The power dynamics of the doctor and nurse relationship in the clinical setting

Abstract

The power dynamic between doctors and nurses is an important topic that needs to be researched. When these two professions work well together, patient care improves, and a better outcome is achieved. This study was conducted at Mater Dei Hospital to determine whether the power dynamics are equal or if there is an imbalance in the hospital's three main sectors, which are the Medical sector, Surgical sector, and Speciality sector. The prevalence of patriarchy was also investigated, as well as whether it still plays a role in doctors of any gender preferring male nurses over female nurses when making decisions. Furthermore, it was critical to determine whether nurses are moving away from simply following doctors' orders and gaining the power they have gained through experience and knowledge to challenge doctors when it comes to patients' care. As nurses continue their education, it demonstrates that nursing is evolving into a profession capable of making evidence-based practice decisions; as a result, nurses have a balanced power dynamic and a good trusting relationship with doctors. This study was carried out using a questionnaire that asked a series of questions about stereotypes in wards, hierarchy, role perception, and how to improve the power dynamic between doctors and nurses. It was based on a Likert-scale ranging from strongly agree (1) to strongly disagree (5), and the results were compiled using the 100-point index. In conclusion, the main result was that nursing is recognized as the profession that it is, despite the fact that some patriarchy remains visible due to the influence of patriarchy on Maltese society.