A novel nurse-inteRN mentorship program to improve nurse-physician communication and teamwork in the emergency department

Dublin Core

Title

A novel nurse-inteRN mentorship program to improve nurse-physician communication and teamwork in the emergency department

Subject

Communication, Education, Interdisciplinary, Collaboration, Mentorship

Description

Abstract
Background Communication between nurses and physicians is essential to providing patient care in the emergency
department. The American College of Graduate Medical Education includes interpersonal and communication
skills as one of six core competencies for residents. There is a known correlation between poor communication
and negative patient outcomes. Yet, formalized training programs in doctor-nurse communication are lacking and
literature reports that physicians may view collaboration as less important than nurses. To address this gap, we
developed and implemented a novel, pilot “Nurse-InteRN Mentorship Program”. The program aimed to improve
trainees’ communication with nurses and enhance emergency department collaboration. We then evaluated the
impact of this program on participant perception of nurse-physician communication, efficacy and overall benefit.
Methods We used Kern’s Six-step approach to develop and implement this program. We then evaluated the
program’s impact with a pre-program and post-program 12-question survey to evaluate participation, perceived
benefit, and efficacy of the program using a 1–5 Likert scale. Nurse vs. intern responses were compared using Fisher’s
exact and Wilcoxon rank sum tests. Pre- and post- intervention responses were paired by respondent and compared
using marginal homogeneity tests.

Results 13 interns and 22 nurses participated in the program. All 13 interns and 19 of 22 nurses completed the pre-
program survey. 10 of 13 interns and 11 of 22 nurse mentors completed the post-program survey. Nurses showed

greater interest in providing feedback on communication skills than interns showed in receiving feedback (p<0.001).
Interns rated themselves higher in communication skills with patients than nurses rated them (p=0.004). Perceived
benefit among nurses and interns decreased after completion of the program.
Conclusion We were able to successfully implement a one-year nurse-intern mentorship program aiming to
promote communication, collaboration and professional development. Our results show differing attitudes between
nurses and interns around interns’ communication skills. There was some perceived benefit, but unfortunately this
decreased over the course of the program. Further studies are needed to determine how this program impacts
communication, teamwork, and patient care. We hope that given the novelty of such a nurse-intern mentorship
program, this study may serve as a pilot for future programs.

Creator

Amanda Doodlesack1*, Nicole Dubosh1

, Anne Grossestreuer1

, Lorian de Oliveira2

and Leslie Bilello1

Source

https://doi.org/10.1186/s12245-024-00740-z

Date

2024

Contributor

Peri Irawan

Format

PDF

Language

ENGLISH

Type

TEXT

Files

Citation

Amanda Doodlesack1*, Nicole Dubosh1 , Anne Grossestreuer1 , Lorian de Oliveira2 and Leslie Bilello1, “A novel nurse-inteRN mentorship program to improve nurse-physician communication and teamwork in the emergency department,” Repository Horizon University Indonesia, accessed April 25, 2026, https://repository.horizon.ac.id/items/show/12501.