The Exploration of Inter-Professional Relationships from the Perspective of Operating Room Students: A Qualitative Study


  • Parand Pourghane
  • Fazlollah Ahmadi
  • Mahmood Abedin zadeh



Professional communication, operating room students, qualitative research, content analysis


Introduction: Appropriate communication between healthcare team members and patient influences health outcomes and improves job satisfaction. There is a higher need to effective communication in the operating room due to the heavy workload. Understanding the factors affecting the relationship between healthcare professionals from the perspective of students can help design appropriate strategies for improving professional practice and the quality of care in clinical settings. The aim of this study was to explore inter-professional communication from the perspectives of operating room students using a qualitative design.

Methods: A qualitative study using a conventional content analysis method was performed. Participants were consisted of bachelor degree students of operating room in university in Guilan university of Medical Sciences of Iran. They were chosen using a purposive sampling method. Semi-structured interviews were conducted for data collection until data saturation was achieved. The data was analyzed using the content analysis method suggested by Graneheim and Lundman. The criteria described by Guba and Lincoln were used for ensuring the rigor.

Results: The data analysis led to the development of three themes and twelve subthemes: “The effective Inter-professional communication†with the sub-themes of ‘continuous scientific communication’, ‘interaction management’, ‘empathy/emotional support’ and ‘participatory decision making’; “dysfunctional professional communication†with the sub-themes of ‘limited values’, ‘marginalized communication’, ‘confusion in the work load’ and ‘destroyed preconceptions’; “the clear vision of the link between professions†with the sub-themes of  ‘the enhanced perception of self’, ‘independence and competency’, ‘participatory learning’ and ‘holistic care of the patient’.

Conclusion: According to the experiences of operating room students, providing optimal clinical conditions, enhancing cooperation and effective Inter-professional are required for improving the quality of care and protecting public health.




[1] Sabzevari S, Soltani Arabshahi K, Shekarabi R, Koohpayehzadeh J. Nursing Students’ Communication with Patients in Hospitals Affiliated to Kerman University of Medical Sciences. Iranian Journal of Medical Education. 2006;6(1):43-9.

[2] Thomas E, Sexton J, Helmreich R. Discrepant attitudes about teamwork among critical care nurses and physicians. Crit Care Med. 2003;31(3):956-9.

[3] Bridges D. Inter professional collaboration: three best practice models. nter prof Edu. 2011;16(6035).

[4] Bailey L. Strategies for decreasing patient anxiety in the perioperative setting. AORN J. 2010;92(4):445-57.

[5] Sterchi L. Perceptions that affect physician-nurse collaboration in the perioperative setting. AORN J. 2007;86(1):45-57.

[6] Fostering Organizational Citizenship Behavior (OCB) Through Human Resources Empowerment (HRE).

[7] Deneckere S, Euwema M, Van Herck P, Lodewijckx C, Panella M, Sermeus W, et al. Care pathways lead to better teamwork: results of a systematic review. Soc Sci Med. 2012;75(2):264-8.

[8] Barrere C, Ellis P. Changing attitudes among nurses and physicians: a step toward collaboration. J Healthc Qual. 2002;24(3):9-15.

[9] Van Niekerk L, Martin F. The impact of the nurse-physician professional relationship on nurses’experience of ethical dilemmas in effective pain management. J Prof Nurs. 2002;18(5):276-88.

[10] Tyson P, Pongruengphant R. Five-year follow-up study of stress among nurses in public and private hospitals in Thailand. Int J Nurs Studies. 2004;41(3):247-54.

[11] Saarikoski M, Kaila P, Lambrinou E, Pérez Cañaveras R, Tichelaar E, Tomietto M, et al. Students' experiences of cooperation with nurse teacher during their clinical placements: an empirical study in a Western European context. Nurse Educ Pract. 2013;13(2):78-82.

[12] Maxson P. Enhancing Nurse and Physician Collaboration in Clinical Decision Making Through High-fidelity Interdisciplinary Simulation Training. Mayo Clinic Proceedings 2011;86(1):31-6.

[13] 13. Mongwe R, Van der Wall D. Students Nurses experiences of the clinical field in the Limpopo province as leraning Field: A Phenomenological study. PhD Thesis. University of South Africa. 2007.

[14] Channel w. Helping students to learn in the clinical environment. Nurs Times. 2002;98(39):34-5.

[15] Boork F, Vander V, Teunissen P, Denbrejen E. How undergraduate clinical learning climates differ:Amulti-method case study. Med Educ. 2008;42(10):1029-36.

[16] Moattari M, Ramezani S. Nursing students perspective toward clinical learning environment. Iranian Jornal of Medical Education. 2009;9(2):137-44[Persian].

[17] Pourghane P. Nursing students’ experiences of clinical teaching: A qualitative study. Holist Nurs Midwifery. 2013;23(2):16-26.

