Iranian Nurses' Attitudes Toward Nurse-Physician Collaboration and its Relationship with Job Satisfaction.

Vahid Pakpour,Mansour Ghafourifard,Sedigheh Salimi

doi:10.15171/jcs.2019.016

Abstract

Introduction: Although nurses and physicians are known to share the common goal of improving the quality of health care, there has traditionally been a relational gap between them. The aim of the present study was to investigate the attitude of Iranian nurses about physician-nurse collaboration and its relationship with their job satisfaction.Methods: In this cross-sectional study, a total of 232 nurses were recruited from three educational hospitals of Zanjan University of medical sciences. Three questionnaires were used in this study; (a) Demographic data questionnaire, (2) Jefferson Scale of Attitudes toward Physician–Nurse Collaboration (JSAPNC), and (3) Minnesota Satisfaction Questionnaire.Results: In this study, the mean age of the participants was 33.22(SD= 6.13) years, 83.8% of nurses were female, 90.8% had a baccalaureate degree in nursing, and 82.5 % had rotational work shifts. The mean score of physician-nurse collaboration was found to be 48.07 (SD= 8.95) (ranged from 15 to 60), and the mean score of job satisfaction scale was 57.78 (SD = 14.67) (ranged from 20 to 100). There was a significant positive correlation between the attitudes toward physician–nurse collaboration and job satisfaction among the nurses (r=0.59, P≤0.001).Conclusion: The results indicated that the collaboration between nurses and physicians increases the job satisfaction of nurses working in clinical settings. Therefore, nurses and physicians should develop a new culture of collaboration with each other with the mutual goal of high quality patient care. Moreover, health care administrators should implement the strategies that strengthen the development of physician–nurse collaboration.

Highlights

Nurses and physicians are known to share the common goal of improving the quality of health care, there has traditionally been a relational gap between them
Since the multidisciplinary collaboration is an important factor in the care of patients and there are a few studies in Iranian culture in terms of multidisciplinary work, this study aimed to investigate the attitude of Iranian nurses’ about physician-nurse collaboration and its associations with their job satisfaction
To determine whether there was an association between the level of nurse-physician collaboration and job calculated

Summary

Introduction

Nurses and physicians are known to share the common goal of improving the quality of health care, there has traditionally been a relational gap between them. Nurses and physicians should develop a new culture of collaboration with each other with the mutual goal of high quality patient care. Physician–nurse collaboration should occur in open collaboration, veracity, and mutual respect formwork.[6,7] Despite common goals between nurses and physicians for improving the quality of health care and relief to patients, there is the traditional economic and gender hierarchical relational gap between nurses and physicians whereby physicians have maintained dominance and the nurses have displayed deference.[8] In a previous study, it was discovered that only 13.4% of nurses were satisfied with physician-nurse collaboration.[9]

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