Impact of Localizing Physicians to Hospital Units on Nurse—Physician Communication and Agreement on the Plan of Care View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-11

AUTHORS

Kevin J. O’Leary, Diane B. Wayne, Matthew P. Landler, Nita Kulkarni, Corinne Haviley, Katherine J. Hahn, Jiyeon Jeon, Katherine M. Englert, Mark V. Williams

ABSTRACT

BACKGROUND: A significant barrier to communication among patient care providers in hospitals is the geographic dispersion of team members. OBJECTIVE: To determine whether localizing physicians to specific patient care units improves nurse-physician communication and agreement on patients' plans of care. METHODS: We conducted structured interviews of a cross-sectional sample of nurses and physicians before and after an intervention to localize physicians to specific patient care units. Interviews characterized patterns of nurse-physician communication and assessed understanding of patients' plans of care. Two internists reviewed responses and rated nurse-physician agreement on six aspects of the plan of care as none, partial, or complete agreement. RESULTS: Three hundred eleven of 342 (91%) and 291 of 294 (99%) patients' nurses and 301 of 342 (88%) and 285 of 294 (97%) physicians completed the interview during the pre- and post-localization periods. Two hundred nine of 285 (73%) patients were localized to physicians' designated patient care units in the post-localization period. After localization, a higher percentage of patients' nurses and physicians was able to correctly identify one another (93% vs. 71%; p < 0.001 and 58% vs. 36%; p < 0.001, respectively). Nurses and physicians reported more frequent communication after localization (68% vs. 50%; p < 0.001 and 74% vs. 61%; p < 0.001, respectively). Nurse-physician agreement was significantly improved for two aspects of the plan of care: planned tests and anticipated length of stay. CONCLUSIONS: Although nurses and physicians were able to identify one another and communicated more frequently after localizing physicians to specific patient care units, there was little impact on nurse-physician agreement on the plan of care. More... »

PAGES

1223

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11606-009-1113-7

DOI

http://dx.doi.org/10.1007/s11606-009-1113-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1003248450

