A Report 2018 published by the American Hospital Association argues that the clinical partnership between physicians and nurses can help nullify the professional challenges and power dynamics that lead to effective collaboration.
“Historically, we have operated in silos, with medicine on the one hand and hospitals and nurses on the other without any alignment in progress in quality and safety,” said Mo Kasti, CEO and founder of CTI Leadership, which helps train the doctor. heads.
“If (a dyad) is done well, it has a lot of positive results because there is a better engagement, a feeling that their voices are being heard and that they are co-creating a business together.”
Leaders interviewed by the AHA on its CMO-CNO dyads said it has had a “positive impact” on the achievement of goals, including excellence in patient care, increased metrics of staff performance and engagement.
Leaders also cited better decision making, greater job satisfaction and an ability to implement change more quickly.
For example, BSWH will “completely rebuild” the employee health command center in response to the COVID-19 pandemic. “If we hadn’t taken this process by the queens as system leaders, each entity would have had to create its own employee health awareness and testing protocols, and we had more than 46,000 employees that we would have protect, ”Walker said.
Less than 1% of the staff caring for COVID patients tested positive for the virus, according to BSWH.
Introducing a CNO ensures that nurses are always on the table for decisions that impact themselves and patients and helps establish better collaboration and communication between nurses and physicians, who have had a historically strained relationship.
“The whole system understood that these guys work so closely and they understand each other. When Janice speaks, everyone knows she is speaking on my behalf and vice versa,” Arroliga said. “When we both work together, the product we generate in the end will be better than what I would have generated myself.”
He sends an important message to front-line workers that “to take care of a patient, you need a team – and the product will be better,” Arroliga added.
“We try to make sure the front lines understand that we need others to create something better for our patients,” Walker said.