Nurse-Physician Collaboration Scale Research Articles

Sequential Mediation Effects of Organizational Support and Collaboration on Missed Nursing Care.

It is necessary to find ways to mediate the relationship between role overload and missed nursing care in settings where nursing staffing is inadequate. This study aimed to identify the single and multiple sequential mediation effects of organizational support, nurse-physician collaboration, and nurse-nurse collaboration on the relationship between role overload and missed nursing care. Data were collected from 237 registered Korean nurses working in general wards in October 2022. The measures used were the modified role overload scale, nurse-physician collaboration scale, nurse-nurse collaboration scale, a short version of the Perceived Organizational Support Scale, and the modified Missed Nursing Care Scale. Data were analyzed using PROCESS macro in SPSS. A hypothesis test was performed using Model 81, proposed by Hayes, which includes serial multiple mediators. Organizational support, nurse-physician collaboration, and nurse-nurse collaboration showed a mediation effect on missed nursing care. Organizational support, nurse-physician collaboration, and nurse-nurse collaboration showed significant multiple sequential mediation effects on the relationship between role overload and missed nursing care. When the indirect effect sizes of nurse-physician collaboration were compared with those of nurse-nurse collaboration in both single and multiple sequential mediation paths, the indirect effect of nurse-physician collaboration was greater than that of nurse-nurse collaboration on the relationship between role overload and missed nursing care. As an alternative strategy to reduce missed nursing care in situations with insufficient nursing staffing, organizational support should precede nurse-physician and nurse-nurse collaboration. In particular, improving nurse-physician collaboration shows promise in mitigating missed nursing care.

A blended learning using contextual teaching learning: strengthening nursing students’ procedural knowledge and interprofessional collaboration

Introduction:The level of knowledge about the types of teaching instruction through blended learning in nursing education is still lacking. This study aims to develop blended learning using contextual learning and evaluate its effect on procedural knowledge and interprofessional collaboration. Methods: A quasi-experimental study was conducted from January to March 2022. The total participants were 96 students from one of the nursing departments in Indonesia, who were equally divided into experimental and control groups. The experimental group received a blended learning method with a combination of contextual learning for 400 minutes for four meetings. Meanwhile, 48 students in the control group received traditional blended learning. Mann-Whitney U test to compare between treatment and control groups. The instrument used to measure the interprofessional education variable was the Nurse–Physician Collaboration Scale and procedural knowledge was measured through a test of 25 multiple choice questions about procedural knowledge. Results: The implementation of blended learning based on contextual teaching significantly increased their procedural knowledge (pre M = 43.30 vs post M = 79.00), and interprofessional collaboration (pre M = 58.08 vs post M = 83.79) with p-value < 0.01. Conclusions: Blended learning using contextual learning was effective for increasing procedural knowledge and interprofessional collaboration in nursing students. The application of this instruction is highly recommended for nursing departments in higher education institutions as an effort to achieve qualified health workers for sustainable development and well-being.

Interprofessional collaboration among nurses and physicians in Lebanon

This cross-sectional mixed-methods study includes description of nurse-physician collaboration in Lebanon and comparison of perceptions of collaborative practice experiences of nurses and physicians. Online surveys were completed by 223 Registered Nurses (RNs) and 60 Physicians (MDs) currently practicing in in-hospital settings in Lebanon. The Nurse-Physician Collaboration scale, demographic and background items, and four open-ended questions were included in the survey. Descriptive and comparative statistical analyses, correlations, and categorical analyses were conducted. RNs reported significantly less frequency of collaboration than MDs (t = 2.62, p = 0.009). Females reported significantly less collaboration frequency than males (t = −3.44, p = 0.001). Stratifying by gender, male MDs reported the highest collaboration compared with male RNs (t = 2.25; p = 0.027). RNs with graduate degrees reported the least collaboration compared to holders of Bachelor's degrees and technical diplomas (F = 4.00, p = 0.02). Across both professions, motivation was the most frequently perceived and highest ranked facilitator for collaboration, and time pressure was the most frequently perceived and top ranked barrier. Of those who responded to an open-ended question, the majority of respondents (58.5%) shared a positive recent experience of nurse-physician collaboration, and 85% of responses to another question identified achievement of best quality patient outcomes as a perceived benefit of nurse-physician collaboration. Strategies that enhance the identified facilitators, overcome barriers, and equip nurses and physicians to collaborate should be implemented within hospitals in Lebanon.