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19768510


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1110", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Nursing", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Cross-Sectional Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hospital Units", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Nurses", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Patient Care", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Patient Care Team", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Physician-Nurse Relations", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Physicians", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Young Adult", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Northwestern University", 
          "id": "https://www.grid.ac/institutes/grid.16753.36", 
          "name": [
            "Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 259 E. Erie Street, Suite 475, 60611, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "O\u2019Leary", 
        "givenName": "Kevin J.", 
        "id": "sg:person.01113360272.45", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01113360272.45"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Northwestern University", 
          "id": "https://www.grid.ac/institutes/grid.16753.36", 
          "name": [
            "Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Wayne", 
        "givenName": "Diane B.", 
        "id": "sg:person.01103044070.27", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01103044070.27"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Northwestern University", 
          "id": "https://www.grid.ac/institutes/grid.16753.36", 
          "name": [
            "Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 259 E. Erie Street, Suite 475, 60611, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Landler", 
        "givenName": "Matthew P.", 
        "id": "sg:person.01000767404.46", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01000767404.46"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Northwestern University", 
          "id": "https://www.grid.ac/institutes/grid.16753.36", 
          "name": [
            "Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 259 E. Erie Street, Suite 475, 60611, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kulkarni", 
        "givenName": "Nita", 
        "id": "sg:person.0666544372.68", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0666544372.68"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Northwestern Memorial Hospital", 
          "id": "https://www.grid.ac/institutes/grid.416565.5", 
          "name": [
            "Northwestern Memorial Hospital, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Haviley", 
        "givenName": "Corinne", 
        "id": "sg:person.01333253317.13", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01333253317.13"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Northwestern University", 
          "id": "https://www.grid.ac/institutes/grid.16753.36", 
          "name": [
            "Northwestern University Feinberg School of Medicine, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hahn", 
        "givenName": "Katherine J.", 
        "id": "sg:person.01117221372.20", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01117221372.20"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Northwestern University", 
          "id": "https://www.grid.ac/institutes/grid.16753.36", 
          "name": [
            "Northwestern University Feinberg School of Medicine, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Jeon", 
        "givenName": "Jiyeon", 
        "id": "sg:person.01233447772.57", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01233447772.57"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Northwestern University", 
          "id": "https://www.grid.ac/institutes/grid.16753.36", 
          "name": [
            "Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 259 E. Erie Street, Suite 475, 60611, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Englert", 
        "givenName": "Katherine M.", 
        "id": "sg:person.01347676372.92", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01347676372.92"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Northwestern University", 
          "id": "https://www.grid.ac/institutes/grid.16753.36", 
          "name": [
            "Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 259 E. Erie Street, Suite 475, 60611, Chicago, IL, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Williams", 
        "givenName": "Mark V.", 
        "id": "sg:person.01325064063.19", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01325064063.19"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1053/jcrc.2003.50008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001133142"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1053/jcrc.2003.50008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001133142"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.amjmed.2008.06.018", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012097445"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2008.028795", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017331941"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2008.028795", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017331941"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jamcollsurg.2006.01.017", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019182508"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/intqhc/mzn018", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020149117"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.aog.0000250900.53126.c2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025444722"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.aog.0000250900.53126.c2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025444722"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ccm.0000056183.89175.76", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1029243565"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ccm.0000056183.89175.76", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1029243565"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11606-008-0793-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1029483075", 
          "https://doi.org/10.1007/s11606-008-0793-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/1475-6773.01104", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039139588"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00001888-200402000-00019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044209939"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00001888-200402000-00019", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044209939"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2008.030221", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047703948"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2008.030221", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047703948"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1056/nejm199102073240605", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051766309"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2004.010033", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052678105"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/qshc.2004.010033", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052678105"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003246-199502000-00015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060170912"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003246-199502000-00015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060170912"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003246-199502000-00015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060170912"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077194193", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1077957462", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1082376924", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5694/j.1326-5377.1995.tb124691.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1082376924"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5694/j.1326-5377.1995.tb124691.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1082376924"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2009-11", 
    "datePublishedReg": "2009-11-01", 
    "description": "BACKGROUND: A significant barrier to communication among patient care providers in hospitals is the geographic dispersion of team members.\nOBJECTIVE: To determine whether localizing physicians to specific patient care units improves nurse-physician communication and agreement on patients' plans of care.\nMETHODS: We conducted structured interviews of a cross-sectional sample of nurses and physicians before and after an intervention to localize physicians to specific patient care units. Interviews characterized patterns of nurse-physician communication and assessed understanding of patients' plans of care. Two internists reviewed responses and rated nurse-physician agreement on six aspects of the plan of care as none, partial, or complete agreement.\nRESULTS: Three hundred eleven of 342 (91%) and 291 of 294 (99%) patients' nurses and 301 of 342 (88%) and 285 of 294 (97%) physicians completed the interview during the pre- and post-localization periods. Two hundred nine of 285 (73%) patients were localized to physicians' designated patient care units in the post-localization period. After localization, a higher percentage of patients' nurses and physicians was able to correctly identify one another (93% vs. 71%; p < 0.001 and 58% vs. 36%; p < 0.001, respectively). Nurses and physicians reported more frequent communication after localization (68% vs. 50%; p < 0.001 and 74% vs. 61%; p < 0.001, respectively). Nurse-physician agreement was significantly improved for two aspects of the plan of care: planned tests and anticipated length of stay.\nCONCLUSIONS: Although nurses and physicians were able to identify one another and communicated more frequently after localizing physicians to specific patient care units, there was little impact on nurse-physician agreement on the plan of care.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s11606-009-1113-7", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isFundedItemOf": [
      {
        "id": "sg:grant.2705147", 
        "type": "MonetaryGrant"
      }
    ], 
    "isPartOf": [
      {
        "id": "sg:journal.1096256", 
        "issn": [
          "0884-8734", 
          "1525-1497"
        ], 
        "name": "Journal of General Internal Medicine", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "11", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "24"
      }
    ], 
    "name": "Impact of Localizing Physicians to Hospital Units on Nurse\u2014Physician Communication and Agreement on the Plan of Care", 
    "pagination": "1223", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "0f793dcd4edf6dce09799af21ee870b3ac2686695e496ad359cfb9e93fa3a4e8"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "19768510"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8605834"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s11606-009-1113-7"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1003248450"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s11606-009-1113-7", 
      "https://app.dimensions.ai/details/publication/pub.1003248450"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T09:32", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000346_0000000346/records_99809_00000000.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1007%2Fs11606-009-1113-7"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11606-009-1113-7'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11606-009-1113-7'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11606-009-1113-7'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11606-009-1113-7'


