title: Using a team-centered approach to evaluate effectiveness of nurse-physician communications.
abstract: OBJECTIVE
  To characterize communication strategies of labor and delivery nurses and their physician colleagues during perinatal decisions.
  
  
  METHODS
  A quantitative descriptive design was used.
  
  
  METHODS
  A perinatal setting in an urban acute care facility.
  
  
  METHODS
  Twenty-nine perinatal nurses and 11 attending physicians.
  
  
  METHODS
  A model of team communication derived from research on cockpit crew communication served as a framework for this analysis. Data were taken from transcriptions of audio-taped conversations and discourse analysis.
  
  
  RESULTS
  Findings indicated that nurses and physicians tended to use status-based communication styles and rarely employed team-centered communication strategies.
  
  
  CONCLUSIONS
  Nurse and physician status-based communication styles may hinder optimal patient outcomes.
authors.forename: Brenda
authors.initials: B
authors.lastname: Matzke
authors.forename: Susan
authors.initials: S
authors.lastname: Houston
authors.forename: Ute
authors.initials: U
authors.lastname: Fischer
authors.forename: Martha J
authors.initials: MJ
authors.lastname: Bradshaw
mesh_terms: D003142:Communication; D036861:Delivery, Obstetric / Q000379:methods / Q000523:psychology; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D007743:Labor, Obstetric / Q000523:psychology*; D008297:Male; D017146:Models, Organizational; D009726:Nurses / Q000523:psychology*; D010348:Patient Care Team / Q000592:standards; D018743:Perinatal Care / Q000592:standards; D019555:Physician-Nurse Relations; D010820:Physicians / Q000523:psychology*; D011247:Pregnancy; D058996:Quality Improvement
keywords: communication styles; descriptive; patient outcomes; team-centered