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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

several factors need to change within the healthcare delivery team<br />

relationship. Therefore, several important points come to attention<br />

from this study.<br />

First, open communication is an essential component to<br />

creating a culture <strong>of</strong> safety. Second, there should be a focus on<br />

developing relationships between healthcare pr<strong>of</strong>essionals in<br />

particular between nurses and physicians given that this pair is one<br />

<strong>of</strong> the most prevalent/dominant pairs regarding communication in<br />

healthcare. Third, we have to find a way to establish and sustain <strong>of</strong><br />

a trust from the very beginning <strong>of</strong> the interactive communicative<br />

relationship between healthcare pr<strong>of</strong>essionals. The fourth idea is<br />

that within the perioperative care delivery process, healthcare<br />

pr<strong>of</strong>essionals need to continue to work on a standardized<br />

vocabulary for communication. And, fifth, to develop this new<br />

paradigm the healthcare pr<strong>of</strong>essionals could continue to evolve the<br />

nurse-physician relationship as an interface for collaborative care<br />

delivery.<br />

Limitations and Assumptions<br />

In healthcare, pr<strong>of</strong>essionals are seeking to be reflective cojoint<br />

meaning makers. Within the framework <strong>of</strong> this study there is<br />

an exploration <strong>of</strong> communication as an evolutionary experience.<br />

And, this study is not without limitations and assumptions.<br />

Limitations. Participation is restricted to the<br />

participants/pr<strong>of</strong>essionals <strong>of</strong> a specific operating room setting in a<br />

southwest regional medical center. Therefore, only a particular<br />

sample <strong>of</strong> pr<strong>of</strong>essionals are a part the conversations. And, because<br />

<strong>of</strong> the limited and specific participants there is no control group for<br />

testing as this is a qualitative study <strong>of</strong> what people are experiencing<br />

in this particular contextually defined setting and as unique<br />

individuals. Another limitation is that I have been an RN<br />

pr<strong>of</strong>essional in healthcare for 19 years within the OR envrionment<br />

and this causes me to have potential bias and possible infleunce on<br />

the study design, findings and interpretation <strong>of</strong> the findings.<br />

Assumptions. Humans create dialogue as a social construction<br />

and within this framework there are multiple influences that<br />

intertwine and mesh which then develop how as individuals they<br />

communicate as a system <strong>of</strong> communicators. The system <strong>of</strong><br />

healthcare communicators has varying pr<strong>of</strong>essionals who have<br />

diverse backgrounds from the aspects <strong>of</strong> educational, pr<strong>of</strong>essional<br />

and cultural perspectives, which help to develop and create<br />

influence about who they are and how they communicate within<br />

dialogue.<br />

Although, I do bring a certain bias to this research as a nurse<br />

<strong>of</strong> many years in acute healthcare and the OR setting, this is a part<br />

<strong>of</strong> my life experiences. These experiences were used to explore<br />

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