Nurse-physician collaboration in an academic medical centre: The influence of organisational and individual factors

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 wer...

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Bibliographic Details
Published in:Journal of interprofessional care 2016-09, Vol.30 (5), p.655-660
Main Authors: Bowles, Darci, McIntosh, Georgia, Hemrajani, Reena, Yen, Miao-Shan, Phillips, Allison, Schwartz, Nathan, Tu, Shin-Ping, Dow, Alan W.
Format: Article
Language:English
Subjects:
Academic Medical Centers
Adult
Attitude of Health Personnel
Collaboration
Cooperative Behavior
Demography
Doctor-Nurse collaboration
Doctor-Nurse relationships
Female
Humans
Interagency collaboration
Interdisciplinary aspects
interprofessional
Linear Models
Male
Middle Aged
nurse
Nurses
Organizational Culture
Patients
Perceptions
physician
Physician-Nurse Relations
Physicians
quantitative methodology
Surveys and Questionnaires
Workloads
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Summary: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.
ISSN:1356-1820
1469-9567
DOI:10.1080/13561820.2016.1201464