Nurse-physician collaboration in an academic medical centre: The influence of organisational and individual factors
Autor: | Miao Shan Yen, Alan W. Dow, Nathan Schwartz, Reena H. Hemrajani, Georgia McIntosh, Allison Phillips, Shin Ping Tu, Darci Bowles |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty genetic structures Attitude of Health Personnel Convenience sample Tertiary care 03 medical and health sciences 0302 clinical medicine Nursing Surveys and Questionnaires medicine Humans 030212 general & internal medicine Cooperative Behavior Academic Medical Centers 030504 nursing business.industry Quantitative methodology Workload Physician-Nurse Relations General Medicine Middle Aged Organizational Culture Family medicine Linear Models Female 0305 other medical science business |
Zdroj: | Journal of interprofessional care. 30(5) |
ISSN: | 1469-9567 |
Popis: | Ineffective physician-nurse collaboration has been recognised to adversely impact patient and organisational outcomes, and some studies suggest an underlying factor may be that nurses and physicians have different perceptions of interprofessional collaboration (IPC). The objectives of this study were to evaluate for a difference in the perception of IPC between physicians and nurses and to explore potential contributing factors at the individual and organisational levels to any observed difference. Data including measures of perceptions of IPC were collected from a convenience sample of resident physicians (n = 47), attending physicians (n = 18), and nurses (n = 54) providing care for internal medicine patients in a large tertiary care academic medical centre. Regression analysis revealed significantly lower perceptions of IPC scores for nurses in comparison to the scores of both the resident and attending physician groups (p = .0001 for both). Although demographic and workload factors also differed by profession, only profession and workload remained significant in regression analysis. Given the known relationships between effective physician-nurse collaboration and superior patient and organisational outcomes, better defining the individual and organisational predictors of IPC scores may support development of more effective interventions targeting improvements in IPC. |
Databáze: | OpenAIRE |
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