ORIGINAL ARTICLE
Explaining of Nurses’ Perception of Professional Relationship in the Coronary Care Unit (CCU)
 
More details
Hide details
1
Phd candidate in nursing, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IRAN
 
2
Phd in Nursing, Associate Professor, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IRAN
 
3
Phd in Nursing, Assistant Professor, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IRAN
 
 
Online publication date: 2020-03-06
 
 
Publication date: 2020-03-06
 
 
Electron J Gen Med 2020;17(3):em196
 
KEYWORDS
ABSTRACT
Introduction:
Considering that patients in the special units have critical conditions and require the best possible specialized care, having appropriate professional relationship in these units is of great importance. Taking care of patients under critical conditions requires occupational safety and sense of satisfaction in the nurses. Indeed, nursing managers should provide an appropriate organizational environment with emphasis on establishing an effective relationship.

Aim and objective:
Explaining nurses’ perception of professional relationship in the coronary care unit.

Materials and methods:
The present study was a qualitative study conducted through conventional content analysis method. The participants were 37 nurses working in the coronary care unit who were selected purposively. Data were gathered through 25 in-depth interviews and 3 focus groups

Results:
After analyzing the data, the main theme of “ineffective relationship between the senior managers, head nurses, and the personnel of the coronary care unit” and two subthemes of “ineffective relationship between the head nurse and the personnel and “ineffective organizational environment” were extracted.

Conclusions:
The results of the present study provided an image of real experiences of participating nurses about the relationships that exist between different levels of nursing profession. so, by establishing a professional relationship in the coronary care unit, specialized cares would be performed. The main theme obtained in the study, “ineffective relationship between the managers, head nurses, and personnel of the coronary care unit” suggested different aspects of the outcomes of ineffective relationship between nurses, head nurses, and nursing managers. Therefore, it is necessary that professional relationships be improved at different levels of nursing and emphasized seriously.

 
REFERENCES (51)
1.
Driscoll A. Coronary care units continue to be effective at improving patient outcomes. Australian Critical Care. 2012;25:143-6. https://doi.org/10.1016/j.aucc... PMid:22366085.
 
2.
Drews FA. Human factors in critical care medical environments. Reviews of human factors and ergonomics. 2013;8:103-48. https://doi.org/10.1177/155723....
 
3.
Burston AS, Tuckett AG. Moral distress in nursing: contributing factors, outcomes and interventions. Nursing ethics. 2013;20:312-24. https://doi.org/10.1177/096973... PMid:23275458.
 
4.
Slatore CG, Hansen L, Ganzini L, et al. Communication by nurses in the intensive care unit: qualitative analysis of domains of patient-centered care. American Journal of Critical Care. 2012;21:410-8. https://doi.org/10.4037/ajcc20... PMid:23117904 PMCid:PMC3992836.
 
5.
Wujtewicz M, Wujtewicz MA, Owczuk R. Conflicts in the intensive care unit. Anaesthesiology intensive therapy. 2015;47:360-2. https://doi.org/10.5603/AIT.20... PMid:26401743.
 
6.
Chase LK. Are you confidently competent? Nursing management. 2012;43:50-3. https://doi.org/10.1097/01.NUM... PMid:22531778.
 
7.
Lu H, Barriball KL, Zhang X, While AE. Job satisfaction among hospital nurses revisited: a systematic review. International journal of nursing studies. 2012;49:1017-38. https://doi.org/10.1016/j.ijnu... PMid:22189097.
 
8.
Kunie K, Kawakami N, Shimazu A, Yonekura Y, Miyamoto Y. The relationship between work engagement and psychological distress of hospital nurses and the perceived communication behaviors of their nurse managers: A cross-sectional survey. International journal of nursing studies. 2017;71:115-24. https://doi.org/10.1016/j.ijnu... PMid:28391107.
 
9.
Ulrich BT, Lavandero R, Hart KA, Woods D, Leggett J, Taylor D. Critical care nurses’ work environments: a baseline status report. Critical Care Nurse. 2006;26:46-57.
 
10.
Wang Y-Y, Wan Q-Q, Lin F, Zhou W-J, Shang S-M. Interventions to improve communication between nurses and physicians in the intensive care unit: An integrative literature review. International journal of nursing sciences. 2018;5:81-8. https://doi.org/10.1016/j.ijns... PMid:31406806 PMCid:PMC6626231.
 
11.
André B, Nøst TH, Frigstad SA, Sjøvold E. Differences in communication within the nursing group and with members of other professions at a hospital unit. Journal of clinical nursing. 2017;26:956-63. https://doi.org/10.1111/jocn.1... PMid:27240269.
 
