Objective: To characterize communication strategies of labor and delivery nurses and their physician colleagues during perinatal decisions.

Design: A quantitative descriptive design was used.

Setting: A perinatal setting in an urban acute care facility.

Participants: Twenty-nine perinatal nurses and 11 attending physicians.

Methods: A model of team communication derived from research on cockpit crew communication served as a framework for this analysis. Data were taken from transcriptions of audio-taped conversations and discourse analysis.

Results: Findings indicated that nurses and physicians tended to use status-based communication styles and rarely employed team-centered communication strategies.

Conclusion: Nurse and physician status-based communication styles may hinder optimal patient outcomes.

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http://dx.doi.org/10.1111/1552-6909.12486DOI Listing

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