Collaboration among registered nurses and practical nurses in acute care hospitals: A scoping review

Nursing Forum ◽  
2019 ◽  
Vol 54 (3) ◽  
pp. 376-385 ◽  
Author(s):  
Jane Moore ◽  
Dawn Prentice ◽  
Joanne Crawford ◽  
Sara Lankshear ◽  
Jacqueline Limoges ◽  
...  
2016 ◽  
Vol 55 ◽  
pp. 98-114 ◽  
Author(s):  
Mieke Deschodt ◽  
Veerle Claes ◽  
Bastiaan Van Grootven ◽  
Koen Van den Heede ◽  
Johan Flamaing ◽  
...  

2020 ◽  
Vol 47 ◽  
pp. 101778
Author(s):  
Lisa Smeds Alenius ◽  
Rikard Lindqvist ◽  
Jane E. Ball ◽  
Lena Sharp ◽  
Olav Lindqvist ◽  
...  

2009 ◽  
Vol 29 (8) ◽  
pp. 821-828 ◽  
Author(s):  
Lyn Dyson ◽  
Bronwyn Hedgecock ◽  
Sharon Tomkins ◽  
Gordon Cooke

Author(s):  
Mireille Dekker ◽  
Irene P. Jongerden ◽  
Rosa van Mansfeld ◽  
Johannes C. F. Ket ◽  
Suzanne D. van der Werff ◽  
...  

2017 ◽  
Vol 5 (4) ◽  
pp. 1 ◽  
Author(s):  
Jane Moore ◽  
Dawn Prentice ◽  
Jenn Salfi

Objective: Staffing models employing registered nurses (RNs) and registered practical nurses (RPN) have created the opportunity for enhanced collaboration in acute care settings. However, little is understood about how these nurses collaborate and the factors that influence their collaboration. The purpose of this pilot study was to examine the factors that influenced collaboration among RNs and RPNs at one acute care hospital in Canada in order to understand and improve nursing collaborative practice.Methods: Using an explanatory, sequential mixed methods design, data were collected over several months in 2016 from the nurses using a questionnaire and individual telephone interviews. Sixty-five RNs and RPNs working on medical, surgical and emergency units completed the “Nurse-Nurse Collaboration Scale” survey and ten RNs and RPNs participated in the telephone interviews.Results: Quantitative analysis showed lower scores among younger nurses across most domains of the survey: conflict management, communication, shared processes, coordination and professionalism. Qualitative analysis revealed working to full scope of practice was a facilitator of RN-RPN collaboration, and older age and poor interpersonal skills were barriers to successful collaboration.Conclusions: The results provide discussion for identification of strategies to improve collaborative practice among nurses such as establishing joint education programs for RNs and RPNs, and the use of models or frameworks to guide collaborative practice in healthcare organizations.


2008 ◽  
Vol 12 ◽  
pp. 32 ◽  
Author(s):  
Shane Neely-Smith ◽  
Maggie Turner ◽  
Zorene A. Curry ◽  
Theresa E. Moxey-Adderley ◽  
Constance J. Wilson ◽  
...  

2020 ◽  
Vol 27 (4) ◽  
pp. 1032-1043
Author(s):  
Manal M Alzghoul ◽  
Kristen Jones-Bonofiglio

Background Nurses in acute care are frequently involved in ethical decision making and experience a higher prevalence of ethical conflicts and dilemmas. Nurses in underresourced rural acute care settings also are likely to face unique ethical challenges. However, rarely have the particular contexts of these experiences in rural acute care settings been researched. A culture of silence and fear in small towns has made exploring these issues difficult. Objectives To explore registered nurses’ experiences of ethical issues and ethical decision making in rural acute care hospitals in northern Ontario, Canada. Research design Guided by an interpretive descriptive approach, data were collected by two nurse researchers using in-depth, individual, and semistructured telephone interviews. Data were managed with NVivo v.11 and analyzed using inductive, comparative, thematic analyses. Participants and research context The participants were eight registered nurses working in two acute care hospitals in northern Ontario. Ethical considerations Ethical protocols were followed in accordance with ethics approval from the researchers’ university and the hospitals. Findings Results identified four themes that culminated in the development of a quadruple helix ethical decision-making framework of power, trust, care, and fear. Discussion and conclusion The participants described complex ethical conflicts and dilemmas in acute care settings that were influenced by the context of working and living in small rural communities in northern Ontario. Nurses described navigating ethics in practice using a tension-based approach to ethical decision making, needing to carry these issues silently and often having no resolution to ethical challenges. These findings have important implications for nursing education, research, and practice. Nurses need safe spaces, formal ethics support, and improved access to resources. Additional ethics education and training specific to the unique contexts of rural settings are needed.


Author(s):  
Heather L. Neville ◽  
Courtney Granter ◽  
Pegah Adibi ◽  
Julia Belliveau ◽  
Jennifer E. Isenor ◽  
...  

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