 

This table displays all metadata directly associated to this object as RDF triples.

232 TRIPLES      21 PREDICATES      59 URIs      33 LITERALS      21 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s11606-009-1113-7 schema:about N1cf93c3a62d649c9be1cb9e7b5c8aa26
2 N1d17acedb2e14d00b4d17bac47565908
3 N53645adddc6d446381db0d1fe2883c96
4 N6192c1d7dbca4079ae3db179b6ffe2e1
5 N6ff1cafc58324c918badd107b56137e6
6 N7dacdc5e46184efeae456ca82e0da0fc
7 Nb9e83391cbc44d5681d9ec8b9240a5b4
8 Nbcf2adcca87e457ebe3825a7c534a71b
9 Nc01fe2ec8e5146a5b1b5ae9833592629
10 Nc9ec0a4364c14f219c571c5491357ab8
11 Ncb4c2f570b394ef1ae29b9bb53803490
12 Ncbed8f3d698e405a97e4e44fd1be92d4
13 anzsrc-for:11
14 anzsrc-for:1110
15 schema:author N592f4dfc9b1d447fbc85519a453475cd
16 schema:citation sg:pub.10.1007/s11606-008-0793-8
17 https://app.dimensions.ai/details/publication/pub.1077194193
18 https://app.dimensions.ai/details/publication/pub.1077957462
19 https://app.dimensions.ai/details/publication/pub.1082376924
20 https://doi.org/10.1016/j.amjmed.2008.06.018
21 https://doi.org/10.1016/j.jamcollsurg.2006.01.017
22 https://doi.org/10.1053/jcrc.2003.50008
23 https://doi.org/10.1056/nejm199102073240605
24 https://doi.org/10.1093/intqhc/mzn018
25 https://doi.org/10.1097/00001888-200402000-00019
26 https://doi.org/10.1097/00003246-199502000-00015
27 https://doi.org/10.1097/01.aog.0000250900.53126.c2
28 https://doi.org/10.1097/01.ccm.0000056183.89175.76
29 https://doi.org/10.1111/1475-6773.01104
30 https://doi.org/10.1136/qshc.2004.010033
31 https://doi.org/10.1136/qshc.2008.028795
32 https://doi.org/10.1136/qshc.2008.030221
33 https://doi.org/10.5694/j.1326-5377.1995.tb124691.x
34 schema:datePublished 2009-11
35 schema:datePublishedReg 2009-11-01
36 schema:description BACKGROUND: A significant barrier to communication among patient care providers in hospitals is the geographic dispersion of team members. OBJECTIVE: To determine whether localizing physicians to specific patient care units improves nurse-physician communication and agreement on patients' plans of care. METHODS: We conducted structured interviews of a cross-sectional sample of nurses and physicians before and after an intervention to localize physicians to specific patient care units. Interviews characterized patterns of nurse-physician communication and assessed understanding of patients' plans of care. Two internists reviewed responses and rated nurse-physician agreement on six aspects of the plan of care as none, partial, or complete agreement. RESULTS: Three hundred eleven of 342 (91%) and 291 of 294 (99%) patients' nurses and 301 of 342 (88%) and 285 of 294 (97%) physicians completed the interview during the pre- and post-localization periods. Two hundred nine of 285 (73%) patients were localized to physicians' designated patient care units in the post-localization period. After localization, a higher percentage of patients' nurses and physicians was able to correctly identify one another (93% vs. 71%; p < 0.001 and 58% vs. 36%; p < 0.001, respectively). Nurses and physicians reported more frequent communication after localization (68% vs. 50%; p < 0.001 and 74% vs. 61%; p < 0.001, respectively). Nurse-physician agreement was significantly improved for two aspects of the plan of care: planned tests and anticipated length of stay. CONCLUSIONS: Although nurses and physicians were able to identify one another and communicated more frequently after localizing physicians to specific patient care units, there was little impact on nurse-physician agreement on the plan of care.