The prevalence and influence factors of work-related musculoskeletal disorders of dental nurse

Objective: To investigate the prevalence and Influence factors of work-related musculoskeletal disorders (WMSDs) among dental nurses in tertiary stomatology hospitals. Methods: From June to July 2020, 1321 dental nurses from 18 tertiary stomatology hospitals in 18 provinces of China were enrolled as research subjects through a phased sampling method. The cross-sectional study was performed with validated instruments including the basic information questionnaire, Effort-Reward Imbalance Questionnaire, Nurse-Physician Collaboration Scale, and Chinese Musculoskeletal Questionnaire, so as to get the information about the social demography information, nursing-physician cooperation, work stress and the incidence of WMSDs. The influenang factors of WMSDs was analyzed. Results: The past prevalence, annual prevalence, and weekly prevalence of WMSDs were 80.8% (1067/1321) , 68.7% and 43.7% (575/1321) . 58.4% (771/1321) of nurses had WMSDs in three or more body parts. Neck (51.4%) , waist (42.2%) and shoulder (41.6%) were the top three body regions in the past year. The absenteeism rate due to musculoskeletal disorders ranged from 3.5% to 9.0%, waist (8.9%) and neck (8.0%) were the top two body regions. Working more than 40 hours per week (OR=1.74, P<0.001) and effect/reward>1 (OR=1.50, P=0.002) were risk factors of WMSDs (OR=1.74, 95% CI: 1.32~2.30; OR=1.50, 95%CI: 1.17~1.92, P<0.05) , while regular physical exercise every week (≥30 min per times) was the protective factor (OR=0.74, 95%CI: 0.56~0.97, P=0.030) . Conclusion: The prevalence rate of WMSDs of dental nurses in China was high, and most of the nurses suffered with many body parts. Thus, we should reduce controllable occupational stresso, ensuring adequate rest and strengthening physical exercise to reduce the incidence of WMSDs.

The physician-nurse collaboration in truth disclosure: from nurses\u2019 perspective

BackgroundCollaboration between physicians and nurses is critical. However, a limited number of studies have provided insights into the status of physician–nurse collaboration in truth disclosure.MethodsA cross-sectional survey was conducted using an electronic questionnaire among Chinese nurses who attended a provincial conference. The Nurse–Physician Collaboration Scale was administered to nurses to assess the collaboration in truth disclosure from their perspective. A multiple-choice question was asked to assess the perceived difficulties in truth disclosure. Descriptive statistics, univariate, and multiple stepwise regression analyses were performed to evaluate physician–nurse collaboration in truth disclosure.ResultsA total of 287 nurses completed the survey, and 279 of them reported that they had carried out truth disclosures among patients. The average score for physician–nurse collaboration in truth disclosure was 3.98 ± 0.72. The majority of nurses (73.1–81%) responded positively to different dimensions of collaboration in truth disclosure. The results of multiple stepwise regression analysis showed that seniority (B = − 0.111, 95% confidence interval [CI] = − 0.167−− 0.055, p < 0.001) and frequency of truth disclosure (B = 0.162, 95%CI = 0.076–0.249, p < 0.001) were the only two factors associated with collaboration in truth disclosure between physicians and nurses. The most common barrier perceived by nurses was fear of patients’ negative emotions or their suicide attempts after truth telling.ConclusionsMost nurses responded positively to physician–nurse collaboration in truth disclosure. Various difficulties existed in the practice of truth-telling collaboration. Further studies are required to test the potential interventions to promote cooperation between nurses and physicians in truth disclosure.

