Date of Award

Spring 1987

Document Type

Thesis - Restricted

Degree Name

Master of Science (MS)

Department

Nursing

Abstract

The nurse- physician relationship has been an area of constant turmoil and transition over the years due to several reasons. The major reasons include gaps in social status, education, compensation and sex role identities. It has been found that a collaborative working relationship between the nurse and the physician improves patient outcomes (Prescott & Bowen, 1985). The collaborative practice model provides an efficient and effective method of structuring and strategizing a collaborative relationship between the nurse and physician. Specifically, this essay is concerned with the nurse manager/medical director relationship and its effect on patient care in an acute hospital setting. The five essential components of collaboration are discussed in reference to the nurse manager/medical director relationship. These components include communication, competency, accountability, trust and hospital support systems. Through a literature review on nurse-physician relationships and collaborative practice, guidelines for the nurse manager have been developed. The guidelines lead the nurse manager through the necessary steps toward the development of a collaborative relationship with a medical director. A collaborative relationship between the nurse manager and medical director has many positive outcomes for all involved, especially the patient.

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