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Resolving the Disrespect Disconnect

Joe Cantlupe, for HealthLeaders Media, March 8, 2012

"I do see it improving on the acute care level, with care coordinators working with primary care physicians," Kadlick says. "As you add care coordinators and change the delivery models, you will see registered nurses more at the bedside than tied to the computer, and the communication will be getting better. You have more advanced nurse practitioners popping up in the acute care settings. We are getting there, but still moving at a snail's pace.

"Physicians have acknowledged how important it is to have that mid-level provider to help them with their greatest commodity—time," Kadlick says.

But as health systems work to improve value-based care, nurses see themselves as becoming increasingly important to coordinate care and should have more of a stake in care delivery, the survey of nurse leaders shows. Indeed, nearly one in 10 respondents say he or she believes nurses will help save healthcare, though most (28%) say they see hospitals as the key to righting the healthcare ship, followed by the government (13%).

While most healthcare leaders acknowledge that the industry is in a mess, not one lays the blame on nurses. Of the more than 1,000 survey respondents, most say government is the culprit (40%), followed by health plans (22%), and even 6% cited physicians.

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3 comments on "Resolving the Disrespect Disconnect"


Greg Mercer, MSN (3/9/2012 at 5:35 PM)
AZ Nurse Amanda Trujillo was not only disrespected for her routine patient education and advocacy, she was also fired and her license has been in limbo for a year now. Her education led a patient to seek information regrading hospice, at a potential cost to her employer (Banner Health) of hundreds of thousands of dollars in revenue. The Board of Nursing considering Banner's complaint against Amanda includes at least three members who work for Banner Health. In response to this corruption and the attack on Nurses' ability to advocate and educate patients free of retaliation, we have put up a Change.org petition to boycott Arizona until we see some BON changes - please check it out & help us spread the word, next Hearing is 3/19 and AZBON reauthorization is still in the Legislature - we're running out of time on this unusually opportune time for positive change. See http://www.change.org/petitions/governor-state-of-arizona-address-corrupting-factors-in-the-arizona-board-of-nursing and/or http://wp.me/p278fi-iV Thanks, Greg Mercer, MSN

pamben (3/8/2012 at 5:20 PM)
"Women are from Venus, Men are from Mars." I would love to see the survey responses separated by gender. I suspect male nurses do not feel disrespected; and female nurses working with female physicians have a lower level of disrespect than when working with male nurses. If we have trouble making the communication work in intimate relationships, why do we expect the perception to be different at work? As a female physician I often feel disrespected by male colleagues, until I watch their interaction with other docs, I get the same treatment they do...no disrespect meant. Dr. B

Bill (3/8/2012 at 4:54 PM)
I agree that there is a disconnect between what nurses perceive and what doctors think they they are communicating in their interactions with nurses. If nursing education included a rotation with physician residents, nurses would understand that increasingly demands on physicians require that they are given vital information and patient assessment quickly and accurately. What a nurse may perceive as rudeness or arrogance is simply a necessity in delivering the right care at the right time. If nursing education included a rotation with physicians and house staff (which podiatrists, chiropractors, and oral surgeons have all done at my teaching institution) nurses would have a much better understanding of why we do what we do. We are not arrogant, just overburdened.