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Which of the following is a primary barrier to effective nurse-physician collaboration that has persisted over time?

A) The view among the general population that nurses' contributions to client care are less important to health and well-being than physicians' contributions
B) Nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings
C) A general lack of education among health professionals about the ways in which nurse—physician collaboration improves healthcare quality
D) A lack of published evidence regarding the effectiveness of collaborative efforts among and between nurses and physicians
E) A lack of support at the federal level for efforts to improve healthcare among the general population through increased nurse-physician-client collaboration

User Matcoil
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Final answer:

A major barrier to nurse-physician collaboration is the perception of inequity in roles, with nurses often feeling subservient. Addressing this requires culture change and interprofessional education. Historical mistreatment and discrimination have also contributed to African American mistrust in healthcare, necessitating culturally sensitive data and improved access and literacy to reduce disparities.

Step-by-step explanation:

One primary barrier to effective nurse-physician collaboration that has persisted over time is nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings (Option B). This imbalance in perceived authority can undermine teamwork and communication, which are crucial for high-quality patient care and safety. Addressing this issue requires a shift in culture across healthcare settings to validate and empower the contributions of nurses, alongside an emphasis on interprofessional education that fosters mutual respect and understanding between all healthcare providers.

The historical perspective of African American healthcare reveals a deep-rooted mistrust in the healthcare system due to historical exploitation like the Tuskegee Experiment and a pattern of discrimination. To improve trust and healthcare outcomes, it is imperative to accumulate more meaningful data and develop health initiatives that are culturally tailored. Additionally, the healthcare system must strive to increase African American access to healthcare and address health disparities through targeted efforts to enhance health literacy and community engagement.