Final answer:
The phrase 'legend in his own mind' suggests an interpersonal barrier to communication, reflecting a hierarchical tension within the medical team, particularly between doctors and nurses. This barrier, rooted in attitude and authority issues, complicates collaboration and the implementation of new processes. Addressing these challenges requires understanding the complex dynamics accompanying seemingly simple solutions such as checklists.
Step-by-step explanation:
The nurse's complaint that a doctor is a legend in his own mind because he has an MD behind his name is describing a personal barrier to effective communication known as interpersonal problems or issues with attitude. This scenario is indicative of the hierarchical dynamics often found in healthcare settings, where doctors typically have more authority than nurses. The personal barrier cited involves a perception of arrogance or superiority that can hinder open and collaborative communication between nurses and doctors. In medical settings, work overload, heavy physical work, and dealing with patient concerns often exacerbate interpersonal issues, especially between medical staff members with differing levels of authority.
Interpersonal problems can become particularly pronounced when introducing change or new processes in the workplace. For instance, if doctors and nurses react differently to the implementation of a new checklist due to perceived authority differences, this can create communication challenges that need to be addressed thoughtfully.
The problems that doctors tackle can be inherently simple and complex due to the straightforward goals (e.g., patient care, safety) entangled with intricate medical systems and personal dynamics. Similarly, proposed solutions can appear straightforward (such as a checklist intended to improve patient care) but can carry complexities in implementation and acceptance within the hospital's culture and staff.