[A consulting partnership: a relationship to be defined].
OBJECTIVE
The goal was to explore the factors that influence adherence by internal medicine nurses (IMNs) to recommendations provided by a palliative care consult nurses (PCN) in a Swiss teaching hospital.


METHODS
A qualitative phenomenological approach was applied. Following convenience sampling, IMNs were interviewed one-on-one (semi-structured questions). Two conceptual frameworks (Zay et at 1997; Sauve 2001) were used as a starting point for data coding. New categories and themes then emerged.


RESULTS
Data saturation was achieved after 5 interviews. 5 categories emerged, including alterity; transparency; communication; time; and sense of ownership. Adherence requires a personal rapport and trust between the IMNs and PCNs. A focus on supporting the IMNs rather than focussing only on the patient enhances adherence.


CONCLUSIONS
Our PC team needs to review its model of consultation, possibly adopting one that focuses more on supporting the primary teams. Formal and informal strategies to improve the rapport with IMN will be sought. Awareness by the PCN of the inferiority felt by the IMNs may enhance rapport building.
Teike-Lüthi
Fabienne
F
CHUV, Lausanne.
Gallant
Serge
S
D001291:Attitude of Health Personnel; D001364:Awareness; D003142:Communication; D003253:Consultants / Q000523:psychology*; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D019983:Guideline Adherence; D006784:Hospitals, Teaching; D006801:Humans; D007388:Internal Medicine / Q000458:organization & administration; D007400:Interprofessional Relations; D016294:Models, Nursing; D008960:Models, Psychological; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology*; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology*; D010166:Palliative Care / Q000458:organization & administration; D010347:Patient Care Planning / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D036301:Qualitative Research; D020377:Self Efficacy; D012944:Social Support; D011795:Surveys and Questionnaires; D013557:Switzerland; D035502:Trust