12.
Rabøl LI, Andersen ML, Østergaard D, Bjørn B, Lilja B, Mogensen T. Descriptions of verbal communication errors between staff. An analysis of 84 root cause analysis-reports from Danish hospitals. BMJ quality & safety. 2011:qshc. 2010.040238. https://doi.org/10.1136/bmjqs.... PMid:21209139.
 
13.
Rose L. Interprofessional collaboration in the ICU: how to define? Nursing in critical care. 2011;16:5-10. https://doi.org/10.1111/j.1478... PMid:21199549.
 
14.
Blake N, Leach LS, Robbins W, Pike N, Needleman J. Healthy work environments and staff nurse retention: The relationship between communication, collaboration, and leadership in the pediatric intensive care unit. Nursing Administration Quarterly. 2013;37:356-70. https://doi.org/10.1097/NAQ.0b... PMid:24022290.
 
15.
Adams AMN, Chamberlain D, Giles TM. The perceived and experienced role of the nurse unit manager in supporting the wellbeing of intensive care unit nurses: An integrative literature review. Australian Critical Care. 2018. https://doi.org/10.1016/j.aucc....
 
16.
Fassier T, Azoulay E. Conflicts and communication gaps in the intensive care unit. Current opinion in critical care. 2010;16:654-65. https://doi.org/10.1097/MCC.0b... PMid:20930623.
 
17.
Driscoll A, Currey J, Allen JA, George M, Davidson PM. New cardiac models of care reduce patient access to specialist nurses: A Victorian cross-sectional pilot study. Australian Critical Care. 2014;27:17-27. https://doi.org/10.1016/j.aucc... PMid:23932228.
 
18.
Kelly DM, Kutney-Lee A, McHugh MD, Sloane DM, Aiken LH. Impact of critical care nursing on 30-day mortality of mechanically ventilated older adults. Critical care medicine. 2014;42:1089. https://doi.org/10.1097/CCM.00... PMid:24368346 PMCid:PMC3993087.
 
19.
Norouzinia R, Aghabarari M, Shiri M, Karimi M, Samami E. Communication barriers perceived by nurses and patients. Global journal of health science. 2016;8:65. https://doi.org/10.5539/gjhs.v... PMid:26755475 PMCid:PMC4954910.
 
20.
Vermeir P, Blot S, Degroote S, et al. Communication satisfaction and job satisfaction among critical care nurses and their impact on burnout and intention to leave: A questionnaire study. Intensive and Critical Care Nursing. 2018;48:21-7. https://doi.org/10.1016/j.iccn... PMid:30033213.
 
21.
Bartlett G, Blais R, Tamblyn R, Clermont RJ, MacGibbon B. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. Cmaj. 2008;178:1555-62. https://doi.org/10.1503/cmaj.0... PMid:18519903 PMCid:PMC2396356.
 
22.
Sherman R, Pross E. Growing future nurse leaders to build and sustain healthy work environments at the unit level. OJIN: The Online Journal of Issues in Nursing. 2010;15:1-11.
 
23.
Spano-Szekely L, Griffin MTQ, Clavelle J, Fitzpatrick JJ. Emotional intelligence and transformational leadership in nurse managers. Journal of Nursing Administration. 2016;46:101-8. https://doi.org/10.1097/NNA.00... PMid:26796823.
 
24.
Mullarkey M, Duffy A, Timmins F. Trust between nursing management and staff in critical care: a literature review. Nursing in Critical Care. 2011;16:85-91. https://doi.org/10.1111/j.1478... PMid:21299761.
 
25.
Mahon MM, Nicotera AM. Nursing and conflict communication: avoidance as preferred strategy. Nursing Administration Quarterly. 2011;35:152-63. https://doi.org/10.1097/NAQ.0b... PMid:21403489.
 
26.
Cullen CB, Gordon PA. The relationship between leadership and communication skills of nurse managers and the organizational citizenship behaviors of medical-surgical nurses and nursing assistants. Management and Organizational Studies. 2014;1:23. https://doi.org/10.5430/mos.v1....
 
27.
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiologica Scandinavica. 2009;53:143-51. https://doi.org/10.1111/j.1399... PMid:19032571.
 
28.
Vermeir P, et al. Communication in healthcare: a narrative review of the literature and practical recommendations. International journal of clinical practice. 2015;69:1257-67. https://doi.org/10.1111/ijcp.1... PMid:26147310.
 
29.
Laschinger HKS. Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes. Journal of Nursing Administration. 2014;44:284-90. https://doi.org/10.1097/NNA.00... PMid:24759201.
 
30.
Skehan J. Why do we still eat our young?: Strategies and interventions to decrease workplace bullying. Professional case management. 2014;19:196-9. https://doi.org/10.1097/NCM.00... PMid:24871440.
 
31.
Longo J. Bullying and the older nurse. Journal of nursing management. 2013;21:950-5. https://doi.org/10.1111/jonm.1... PMid:24053178.
 
