Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative study

Abstract Aim This study aimed to explore challenges faced by clinical nurses in the process of implementing medical orders. Design A qualitative study using inductive content analysis. Methods Semi‐structured individual interviews were carried out with 17 participants including nurses, nurse manager...

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Main Authors: Monireh Asadi, Fazlollah Ahmadi, Easa Mohammadi, Mojtaba Vaismoradi
Format: Article
Language:English
Published: Wiley 2023-10-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1927
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author Monireh Asadi
Fazlollah Ahmadi
Easa Mohammadi
Mojtaba Vaismoradi
author_facet Monireh Asadi
Fazlollah Ahmadi
Easa Mohammadi
Mojtaba Vaismoradi
author_sort Monireh Asadi
collection DOAJ
description Abstract Aim This study aimed to explore challenges faced by clinical nurses in the process of implementing medical orders. Design A qualitative study using inductive content analysis. Methods Semi‐structured individual interviews were carried out with 17 participants including nurses, nurse managers and medical doctors who were purposefully selected. The collected data underwent inductive qualitative content analysis. Results The main research finding was the category of ‘unsafe doctor–nurse interaction’. It included three subcategories: ‘conflicts in documenting and executing orders’, ‘not accepting the nurse's suggestions for writing and correcting orders’ and ‘failure to accept the responsibility of orders by the doctor’. Challenges in the professional relationship between doctors and nurses cause mistrust and conflict. They also enhance nurses' concerns about professional and legal issues in the workplace and endanger patient safety.
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spelling doaj.art-ff22bb61489a4b2792215bc14f2c99702023-09-12T06:16:43ZengWileyNursing Open2054-10582023-10-0110106808681610.1002/nop2.1927Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative studyMonireh Asadi0Fazlollah Ahmadi1Easa Mohammadi2Mojtaba Vaismoradi3Department of Nursing, Faculty of Medical Sciences Tarbiat Modares University Tehran IranDepartment of Nursing, Faculty of Medical Sciences Tarbiat Modares University Tehran IranDepartment of Nursing, Faculty of Medical Sciences Tarbiat Modares University Tehran IranFaculty of Nursing and Health Sciences Nord University Bodø NorwayAbstract Aim This study aimed to explore challenges faced by clinical nurses in the process of implementing medical orders. Design A qualitative study using inductive content analysis. Methods Semi‐structured individual interviews were carried out with 17 participants including nurses, nurse managers and medical doctors who were purposefully selected. The collected data underwent inductive qualitative content analysis. Results The main research finding was the category of ‘unsafe doctor–nurse interaction’. It included three subcategories: ‘conflicts in documenting and executing orders’, ‘not accepting the nurse's suggestions for writing and correcting orders’ and ‘failure to accept the responsibility of orders by the doctor’. Challenges in the professional relationship between doctors and nurses cause mistrust and conflict. They also enhance nurses' concerns about professional and legal issues in the workplace and endanger patient safety.https://doi.org/10.1002/nop2.1927interactionmedical ordermedicationnursingpatient safetyqualitative research
spellingShingle Monireh Asadi
Fazlollah Ahmadi
Easa Mohammadi
Mojtaba Vaismoradi
Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative study
Nursing Open
interaction
medical order
medication
nursing
patient safety
qualitative research
title Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative study
title_full Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative study
title_fullStr Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative study
title_full_unstemmed Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative study
title_short Unsafe doctor–nurse interactions in the process of implementing medical orders: A qualitative study
title_sort unsafe doctor nurse interactions in the process of implementing medical orders a qualitative study
topic interaction
medical order
medication
nursing
patient safety
qualitative research
url https://doi.org/10.1002/nop2.1927
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