Friday, July 13, 2007
This presentation is part of : Issues in Nursing Administration
RN Clinical Credibility: The Key to Collaboration
Claudia DiSabatino Smith, RN, MSN, CNA, BC, Nursing and Patient Education, St. Luke's Episcopal Hospital, Houston, TX, USA
Learning Objective #1: describe four attributes of RN clinical credibility as described by practicing nurses and doctors.
Learning Objective #2: discuss the impact that the clinically credible RN has on interdisciplinary relationships.

Clinical credibility is the impression formed about the performance of a health care provider in the care and treatment of patients. Attributes of the clinically credible RN, as described by practicing nurses and doctors, are identified in the findings of this qualitative research study. 

Background and Significance: The registered nurse’s (RN) clinical credibility is a precursor to respectful, accurate, effective communication among health care providers. Clinical credibility refers to the believability of a health care provider. Clinically credible RNs demonstrate behaviors that exceed those of RNs with clinical competence. The registered nurse’s clinical credibility affects nursing relationships, interdisciplinary relationships, transdisciplinary collaboration, and the patient care environment. Recognizing and rewarding RNs who demonstrate attributes of clinical credibility may lead to improved nurse retention since nurses want to work with other clinically credible nurses. Epistemology:  Exploratory, Descriptive Qualitative Study.

Methodology: Criterion-based sampling; separate focus group sessions of RNs and MDs.

Data Analysis: verify transcriptions; constant comparison; thematic analysis.

Sample: RNs and MDs who practice in a large, teaching hospital in Houston, Texas and interact with RNs on at least a weekly basis.

Findings: Attributes of the RN with clinical credibility are identified and explicated. Exemplars are provided. Implications: Further research study is needed in RN and MD populations in multiple hospitals in a larger geographic distribution. Findings may be used to devise educational strategies for promoting and encouraging clinical credibility among student and practicing nurses so as to improve intra- and interdisciplinary communication and collaboration.