Physician-nurse collaboration and its related factors in public Class III general hospitals

Abstract

Objective To explore the current status of physician-nurse collaboration in public Class Ⅲ general hospitals and analyze its related factors so as to provide a basis and data support for pushing forward physician-nurse collaboration and improving negatively related factors. Methods From April to June 2018, totals of 465 nurses and 249 physicians form 6 public ClassⅢ general hospitals in Beijing were selected as subjects by convenience sampling and cross-sectional study. The questionnaire survey was carried out with the Chinese version of Nurse-Physician Collaboration Scale (NPCS) . The related factors of physician-nurse collaboration were analyzed with the simple correlation and multiple linear regression. Results The scores of NPCS of 465 nurses and 249 physicians were (78.81±17.68) and (84.86±15.22) respectively. Simple correlation showed that there were statistical differences in the scores of NPCS among physicians and nurses with the different personnel categories, physician-nurse working relationships, physician-nurse working mode, whether to carry out clinical pathways or not and income satisfaction (P<0.05) . Multiple linear regression revealed that the related factors of physician-nurse collaboration included the physician-nurse working mode, personnel categories, income satisfaction and clinical pathways with statistical differences (P<0.05) . Conclusions Public Class Ⅲ general hospitals have good physician-nurse collaboration. However, physicians and nurses lack communication in participating the treatment and nursing decision making for patients. Managers should further deepen the reform of personnel system, implement position management and performance incentive systems, carry out the physician and nurse responsibility system and physician-nurse working mode and positively develop clinical pathways so as to promote physician-nurse collaboration. Key words: Cross-sectional studies; Physicians; Nurses; Hospitals, general; Physician-nurse collaboration; Related factors