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The role of physical design and informal communication

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that this occurred frequently throughout a shift, <strong>and</strong> the GN <strong>of</strong>ten asked whoever was<br />

in the med room with her at the time, more <strong>of</strong>ten another RN than the Orientor, to<br />

verify her meds. Finally, the fact that the “Nurse” category included interactions with<br />

both RNs <strong>and</strong> nursing students may help to explain whey over 40% <strong>of</strong> “Providing<br />

Advice” occurred with nurses. Similarly, over 20% <strong>of</strong> “Providing Advice” occurred<br />

with members <strong>of</strong> allied health which included nursing assistants.<br />

Table 12 shows the frequency <strong>of</strong> task by person when the <strong>communication</strong> tasks<br />

are grouped as “Procedural” (“Administrative,” “Seeking Assistance,” “Providing<br />

Assistance”) <strong>and</strong> “Knowledge Transfer” (“Being Taught,” “Discussing Patient Care,”<br />

“Validation,” <strong>and</strong> “Providing Advice”). As Figure 31 shows, “Knowledge Transfer”<br />

occurred almost equally with nurses <strong>and</strong> the Orientor, at 38% <strong>and</strong> 34.4% respectively,<br />

while 14.1% occurred with allied health <strong>and</strong> 7.2% occurred with doctors.<br />

Table 11 Frequency <strong>of</strong> task by person<br />

Task Visitor Nurse Doctor<br />

Person<br />

Allied Health Orientor GN<br />

Patient-Interactive 33.1 22.3 10.1 30.4 20.9 4.1<br />

Non-Interactive 0.0 0.0 0.0 0.0 0.0 0.0<br />

Social 0.7 38.4 4.1 7.5 35.6 9.6<br />

Administrative 0.0 55.2 0.0 20.7 20.7 6.9<br />

Being Taught 0.0 27.3 0.0 18.2 63.3 0.0<br />

Seeking Assistance 0.0 38.1 2.4 21.4 33.3 2.4<br />

Seeking Advice 0.0 42.5 2.5 5.0 45.0 5.0<br />

Discussing Patient Care 2.5 36.4 8.0 13.6 40.7 1.9<br />

Validation 0.0 66.7 0.0 0.0 33.3 0.0<br />

Providing Assistance 0.0 21.6 0.0 0.0 62.2 10.8<br />

Providing Advice 0.0 41.4 10.3 22.4 5.2 5.2<br />

Table 12 Frequency <strong>of</strong> task by person with tasks grouped to emphasize<br />

knowledge transfer<br />

Task Nurse Doctor<br />

Person<br />

Allied Health Orientor GN<br />

Patient 22.3 10.1 30.4 20.9 4.1<br />

Social 38.4 4.1 7.5 35.6 9.6<br />

Procedural 37.0 0.9 13.9 39.8 6.5<br />

Knowledge Transfer 38 7.2 14.1 34.4 2.9<br />

87

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