37 schema:genre research_article
38 schema:inLanguage en
39 schema:isAccessibleForFree true
40 schema:isPartOf N028bc905e29d475f89ec9ae9aad8429e
41 N9f90353de1a748bb87b8834e6da8985e
42 sg:journal.1096256
43 schema:name Impact of Localizing Physicians to Hospital Units on Nurse—Physician Communication and Agreement on the Plan of Care
44 schema:pagination 1223
45 schema:productId N320d7378e821480d97e7297f9be684f6
46 N64489afb7b1c473da81c81ba6873a685
47 N6681cc8b90bb48c3bc54c1f80aecc409
48 N9a7b897727d24b2184c7a9f7e67b5af9
49 Nadf6d16c0c904005a406a2c73c9700ee
50 schema:sameAs https://app.dimensions.ai/details/publication/pub.1003248450
51 https://doi.org/10.1007/s11606-009-1113-7
52 schema:sdDatePublished 2019-04-11T09:32
53 schema:sdLicense https://scigraph.springernature.com/explorer/license/
54 schema:sdPublisher Nbbadee04db2446a48ea86be3dba01334
55 schema:url http://link.springer.com/10.1007%2Fs11606-009-1113-7
56 sgo:license sg:explorer/license/
57 sgo:sdDataset articles
58 rdf:type schema:ScholarlyArticle
59 N028bc905e29d475f89ec9ae9aad8429e schema:issueNumber 11
60 rdf:type schema:PublicationIssue
61 N1cf93c3a62d649c9be1cb9e7b5c8aa26 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
62 schema:name Adult
63 rdf:type schema:DefinedTerm
64 N1d17acedb2e14d00b4d17bac47565908 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
65 schema:name Male
66 rdf:type schema:DefinedTerm
67 N29874c864540441e9920a8804c3e30ad rdf:first sg:person.01333253317.13
68 rdf:rest Ndf595b0bb91247428421292800f06812
69 N320d7378e821480d97e7297f9be684f6 schema:name readcube_id
70 schema:value 0f793dcd4edf6dce09799af21ee870b3ac2686695e496ad359cfb9e93fa3a4e8
71 rdf:type schema:PropertyValue
72 N499c84a3c4714dcc88e18a8b4af008af rdf:first sg:person.01103044070.27
73 rdf:rest N58e30bb87d1142858b00d4ede7bf773f
74 N53645adddc6d446381db0d1fe2883c96 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
75 schema:name Patient Care Team
76 rdf:type schema:DefinedTerm
77 N58e30bb87d1142858b00d4ede7bf773f rdf:first sg:person.01000767404.46
78 rdf:rest N60511613c56646e994208c4f4ef44894
79 N592f4dfc9b1d447fbc85519a453475cd rdf:first sg:person.01113360272.45
80 rdf:rest N499c84a3c4714dcc88e18a8b4af008af
81 N60511613c56646e994208c4f4ef44894 rdf:first sg:person.0666544372.68
82 rdf:rest N29874c864540441e9920a8804c3e30ad
83 N6192c1d7dbca4079ae3db179b6ffe2e1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
84 schema:name Hospital Units
85 rdf:type schema:DefinedTerm
86 N64489afb7b1c473da81c81ba6873a685 schema:name doi
87 schema:value 10.1007/s11606-009-1113-7
88 rdf:type schema:PropertyValue
89 N6681cc8b90bb48c3bc54c1f80aecc409 schema:name nlm_unique_id
90 schema:value 8605834
91 rdf:type schema:PropertyValue
92 N6c26986be1624df98115376656e48098 rdf:first sg:person.01325064063.19
93 rdf:rest rdf:nil
94 N6ff1cafc58324c918badd107b56137e6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
95 schema:name Young Adult
96 rdf:type schema:DefinedTerm
97 N7dacdc5e46184efeae456ca82e0da0fc schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
98 schema:name Patient Care
99 rdf:type schema:DefinedTerm
100 N9a7b897727d24b2184c7a9f7e67b5af9 schema:name dimensions_id
101 schema:value pub.1003248450
102 rdf:type schema:PropertyValue
103 N9f90353de1a748bb87b8834e6da8985e schema:volumeNumber 24
104 rdf:type schema:PublicationVolume
105 Nadf6d16c0c904005a406a2c73c9700ee schema:name pubmed_id
106 schema:value 19768510
107 rdf:type schema:PropertyValue
108 Nae62d075791e4cacb1cb2f718487597f rdf:first sg:person.01347676372.92
109 rdf:rest N6c26986be1624df98115376656e48098
