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Using a team-centered approach to evaluate effectiveness of nurse-physician communications.

OBJECTIVE
To characterize communication strategies of labor and delivery nurses and their physician colleagues during perinatal decisions.


DESIGN
A quantitative descriptive design was used.


SETTING
A perinatal setting in an urban acute care facility.


PARTICIPANTS
Twenty-nine perinatal nurses and 11 attending physicians.


METHODS
A model of team communication derived from research on cockpit crew communication served as a framework for this analysis. Data were taken from transcriptions of audio-taped conversations and discourse analysis.


RESULTS
Findings indicated that nurses and physicians tended to use status-based communication styles and rarely employed team-centered communication strategies.


CONCLUSION
Nurse and physician status-based communication styles may hinder optimal patient outcomes.