Who Is My Doctor? The Use of Photos and Signatures on an Internal Medicine Teaching Service to Improve Nursing Satisfaction

1Banner Good Samaritan Medical Center, Phoenix, AZ
2Banner Good Samaritan Medical Center, Phoenix, AZ

Meeting: Hospital Medicine 2010, April 8-11, Washington, D.C.

Abstract number: 105

Background:

Communication between nurses and physicians is instrumental in providing quality patient care. Nurse‐physician relations have been linked to nursing satisfaction and collaboration is associated with positive patient outcomes. Banner Good Samaritan Medical Center (BGSMC) is an urban 658‐bed leaching hospital that uses an information sheet containing the name, pager number, and after‐hours contact information for the patient's primary medical team. We proposed that revising the information sheet to include physicians' photos and signatures would enhance communication and satisfaction of nursing staff with physicians.

Methods:

This study was an interrupted time series consisting of control and intervention periods approved by the BGSMC IRB. During the 2‐month control period, the original information sheet was used, followed by 2 months of using an adapted information sheet that included photos and signatures of the intern, resident, and attending. During the last month of each study period, a survey was distributed to the day and night nursing staff to measure aspects of nursing satisfaction. The survey questions were adapted from the National Database of Nursing Quality Indicators and used a 6 point Likert scale, from 1 = strongly disagree to 6 = strongly agree. A 5‐point Likert scale was used to assess nursing perception of time Spent to identify physician contact information, where 1 = too much time, 3 = a little delay but an acceptable amount of time, and 5 = best practice.

Results:

A total of 97 surveys were collected during the control period and 43 after the intervention. Statistically significant improvements in the time spent to identify the name of the doctor, 2.74 to 3.33 (P = 0.028), physician pager number, 2.98 to 3.69 (P = 0.006), and physician signature, 1.74 to 2.55 (P ≤ 0.001), were seen with the use of the new information sheet. Eighty‐eight percent of nursing staff strongly agreed or agreed that the new sheets helped them to identify the physicians taking care of their patients, and 81% said that they improved communication between nursing and physicians. Statistically significant improvements were also demonstrated in nursing perception of physician cooperation, from 4.58 to 5.08 (P = 0.019), nursing satisfaction with interactions with the internal medicine house staff, from 3.99 to 4.52 (P = 0.023), and nursing perception of physician appreciation of the nursing staff, from 4.26 to 4.84 (P = 0.036).

Conclusions:

The addition of photos and signatures to a simple physician information sheet on an internal medicine resident teaching service greatly improved nursing satisfaction and their perception of the time spent on tasks related to contacting the correct physician. This is a small but effective way of facilitating positive work place changes between physicians and nursing staff.

Author Disclosure:

C. O'Malley, none; M. Paulson, none.

To cite this abstract:

O'Malley C, Paulson M. Who Is My Doctor? The Use of Photos and Signatures on an Internal Medicine Teaching Service to Improve Nursing Satisfaction. Abstract published at Hospital Medicine 2010, April 8-11, Washington, D.C. Abstract 105. Journal of Hospital Medicine. 2010; 5 (suppl 1). https://www.shmabstracts.com/abstract/who-is-my-doctor-the-use-of-photos-and-signatures-on-an-internal-medicine-teaching-service-to-improve-nursing-satisfaction/. Accessed November 15, 2019.

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