[18] Alavi M, Abedi H. Nursing Students' Experiences and Perceptions of Effective Instructor in Clinical Education. 2008;7(2):325-34 [Persian].

[19] Reynolds J, Carnwell R. The nurse-patient relationship in the post-anaesthetic care unit. Nurs Stand. 2009;24(15-17):40-6.

[20] Nagpal K, Arora S, Vats A, Wong H, Sevdalis N, Vincent C, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ QualSaf. 2012;21(10):843-9.

[21] McGrail K, Morse D, Glessner T, Gardner K. What is found thereâ€: qualitative analysis of physician-nurse collaboration stories. J Gen Intern Med. 2009;24(2):198-204.

[22] Corbin J, Strauss A. Basic of Qualitative Research.3rd ed. Los Angeles: SAGE. 2008.

[23] Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24(2):105-12.

[24] Strubert Speziale H, Alen J, Carpenter D. Qualitative Research in Nursing. 3rd Ed.Philadelphia: Williams & Wilkings. 2003.

[25] Khazayi T, Hajiabadi M, Khazayi T. Clinical Education Environment Experiences of Operating Room Students. 2015;14(4):166-73.

[26] Hosseini M, Pourqane P. The Role of Nurses in Cardiac Rehabilitation. MEJDS. 2013;2(2):37-44.

[27] Dehghani H, Dehghani K, Fallahzadeh H. The Educational Problems of Clinical Field Training Based on Nursing Teachers and Last Year Nursing Students Viewpoints Iranian. Journal of Medical Education. 2005;5(1):24-33.

[28] Dehghani H, Dehghani K, Fallahzadeh H. The Educational Problems of Clinical Field Training Based on Nursing Teachers and Last Year Nursing Students Viewpoints. Journal of Hormozgan University of Medical Sciences. 2009;12(4):249-53.

[29] Busari Payami M, Ebrahimi H, Ahmadi F, Abedi H. Types and Major Causes of Conflicts Experienced by Nurses: A Qualitative Analysis. ZUMS Journal. 2009;16(65):61-76[Persian].

[30] Asghari A, Kazemi T, Nasiri A. Social pathology of nursing and nursing views about own work environments in Birjand hospital. 2005;2((1 and 2) ):45-50.

[31] Mahmoodian F, Seyed Jafari S, Keshmiri M, Azimi A, Vosoughi M. Nurses’ Experiences about the challenges of Nurse-Physician Professional Relationships, in 2010. Sadra Med Sci J. 2013;2(1):31-42[Persian].

[32] Sirota T. Nursing2008 nurse/physician relationships survey report. Nursing. 2008;1(1):28-31.

[33] Chaboyer W, Patterson E. Australian hospital generalist and critical care nurses perceptions of doctor-nurse collaboration. Nursing and Health Science. 2001:73-9.

[34] Thempson D, Stewart S. Handmaiden or right handman: is the relationship between doctors and nurses still therapeutic. International journal of Cardiology. 2007:139-40.

[35] 35. Kangas S, Kee C, McKee-Waddle R. Organizational factors, nurses' job satisfaction, and patient satisfaction with nursing care. J Nurs Adm. 1999;29(1):32-41.

[36] Pennington M. Breaching the nurse -patient therapeutic relationship: A grounded theory study. [Thesis].Arizona, AZ: University of Arizona. 2002.

[37] Hassankhani H, Zamanzadeh V, Jasemi M. Effective Factors on Inter Professional Relationship Between Nurses and Physicians. International Journal of Basic Sciences & Applied Research. 2013;2(1):45-9[Persian].

[38] Azimi Lolaty H, Ashktorab T, Bagheri Nesami M, Bagherzadeh Ladari R. Experience of Professional Communication among Nurses Working in Educational Hospitals: A Phenomenological Study. . J Mazand Univ Med Sci 2011;21(85):108-25[Persian].

[39] Atack L, Comacu M, Kenny R, Labelle N, Miller D. student and staff relationships in a clinical practice model: impact on learning. Nurs Educ. 2000;3q(q):387-92.

[40] Valizadeh S, Abedi H, Zamanzadeh V, Fathiazar E. Challenges of Nursing Students during Their Study: A Qualitative Study. Iranian Journal of Medical Education. 2008;7(2):397-407.

[41] MacIntosh J. Reworking professional nursing identity. West J Nurs Res 2003;25(6):725-41.

[42] Farnia F, Abbaszadeh A, Borhani F. Barriers to Developing the Nurse-Patient Relationship in Operationroom: A Qualitative Content Analysis. J Qual Res Health Sci. 2013;2(1):76-90.

[43] Zeighami Mohammadi S, Hagigi S. The association between nurses’ communication skills and nurse-physician relationship and collaboration. Journal of Urmia Nursing And Midwifery Faculty. 2009;4:188-96[Persian].

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