• The barriers listed on the previous slide can occur within disciplines, most notably between physicians and residents, surgeons and anesthesiologists, and nurses and managers. • However, most often the barriers manifest between nurses and physicians. • Even though physicians and nurses interact numerous times a day, they often have different perceptions of their roles and responsibilities as to patient needs and thus different goals for patient care. | ||
• One barrier compounding this issue is that because the United States is one of the most ethnically and culturally diverse countries in the world, many clinicians come from a variety of backgrounds. • In all interactions, cultural differences can exacerbate communication problems. • For example, in some cultures, individuals refrain from being assertive or challenging opinions openly. • As a result, it is very difficult for nurses from some cultures to speak-up if they see something wrong. • In cultures such as these, nurses communicate their concern in very indirect ways. | ||