items,people who scored more than or equal to 3 accounted for 63.97％ ～ 100.00％.Among 5 items which were the highest in both nurse and doctor volume,ward management accounted for 40％.82.94％ doctors who scored more than or equal to 3 believed that junior nurses' ability to cooperate was poorer.Conclusions Nurse performed poorly in cooperation during doctors' operation.Most problems lie in ward management.Problems in medical order handling and execution are most intractable.And junior nurses lack standardized training and competence evaluation.Therefore,establishing reasonable flow path and responsibilities is necessary to improve doctor-nurse collaboration. Key words: Data collection; Doctor-nurse collaboration; Existing problems