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Nurse-Paramedic Interactions: Teamwork or Turf Wars?

Published online by Cambridge University Press:  28 June 2012

C. Eddie Palmer  and
Sheryl M. Gonsoulin
C. Eddie Palmer
Affiliation:
Professor and Department Head, Sociology and Anthropology, The University of Southwestern Louisiana, Lafayette, La., USA
Sheryl M. Gonsoulin*
Affiliation:
Assistant Professor and Department Head, Emergency Health Science, The University of Southwestern Louisiana, Lafayette, La., USA
*
Emergency Health Science, The University of Southwestern Louisiana, Lafayette, LA, 70504-2732USA
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Abstract

Introduction:

The interaction patterns that result from the role performance of nurses and paramedics as they care for patients conveyed to the Emergency Department could impact substantially on outcome. The nature of this interaction was studied.

Methods:

Structured interviews were conducted with 35 persons: 21 paramedics, 12 full-time emergency department nurses, and two ED physicians.

Results:

Open conflicts in the ED are not a common occurrence. The reports given by paramedics and the assessments of patients by the nurse at transfer seem to represent “flash points” of conflict. The characteristics of some of the hostile behaviors which do occur are defined.

Conclusion:

Conflict does exist and the application of suggested interventions may serve to lessen such conflict.

Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 7 , Issue 1 , March 1992 , pp. 45 - 50
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1992

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References

1. Bucher, Rue: On the natural history of health care occupations. Work and Occupations 1988;15:131–147.CrossRefGoogle Scholar
2. Brill, EL, Kilts, DF: Foundations for Nursing. New York: Appleton-Century-Crofts, 1980.Google Scholar
3. Kozier, B, Erb, G: Fundamentals of Nursing: Concepts and Procedures, 2d ed. Menlo Park, Calif.: Addison-Wesley, 1983.Google Scholar
4. Howell, E, Wildra, L, Hill, MG: Comprehensive Trauma Nursing: Theory and Practice. Glenview, Ill.: Scott Forsman, 1988.Google Scholar
5. Reissman, CK: Woman and Medicalization: A New Perspective. In Dominant Issues in Medical Sociology 2d ed. New York: Random House, 1987; pp 101–121.Google Scholar
6. Swartz, HD, deWolf, PL, Skipper, JK Jr.: Gender professionalization, and occupational anomie: The case of nursing. In Dominant Issues in Medical Sociology 2d ed. New York: Random House, 1987; pp 559–568.Google Scholar
7. Stein, LI: The doctor-nurse game. In Dominant Issues in Medical Sociology 2d ed. New York: Random House, 1987; pp 337–341.Google Scholar
8. Segal, BE: Male nurses: A case study in status contradiction and prestige loss. Social Forces 1962;41:31–38.CrossRefGoogle Scholar
9. Floge, L, Merrill, DM: Tokenism reconsidered: Male nurses and female physicians in a hospital setting. Social Forces 1986;64:925–947.CrossRefGoogle Scholar
10. Sudnow, D: Dead on arrival. In Dominant Issues in Medical Sociology 2d ed. New York: Random House, 1987; pp 263–270.Google Scholar
11. Page, JO: The Paramedics. Morristown, New Jersey: Backdraft Publications, 1979.Google Scholar
12. Palmer, CE, Gonsoulin, SM: Paramedics, protocols, and procedures: “Playing doc” as deviant role performance. Deviant Behavior 1990;11:207–219.CrossRefGoogle Scholar
13. Shaftan, GW: Disaster and medical care. Trauma 1962;2:111–116.Google ScholarPubMed
14. Metz, DL: Running Hot: Structure and Stress in Ambulance Work. Cambridge, Mass.: Abt Books, 1981.Google Scholar
15. Rymut, NR: The inquisition. Emerg Nurs 1988;14:329–330.Google ScholarPubMed
16. Carroll, PF: Turf wars: Time for a truce? Nursing 87 1987;11:43.CrossRefGoogle Scholar
17. Pavalko, RM: Sociology of Occupations and Professions. Itasca, Ill.: Peacock, 1988.Google Scholar
18. Palmer, CE: “Trauma junkies” and street work: Occupational behaviors of paramedics and emergency medical technicians. Urban Life 1983;12:162–183.CrossRefGoogle Scholar