allied
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December 05-06, 2019 | Dubai, UAE
29
th
International Conference on
14
th
International Conference on
Nursing Education and Research
Cancer and Cancer Therapy
Joint Event
&
Journal of Intensive and Critical Care Nursing | Volume 2
Nurses’ role in medical prescription from a cybernetic perspective
Taghrid CHAABAN
and
Mathieu AHOUAH
University Paris, France
P
rescribing is a physician's prerogative in many countries.
In geriatric institutions, due to time constraints, physicians
often base their prescribing decisions on nurses' expertise
(Fleming 2014). The nurse's proximity to the resident,
her multiple skills and particularly those in interpersonal
communication, can participate to the prescribing decision.
However, the literature indicates that nurse-physician
communication remains ineffective (Tan et al 2017) and
physician-nurseinteractionsaregenerallyinformative(Chaaban
et al 2019). Thus, the lack of communication can affect the
quality of information exchange affecting the quality of health
care (HAS 2014). Interactive communication could allow the
nurse to participate more effectively in decision-making
in drug prescribing. Thus, a new model of physician-nurse
communication was designed using the concept of cybernetic
communication, which could provide an atmosphere of
dialogue, prevent the traps of subjectivity and improve
treatment optimization.Our cybernetic communication model
imperatively requires systemic interactive relationships that
enable the sharing of knowledge and expertise. It includes
several elements including the nurse's assertiveness. The
nurse can be a promoter of communication in this model
based on her theoretical knowledge, clinical judgment and
empowerment. Researchisneededtodeterminethefeasibility
of our model and the practical impact of its implementation.
e
:
tagochaaban@hotmail.comJ Intensive Crit Care Nurs | Volume 2