An Anthropology of Dynamics Between MDs and RNs

Abstract

This anthropological perspective on the dynamics between MDs and RNs in the cultural context of the U.S. compares the results of fieldwork conducted at Baylor University Medical Center (BUMC) with related published literature. Doctors and nurses are educated to different types and levels and are thus qualified to perform separate professional roles in the delivery of health care. Hence, the rank and status of both medicine and nursing and of individuals within each profession are mutually incomparable (i.e., apples and oranges). These designations can be appropriately determined only for individual members of each profession based on measures of their role performances within, not between, either the professions or their members. However, quality patient care and efficacious outcome in the pursuit of health, the ultimate goal of both professions, is enhanced by culturally adaptive dynamics between MDs and RNs. This study suggests that these dynamics, which optimally develop into teamwork and partnerships, are influenced by beliefs that are cross-cultural (observed in most societies) and/or culture-specific (assumptions about reality that are particular to one's own culture). In addition, new theories were generated which address the culturally adaptive potential of a portion of these dynamics perceived to be conflictive.