understanding and practicing collaborative care. Studies by Fewster (2015) showed that working together toward a common goal represents collaboration as a basic social process. The common goal identified was the best patient outcome. In collaborative rounds, the team members share their patient knowledge and their experiences with a particular problem (Fewster, 2015). Doctors share the information about diagnosis, while nurse share the lab values and condition of the patents.
A hierarchical relationship is found to be existing in hospital settings (Lancaster,Kolakowsky-Hayner, Kovacich, & Greer-Williams, 2015). Studies by Lancaster et al., (2015) suggest the adoption of a hospital patient care system based on the conductor less orchestra model, in which members work together. This leads to achieve a cohesive performance that can lessen the existing hierarchy in hospital settings (Lancaster et al., 2015). A similar study by Nair, Fitzpatrick, McNulty, Click, & Glembocki, (2012) identifies the need of a culture that foster a collaborative behavior among nurses and physicians to improve patient outcomes. They also acknowledge nurse-physician round as an intervention to improve relationship between caregivers (Nair et al., 2014; …show more content…
Conflicts between nurses and physicians are found to be more in intensive care units, where there are more nurse physician communication (Boev & Yinglin, 2015). The hierarchical structure of the health care system makes it difficult for nurses to improve effective communication with the physicians. (Boev & Yinglin, 2015). Nurses and physicians identify ‘time’ as the most remarkable constraint in the implementation of the nurse physician collaborative rounds. Nurses believed that the physicians did not value their time during the rounds. In the beginning, the nurses found it hard waiting for the physicians and changing their schedules to join in patient rounds (Burns,