Year of Publication

2018

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Debra Hampton

Clinical Mentor

Dr. Kelly Johnson

Committee Member

Dr. William Bradford

Committee Member

Jon Cooper

Abstract

Background: Nurse-physician communication is an essential element of safe, effective patient care, nurse engagement and job satisfaction. Communication breakdowns can lead to poor patient outcomes and disengagement among nurses.

Purpose: The purpose of this project was to determine the impact of a nurse-physician communication intervention on psychological empowerment of critical care nurses. A second purpose of the study was to evaluate the effectiveness of communication between critical care nurses and members or the cardiothoracic surgery team and understand barriers and communication challenges.

Methods: A quasi-experimental pre-test/post-test design was utilized to evaluate the impact of a nurse-physician communication intervention on nurses’ psychological empowerment and perceptions of barriers to communication.

Results: There was no statistically significant difference in psychological empowerment scores or nurse perceptions of communication pre and post intervention. Qualitative data demonstrated some improvement in overall communication.

Conclusions: Further study is needed to determine the extent to which relationship-building interventions can impact nurse-physician communication.

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