Journal of Research for Nursing Education
Online ISSN : 2432-0242
Print ISSN : 0917-6314
ISSN-L : 0917-6314
Identification of Doctor-Nurse Interaction Patterns During Invasive Medical Examinations and Treatments
Yumi SagaraNaomi FunashimaToshiko Nakayama
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2018 Volume 27 Issue 1 Pages 67-80

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Abstract
This study aimed to identify doctor-nurse interactions during invasive medical examinations and treatments to identify characteristic interaction. First, we identified 20 concepts representing doctors' behaviors during the procedures. Our analytical approach was based on the principles of the Methodology for Conceptualization of Nursing. Second, doctor-nurse interactions during invasive medical examinations and treatments were analyzed using these concepts as well as the concepts representing nurses' behavior during these interactions. In total, 44 elements and 14 functions of these interactions were identified. The commonality of functions in scenes was examined, and seven doctor-nurse interaction patterns were identified. We identified seven interaction patterns: preventing problems, modifying methods, resolving problems while working on achieving the goal, and resolving problems while suspending and resuming toward medical goal, ineffective methods interrupting procedures, forcing continuation of procedures without resolving problems, and continuing procedures intermittently due to ineffective procedure and frequent problems. In conclusion, our study identified the characteristic interactions that led to the achievement of medical goals: observing to prevent problems, resolving problems surely during invasive medical examinations and treatments, changing methods toward medical goal while continuing process.
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© 2018 Japan Academic Society of Nursing Education
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