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Resolving the Disrespect Disconnect

Joe Cantlupe, for HealthLeaders Media, March 8, 2012

Nurse leaders are in sync with their colleagues in blaming the government for industry woes (37%), followed by health plans (23%), physicians (8%), hospitals (5%), vendors (3%), patients (1%), technology (1%), and nurses (0%).

"I think when they start pointing fingers at who is to blame, why nurses aren't pointed out is because they aren't reimbursed by third-party payers," says Kadlick. "They aren't seen as the ones delaying discharges in acute care settings or ordering unnecessary diagnostic tests in the outpatient facilities."

In an area of disconnect between nurses and doctors, about 77% of nurse leaders said in the survey that the quality of their organization would be positively affected by increasing the scope of care for nurses, while only 10% thought it would worsen.  When physician leaders were asked that question, 48% said it would improve, while 26% said it would worsen. 

As nurses become more involved in coordinated care and multidisciplinary approaches, Kadlick says the impact of nurses on quality will be more fully appreciated. "The nurses can do more—add value to the interaction with physicians and for patients' care," Kadlick says.

According to the survey, patient experience and satisfaction is the top priority among nurse leaders; 72% rank it among their top three priorities. Next is clinical quality and safety at 55% and cost reduction and process improvements at 45%.

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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.