32.
Rosenstein AH, O’Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Joint Commission Journal on Quality and Patient Safety. 2008;34:464-71. https://doi.org/10.1016/S1553-....
 
33.
Evans J, Bell JL, Sweeney AE, Morgan JI, Kelly HM. Confidence in critical care nursing. Nursing Science Quarterly. 2010;23:334-40. https://doi.org/10.1177/089431... PMid:20871006.
 
34.
Anoosheh M, Zarkhah S, Faghihzadeh S, Vaismoradi M. Nurse–patient communication barriers in Iranian nursing. International nursing review. 2009;56:243-9. https://doi.org/10.1111/j.1466... PMid:19646175.
 
35.
Skarbek AJ, Johnson S, Dawson CM. A phenomenological study of nurse manager interventions related to workplace bullying. Journal of nursing administration. 2015;45:492-7. https://doi.org/10.1097/NNA.00... PMid:26425973.
 
36.
Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & health sciences. 2013;15:398-405. https://doi.org/10.1111/nhs.12... PMid:23480423.
 
37.
Guba EG, Lincoln YS. Naturalistic inquiry. Sage, 1985. https://doi.org/10.1016/0147-1....
 
38.
Neves P, Eisenberger R. Management communication and employee performance: The contribution of perceived organizational support. Human Performance. 2012;25:452-64. https://doi.org/10.1080/089592....
 
39.
Parizad N, et al. Nurses’ experiences of unprofessional behaviors in the emergency department: A qualitative study. Nursing & health sciences. 2018;20:54-9. https://doi.org/10.1111/nhs.12... PMid:29154396.
 
40.
Weigl M, Stab N, Herms I, Angerer P, Hacker W, Glaser J. The associations of supervisor support and work overload with burnout and depression: a cross‐sectional study in two nursing settings. J. of advanced nursing. 2016;72:1774-88. https://doi.org/10.1111/jan.12... PMid:26940820.
 
41.
Podsakoff NP, Whiting SW, Podsakoff PM, Blume BD. Individual-and organizational-level consequences of organizational citizenship behaviors: A meta-analysis. Journal of applied Psychology. 2009;94:122. https://doi.org/10.1037/a00130... PMid:19186900.
 
42.
Hartung SQ, Miller M. Communication and the healthy work environment: Nurse managers’ perceptions. Journal of Nursing Administration. 2013;43:266-73. https://doi.org/10.1097/NNA.0b... PMid:23615368.
 
43.
Harris KJ, Harvey P, Kacmar KM. Abusive supervisory reactions to coworker relationship conflict. The Leadership Quarterly. 2011;22:1010-23. https://doi.org/10.1016/j.leaq....
 
44.
Kirwan M, Matthews A, Scott PA. The impact of the work environment of nurses on patient safety outcomes: a multi-level modelling approach. International journal of nursing studies. 2013;50:253-63. https://doi.org/10.1016/j.ijnu... PMid:23116681.
 
45.
Li B, Bruyneel L, Sermeus W, et al. Group-level impact of work environment dimensions on burnout experiences among nurses: a multivariate multilevel probit model. International Journal of Nursing Studies. 2013;50:281-91. https://doi.org/10.1016/j.ijnu... PMid:22831971.
 
46.
Lee H, Cummings GG. Factors influencing job satisfaction of front line nurse managers: a systematic review. Journal of nursing management. 2008;16:768-83. https://doi.org/10.1111/j.1365... PMid:19017239.
 
47.
Dasgupta S, Suar D, Singh S. Managerial communication practices and employees’ attitudes and behaviours: A qualitative study. Corporate Communications: An International Journal. 2014;19:287-302. https://doi.org/10.1108/CCIJ-0....
 
48.
Yüceer S. Nursing approaches in the postoperative pain management. J Clin Exp Invest. 2011;2(4):474-8. https://doi.org/10.5799/ahinjs....
 
49.
Alkan A. The effects of Nurses' Empathy Skills on Attitudes towards Patients with Cancer. J Clin Exp Invest. 2017;8(2):61-5. https://doi.org/10.5799/jcei.3....
 
50.
Alomeroglu E, Guney S, Sundu M, Yasar O, Akyurek S. The Relationship between Five Factor Personalities and Alienation to Work of Nurses in Teaching and Research Hospitals. EURASIA J Math Sci and Tech Ed. 2018;14(1):117-22. https://doi.org/10.12973/ejmst....
 
51.
Konakli T, Kaplan P. Emergency Management in Nursery Schools: An Analysis of Experiences and Opinions of Administrators in Turkey. European Journal of Educational Research, 2019;8(1):73-85. https://doi.org/10.12973/eu-je....
 
eISSN:2516-3507
Journals System - logo
Scroll to top