The nurse manager has been working with staff to improve care coordination, but has not met success with this endeavor. Which statements, made by staff, would indicate to this manager that a barrier to coordination exists? Select all that apply

Question

1. "We never have the correct information from radiology for how they want us to prepare patients for tests."
2. "Has anyone been able to get the laboratory to answer the phone today?"
3. "I talked with one of the physical therapy assistants today. Did you know that all of our PT assistants have college degrees?"
4. "I tried to sit with some of the staff members from the pharmacy today at lunch, but they didn't include me in any of their conversation."
5. "The speech therapist helped me set up a way to communicate with a patient with a tracheostomy."

Answer 1

1, 2, 4
Explanation: 1. Not having the correct resources is a source of frustration and has a negative impact on coordination of care.
2. Not being able to communicate is a source of frustration and has a negative impact on coordination of care.
3. Coordination is more effective when those involved have a better understanding of their respective roles and work stresses.
4. Staff who are not willing to listen or include others will find coordination difficult.
5. Working together to solve a problem is a positive step toward coordination of care.