2023-07-01 13:30:09
The relationship between doctors and nurses It has always been the subject of conversation. Although it seems that it falls into a cliché, this labor union sometimes leads to a disagreement between toilets, regarding their competencies and daily tasks. However, these differences have narrowed in younger generations and it is the MIR and EIR themselves who assure that they are “more united”, going so far as to forge friendly relations.
“We get along very well between the MIR and the EIR. For me, resident doctors are close companions that you can go to to work together. In a multidisciplinary team, working with someone you trust is much better, you feel that they understand you. After all, they are R1, like you, they help you with doubts and give you confidence”, he explains to Medical Writing Nerea Zubizarreta, R2 of Pediatric Nursing at the University Hospital 12 de Octubre.
In his case, he recognizes that those with whom he has “the most affinity” are with the MIR of Pediatrics. “October 12 has two general pavilions and the maternal and child one is separate, that is why we do not coincide with other MIRs so much,” she points out. When considering how she sees this relationship between assistants or older people within the hospital, Nerea explains that Yes, he is aware of classism. that can be produced by doctors to nurses, but it is something that “depends a lot on the Service” and “the assistants you find”.
‘Typical friction’ between doctors and nurses
Elena Exposito, R3 of psychiatry at the San Carlos Clinical University Hospital, comments that, “as in all jobs”, there may be assistants who “have more of an air of superiority”. The MIR comments that the “typical friction” between doctors and nurses when regulating patient care. “The nurse is with the patient all day and the doctor is in the office; there can be clashes when it comes to seeing what the patient needs,” she says.
Nerea comments that together with her colleagues from MIR Pediatrics they have made “many plans together”, something that began as a result of coinciding in rotations. “It was especially in pediatric emergencies, where we began to get to know each other and the MIRs invited us to their plans since they are 10 per year and the EIRs are four.” When it comes to human relationships, she assures that “what favors her the most” is staying out, making plans and, ultimately, winning a Confidence that translates to the workplace. On this point Elena agrees, who assures that, since EIR entered her area, they always try to make plans with them and that they have a good relationship beyond the workplace.
“When it comes to MIR-EIR human relations, what is most favorable is making plans outside the hospital to gain confidence that transfers to the workplace”
Doctor-nurse differences
In the case of her EIR experience, Nerea acknowledges that she has experienced specific moments where “it gives the feeling that the figure of the EIR is not taken into account“. “At the beginning of the pediatric emergency residency, we had a clinical session where all of it was given by doctors and with a theme focused on Medicine. I would have appreciated a pediatric nurse to know her position,” she recalls.
For her part, Elena comments that, in her Service, she does not believe that there are times when it is established that nurses are at a lower level. “in mental health It is well established that each professional has a job and each of these is important and different; I don’t think there are many moments of a lower level”, comments the resident, although she mentions that “some come to mind”. For example, she explains that, in shifts, where “the approach is very psychiatric, the nurse may feel that “only accompanies or performs support tasks for the MIR”.
‘Double’ clinical sessions to team up in the future
The change to be able to permanently eliminate this classism between doctors and nurses, passes by the residents. “My goal as a resident is to change that authority. Many doctors do not understand that we have different competencies and that is the problem. There is still a long way to go but I think that the new generations are more aware,” explains Nerea.
The Nursing resident assures that, to improve the relationship in the future, they have proposed to meet several times a week with the MIRs to treat specific cases of Pediatrics and learn together. “This year, our ‘little R’s have been presented in the clinical sessions of the doctors as a pediatric EIR figure, which promotes knowledge of our work, our position and our vision from Nursing”, he concludes.
Elena Expósito highlights the value of joint training sessions as a vehicle to strengthen ties between the MIR and EIR. “Between us, we prepare sessions that are aimed at everyone, which forces you to leave your area,” she says. In this way, he explains that sometimes they must approach Nursing care, “and that makes everyone’s work valued more, which improves the relationship and prevents them from stepping on each other.” “The ideal is to work together,” she says.
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