Are role perceptions of residents and nurses translated into action?

Article Article scientifique Article Are role perceptions of residents and nurses translated into action? eng 2017 author Bochatay Naike 724842 author Muller-Juge Virginie 583383 author Scherer Fabienne 506340 author Cottin Guillemette 806327 author Cullati Stéphane 0000-0002-3881-446X 524286 author Blondon Katherine 105577 author Hudelson Perneger Patricia Martha 134053 author Maitre Fabienne 29209 author Vu Nu Viet 92338 author Savoldelli Georges Louis 0000-0002-8968-6920 41344 author Nendaz Mathieu 0000-0003-3795-3254 33708 138 10.1186/s12909-017-0976-2 28821252 1472-6920 Background: Effective interprofessional collaboration (IPC) has been shown to depend on clear role definitions, yet there are important gaps with regard to role clarity in the IPC literature. The goal of this study was to evaluate whether there was a relationship between internal medicine residents' and nurses' role perceptions and their actual actions in practice, and to identify areas that would benefit from more specific interprofessional education. Methods: Fourteen residents and 14 nurses working in internal medicine were interviewed about their role perceptions, and then randomly paired to manage two simulated clinical cases. The authors adopted a general inductive approach to analyze the interviews. They identified 13 different role components that were then compared to data from simulations. Descriptive and kappa statistics were used to assess whether there was a relationship between role components identified in interviews and those performed in simulations. Results from these analyses guided a further qualitative evaluation of the relationship between role perceptions and actions. Results: Across all 13 role components, there was an overall statistically significant, although modest, relationship between role perceptions and actions. In spite of this relationship, discrepancies were observed between role components mentioned in interviews and actions performed in simulations. Some were more frequently performed than mentioned (e.g. “Having common goals”) while others were mentioned but performed only weakly (e.g. “Providing feedback”). Conclusions: Role components for which perceptions do not match actions point to role ambiguities that need to be addressed in interprofessional education. These results suggest that educators need to raise residents' and nurses' awareness of the flexibility required to work in the clinical setting with regard to role boundaries. Interprofessional collaboration Interprofessional education Professional identity Role perception Role clarity Mixed methods Dewey 610/370 Dewey 618.97 Dewey 613 Dewey 616 Dewey 617 14 Centre interfacultaire de gérontologie et d'études des vulnérabilités 0D6 48 Unité de développement et de recherche en éducation médicale 204 56 Département de médecine 221 63 Département d'anesthésiologie, pharmacologie, soins intensifs et urgences 229 64 Département de santé et médecine communautaires 22A false 395 Acquisition de l'expertise médicale 662 1296 Evaluation en qualité des soins 1012 538 Groupe Savoldelli Georges (simulation) 878 d7c9fc79-2969-497d-90d9-5b5ed171a1fc UDREM Développement des compétences des enseignants BMC Medical Education 17 1 4da237b8-ae3f-48ea-8a64-6d1b9d31b638 Article (Published version) Public Bochatay-2017_OACCESS.pdf 480880 application/pdf OA OTHER openAccess Centres et instituts / Centre interfacultaire de gérontologie et d'études des vulnérabilités Faculté de médecine / Unité de développement et de recherche en éducation médicale Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département d'anesthésiologie, pharmacologie, soins intensifs et urgences Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Are role perceptions of residents and nurses translated into action?	BMC Medical Education			2017	531	160

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