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Collaboration3 The nurse mangers role in creating a collaborative work environment The nurse manager is vital in creating an environment where nurse-physician collaboration can occur and is the expected norm It is she who clarifies the vision of collaboration sets an example of and practices as a role model for collaboration The nurse manager also supports and makes necessary changes in the environment to bring together all the elements that are necessary to facilitating effective nurse-physician collaboration Many authors Alpert Goldman Kilroy Pike 1992 Baggs Schmitt 1997 Betts 1994 Evans 1994 Evans Carlson 1993 Keeman Cooke Hillis 1998 Jones 1994 have indicated that nurse-physician collaboration is not widespread and a number of barriers exist The following will discuss the necessary ingredients for creating a nursing unit that is conducive to nurse-physician collaboration and supported through transformational leadership The first important barrier according to Keenan et al 1998 is concerned with how nurses and physicians have not been socialized to collaborate with each other and do not believe they are expected to do so Nurse and physicians have traditionally operated under the paradigm of physician dominance and the physicians viewpoint prevails on patient care issues Collaboration on the other hand involves mutual respect for each others opinions as well as possible contributions by the other party in optimizing patient care Collaboration Gray 1989 requires that parties who see different aspects of a problem communicate together and constructively explore their differences in search of solutions that go beyond their own limited vision of what is possible Many researchers have argued Betts 1994 Evans Carlson 1993 Hansen et al 1999 Watts et al 1995 Collaboration4 that nurses and physicians should collaborate to address patient care issues because consideration of both the professions concerns is important to the development of high quality patient care Additionally effective nurse-physician collaboration has been linked to many positive outcomes over the years all
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