110 Nb9e83391cbc44d5681d9ec8b9240a5b4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
111 schema:name Humans
112 rdf:type schema:DefinedTerm
113 Nbbadee04db2446a48ea86be3dba01334 schema:name Springer Nature - SN SciGraph project
114 rdf:type schema:Organization
115 Nbcf2adcca87e457ebe3825a7c534a71b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
116 schema:name Physician-Nurse Relations
117 rdf:type schema:DefinedTerm
118 Nc01fe2ec8e5146a5b1b5ae9833592629 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
119 schema:name Nurses
120 rdf:type schema:DefinedTerm
121 Nc9ec0a4364c14f219c571c5491357ab8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
122 schema:name Cross-Sectional Studies
123 rdf:type schema:DefinedTerm
124 Ncb4c2f570b394ef1ae29b9bb53803490 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
125 schema:name Female
126 rdf:type schema:DefinedTerm
127 Ncbed8f3d698e405a97e4e44fd1be92d4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
128 schema:name Physicians
129 rdf:type schema:DefinedTerm
130 Ndf595b0bb91247428421292800f06812 rdf:first sg:person.01117221372.20
131 rdf:rest Nede50b2cb0fc4127a295c74b54a75e4b
132 Nede50b2cb0fc4127a295c74b54a75e4b rdf:first sg:person.01233447772.57
133 rdf:rest Nae62d075791e4cacb1cb2f718487597f
134 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
135 schema:name Medical and Health Sciences
136 rdf:type schema:DefinedTerm
137 anzsrc-for:1110 schema:inDefinedTermSet anzsrc-for:
138 schema:name Nursing
139 rdf:type schema:DefinedTerm
140 sg:grant.2705147 http://pending.schema.org/fundedItem sg:pub.10.1007/s11606-009-1113-7
141 rdf:type schema:MonetaryGrant
142 sg:journal.1096256 schema:issn 0884-8734
143 1525-1497
144 schema:name Journal of General Internal Medicine
145 rdf:type schema:Periodical
146 sg:person.01000767404.46 schema:affiliation https://www.grid.ac/institutes/grid.16753.36
147 schema:familyName Landler
148 schema:givenName Matthew P.
149 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01000767404.46
150 rdf:type schema:Person
151 sg:person.01103044070.27 schema:affiliation https://www.grid.ac/institutes/grid.16753.36
152 schema:familyName Wayne
153 schema:givenName Diane B.
154 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01103044070.27
155 rdf:type schema:Person
156 sg:person.01113360272.45 schema:affiliation https://www.grid.ac/institutes/grid.16753.36
157 schema:familyName O’Leary
158 schema:givenName Kevin J.
159 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01113360272.45
160 rdf:type schema:Person
161 sg:person.01117221372.20 schema:affiliation https://www.grid.ac/institutes/grid.16753.36
162 schema:familyName Hahn
163 schema:givenName Katherine J.
164 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01117221372.20
165 rdf:type schema:Person
166 sg:person.01233447772.57 schema:affiliation https://www.grid.ac/institutes/grid.16753.36
167 schema:familyName Jeon
168 schema:givenName Jiyeon
169 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01233447772.57
170 rdf:type schema:Person
171 sg:person.01325064063.19 schema:affiliation https://www.grid.ac/institutes/grid.16753.36
172 schema:familyName Williams
173 schema:givenName Mark V.
174 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01325064063.19
175 rdf:type schema:Person
176 sg:person.01333253317.13 schema:affiliation https://www.grid.ac/institutes/grid.416565.5
177 schema:familyName Haviley
178 schema:givenName Corinne
179 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01333253317.13
180 rdf:type schema:Person
