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

Chan, K C Gary
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Published in PloS one. 2017, vol. 12, no. 8, e0182608
Abstract 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.
Keywords AdultAttitude of Health PersonnelChoice BehaviorClinical CompetenceDatasets as TopicFemaleHumansInternal MedicineLogistic ModelsMaleMiddle AgedModelsPsychologicalNurse's Role/psychologyNurses/psychologyOdds RatioPatient Care TeamPhysician's Role/psychologyPhysician-Nurse RelationsPhysicians/psychologySex FactorsSurveys and Questionnaires
PMID: 28792524
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Research groups Acquisition de l'expertise médicale (662)
Epidémiologie clinique et biostatistique (115)
Evaluation en qualité des soins (1012)
Groupe Savoldelli Georges (simulation) (878)
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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 https://archive-ouverte.unige.ch/unige:98749

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Deposited on : 2017-11-08

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