Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1033
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dc.contributor.authorCoote, Steven-
dc.contributor.otherJohnson, A.-
dc.contributor.otherNguyen, H.-
dc.contributor.otherParker, S.K.-
dc.contributor.otherGroth, M.-
dc.contributor.otherPerry, L.-
dc.contributor.otherWay, B.-
dc.date.accessioned2017-10-10T00:02:52Zen
dc.date.available2017-10-10T00:02:52Zen
dc.date.issued2017-06-
dc.identifier.citation31(4):471-486en
dc.identifier.issn1477-7266en
dc.identifier.urihttps://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1033en
dc.description.abstractPurpose The purpose of this paper is to investigate a boundary spanning, interprofessional collaboration between advanced practice nurses (APNs) and junior doctors to support junior doctors' learning and improve patient management during the overtime shift. Design/methodology/approach A mixed methods evaluation of an intervention in an adult tertiary referral hospital, to enhance interprofessional collaboration on overtime shifts. Phase 1 compared tasks and ward rounds on 86 intervention shifts with 106 "regular" shifts, and examined the effect on junior doctor patient management testing a model using regression techniques. Phase 2 explored the experience of the intervention for stakeholders. 91 junior doctors participated (89 percent response rate) on 192 overtime shifts. Junior doctors, APNs and senior medical professionals/administrators participated in interviews. Findings The intervention was associated with an increase in self-initiated ward rounds by junior doctors, partially explained by junior doctors completing fewer tasks skilled nurses could also complete. The intervention significantly reduced doctors' engagement in tasks carried over from day shifts as well as first year (but not more experienced) junior doctors' total tasks. Interviews suggested the initiative reduced junior doctors' work pressure and promoted a safe team climate, situation awareness, skills, confidence, and well-being. Originality/value Junior doctors overtime shifts (5 p.m. to 11 p.m.) are important, both for hospitals to maintain patient care after hours and for junior doctors to learn and develop independent clinical decision making skills. However, junior doctors frequently report finding overtime shifts challenging and stressful. Redesigning overtime shifts to facilitate interprofessional collaboration can improve patient management and junior doctors' learning and well-being.en
dc.description.sponsorshipAcute Post Acute Care (APAC)en
dc.title"That was a good shift"en
dc.typeJournal Articleen
dc.identifier.doi10.1108/jhom-01-2017-0008en
dc.description.pubmedurihttps://www.ncbi.nlm.nih.gov/pubmed/28877619en
dc.description.affiliatesCentral Coast Local Health Districten
dc.description.affiliatesGosford Hospitalen
dc.identifier.journaltitleJournal of Health Organization and Managementen
dc.originaltypeTexten
dc.type.contentTexten
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairetypeJournal Article-
item.cerifentitytypePublications-
Appears in Collections:Health Service Research
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