Scientific article
Open access

A concordance-based study to assess doctors' and nurses' mental models in Internal Medicine

Published inPLOS ONE, vol. 12, no. 8, e0182608
Publication date2017

Interprofessional collaboration between doctors and nurses is based on team mental models, in particular for each professional's roles. Our objective was to identify factors influencing concordance on the expectations of doctors' and nurses' roles and responsibilities in an Internal Medicine ward. Using a dataset of 196 doctor-nurse pairs (14x14 = 196), we analyzed choices and prioritized management actions of 14 doctors and 14 nurses in six clinical nurse role scenarios, and in five doctor role scenarios (6 options per scenario). In logistic regression models with a non-nested correlation structure, we evaluated concordance among doctors and nurses, and adjusted for potential confounders (including prior experience in Internal Medicine, acuteness of case and gender). Concordance was associated with number of female professionals (adjusted OR 1.32, 95% CI 1.02 to 1.73), for acute situations (adjusted OR 2.02, 95% CI 1.13 to 3.62), and in doctor role scenarios (adjusted OR 2.19, 95% CI 1.32 to 3.65). Prior experience and country of training were not significant predictors of concordance. In conclusion, our concordance-based approach helped us identify areas of lower concordance in expected doctor-nurse roles and responsibilities, particularly in non-acute situations, which can be targeted by future interprofessional, educational interventions.

  • Adult
  • Attitude of Health Personnel
  • Choice Behavior
  • Clinical Competence
  • Datasets as Topic
  • Female
  • Humans
  • Internal Medicine
  • Logistic Models
  • Male
  • Middle Aged
  • Models
  • Psychological
  • Nurse's Role/psychology
  • Nurses/psychology
  • Odds Ratio
  • Patient Care Team
  • Physician's Role/psychology
  • Physician-Nurse Relations
  • Physicians/psychology
  • Sex Factors
  • Surveys and Questionnaires
Citation (ISO format)
BLONDON, Katherine et al. A concordance-based study to assess doctors” and nurses” mental models in Internal Medicine. In: PLOS ONE, 2017, vol. 12, n° 8, p. e0182608. doi: 10.1371/journal.pone.0182608
Main files (1)
Article (Published version)
ISSN of the journal1932-6203

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Creation10/16/2017 6:18:00 PM
First validation10/16/2017 6:18:00 PM
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