181 sg:person.01347676372.92 schema:affiliation https://www.grid.ac/institutes/grid.16753.36
182 schema:familyName Englert
183 schema:givenName Katherine M.
184 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01347676372.92
185 rdf:type schema:Person
186 sg:person.0666544372.68 schema:affiliation https://www.grid.ac/institutes/grid.16753.36
187 schema:familyName Kulkarni
188 schema:givenName Nita
189 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0666544372.68
190 rdf:type schema:Person
191 sg:pub.10.1007/s11606-008-0793-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1029483075
192 https://doi.org/10.1007/s11606-008-0793-8
193 rdf:type schema:CreativeWork
194 https://app.dimensions.ai/details/publication/pub.1077194193 schema:CreativeWork
195 https://app.dimensions.ai/details/publication/pub.1077957462 schema:CreativeWork
196 https://app.dimensions.ai/details/publication/pub.1082376924 schema:CreativeWork
197 https://doi.org/10.1016/j.amjmed.2008.06.018 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012097445
198 rdf:type schema:CreativeWork
199 https://doi.org/10.1016/j.jamcollsurg.2006.01.017 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019182508
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1053/jcrc.2003.50008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001133142
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1056/nejm199102073240605 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051766309
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1093/intqhc/mzn018 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020149117
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1097/00001888-200402000-00019 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044209939
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1097/00003246-199502000-00015 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060170912
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1097/01.aog.0000250900.53126.c2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025444722
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1097/01.ccm.0000056183.89175.76 schema:sameAs https://app.dimensions.ai/details/publication/pub.1029243565
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1111/1475-6773.01104 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039139588
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1136/qshc.2004.010033 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052678105
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1136/qshc.2008.028795 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017331941
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1136/qshc.2008.030221 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047703948
222 rdf:type schema:CreativeWork
223 https://doi.org/10.5694/j.1326-5377.1995.tb124691.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1082376924
224 rdf:type schema:CreativeWork
225 https://www.grid.ac/institutes/grid.16753.36 schema:alternateName Northwestern University
226 schema:name Division of General Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
227 Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 259 E. Erie Street, Suite 475, 60611, Chicago, IL, USA
228 Northwestern University Feinberg School of Medicine, Chicago, IL, USA
229 rdf:type schema:Organization
230 https://www.grid.ac/institutes/grid.416565.5 schema:alternateName Northwestern Memorial Hospital
231 schema:name Northwestern Memorial Hospital, Chicago, IL, USA
232 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...