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Page 46

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.com

J Intensive Crit Care Nurs | Volume 2