title: Strategies used by clinical nurse specialists in "difficult" clinician-patient situations.
abstract: The purpose of this study was to describe strategies used by clinical nurse specialists when caring for patients involved in "difficult" clinician-patient situations. Clinical nurse specialist members of the National Association of Clinical Nurse Specialists were surveyed to identify frequently used and high-priority strategies. Subjects (N = 234) identified strategies from a wide spectrum of activities, with agreement found between highest and lowest frequently used and priority approaches. Respect for the patient and ability to focus on the issue at hand emerged in the highest reported strategies.
authors.affiliation: La Salle University School of Nursing and Health Sciences, Philadelphia, PA, USA. wolf@lasalle.edu
authors.forename: Zane Robinson
authors.initials: ZR
authors.lastname: Wolf
authors.forename: Gale
authors.initials: G
authors.lastname: Robinson-Smith
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000378:Agonistic Behavior; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D003142:Communication; D003220:Conflict, Psychological; D003299:Cooperative Behavior; D004645:Empathy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017008:Negotiating; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology*; D024802:Nurse's Role / Q000523:psychology*; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D010344:Patient Advocacy; D011340:Problem Solving; D013240:Stereotyping; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000523:psychology*; D014481:United States