Evaluating the quality of interaction between medical students and nurses in a large teaching hospital.

BMC Medical Education
Gregory J NadolskiJames J Brokaw

Abstract

Effective health care depends on multidisciplinary collaboration and teamwork, yet little is known about how well medical students and nurses interact in the hospital environment, where physicians-in-training acquire their first experiences as members of the health care team. The objective of this study was to evaluate the quality of interaction between third-year medical students and nurses during clinical rotations. We surveyed 268 Indiana University medical students and 175 nurses who worked at Indiana University Hospital, the School's chief clinical training site. The students had just completed their third year of training. The survey instrument consisted of 7 items that measured "relational coordination" among members of the health care team, and 9 items that measured psychological distress. Sixty-eight medical students (25.4%) and 99 nurses (56.6%) completed the survey. The relational coordination score (ranked 1 to 5, low to high), which provides an overall measure of interaction quality, showed that medical students interacted with residents the best (4.16) and with nurses the worst (2.98; p < 0.01). Conversely, nurses interacted with other nurses the best (4.36) and with medical students the worst (2.68; p < 0.01). Re...Continue Reading

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Citations

Dec 18, 2008·Journal of General Internal Medicine·Kathleen A McGrailKathryn Gardner
Jul 24, 2012·Medical Teacher·Maree O'KeefeIeva Stupans
Oct 22, 2014·Medical Teacher·Daniel M ShafranMark Bonta
Oct 8, 2015·International Journal of Nursing Studies·Justin K LuiDavid Hatem
Nov 16, 2010·Journal of Nursing Management·Donna S HavensWei-Ting Lin
Oct 4, 2017·American Journal of Pharmaceutical Education·Sarah ShraderElena M Umland
Dec 26, 2015·Nursing Management·Margaret Costello
Sep 1, 2009·Journal of Graduate Medical Education·Susan HingleMichael Clark
Dec 4, 2020·Perspectives on Medical Education·Asif DojaGlenn Posner

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