Effect of nurses' perception to workplace civility climate on nurse-physician collaboration.

AimsTo assess the effect of nurses’ perception to workplace civility climate on nurse–physician collaboration and determine whether the largest contributor to changing the climate of the workplace are the employees or top management.DesignThis study used non‐experimental descriptive cross‐sectional study design, which using purposive sample (139 nurses) working at Health Insurance Hospital.MethodThe current study data were collected by using self‐administered questionnaires including three tools: (a) a structured interview questionnaire includes personal data; (b) perceived workplace civility climate scale (15 items); and (c) Nurse Physician Collaboration Scale (27 items).ResultsMain result of this study reveals that there was a positive statistically significant correlation between workplace civility climate and collaboration (0.208*). Studied nurses were perceived top management with the high score (87.5) than employees (65.2).ConclusionWorkplace civility climate was demanded for well collaboration between nurses and physicians to provide high‐quality services; when nurses and physicians have increase chance to work in civility climate, combining with response to incivility and low intolerance for it, they will be more collaborated. Recommendation: Policies and procedures are very important in healthcare settings to address uncivil actions and establish a civilized climate.

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

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

The status of physician-nurse collaboration in nutritional support among neurosurgical patients in secondary and tertiary hospitals in Suzhou

Objective To investigatethe status of physician-nurse collaboration in nutritional support among neurosurgical patients in secondary and tertiary hospitals in Suzhou, and to analyze the influence factors and to provide the basis for promoting cooperation consciousnes and quality of work. Methods One hundred and seventy-seven physicians and 506 nurses were investigated by the Nurse-Physician Collaboration Scale(NPCS) in 15 secondary hospitals and 15 tertiary hospitals in Suzhou. Results The cooperative status of physicians in tertiary hospitals was better than that of nurses (t=2.597, P=0.010). The cooperative status of nurses in tertiary hospitals was better than that in secondary hospitals(t=2.080, P=0.009). There was no significant difference in the cooperation between physicians and nurses in secondary hospitals (t=1.845, P=0.066). Multiple regression analysis showed that sex, profession, professional title, age, education degree and work seniority were the influence factors of physician-nurse collaboration intertiary hospitals (t=2.771, 2.597,F=3.745-12.513,P<0.01 or 0.05). Conclusions The physician-nurse collaboration in nutritional support among neurosurgical patients in secondary and tertiary hospitals is in good shape.Administrators should pay attention to influence factors of physician-nurse collaboration, and take measures to promote quality of medical care and nursing care. Key words: Neurosurgery; Nutritional support; Physician-nurse collaboration; Hospital grade

Construction of nurse-physician collaboration based on SBAR communication mode and its application effects

Objective To explore the experience of nurse-physician collaboration construction and its clinical practice effects. Methods From June 2013 to December 2015, based on the SBAR communication model, nurse-physician collaboration was constructed in oncology and surgery wards of Affiliated Cancer Hospital of Zhengzhou University, He'nan Cancer Hospital. The situation of nurse-physician collaboration, satisfaction of doctors, nurses, patients to nursing work were evaluated using the convenience sampling method and questionnaire survey method, before and after the implementation of nurse-physician collaboration mode. Results After the application, the score of Nurse-Physician Collaboration Scale (NPCS) was (114.89±14.56) , which was higher than before (94.37±16.21) , and the difference was statistically significant (t=-8.75, P<0.01) . The satisfaction degrees about nursing work of physicians, nurses and patients were (93.57±6.43) , (95.50±7.89) and (94.80±6.72) , which were all higher than before, and the differences were statistically significant (t=-2.07, -5.81, -7.02; P<0.05) . Conclusions Based on the SBAR communication mode, the establishment of nurse-physician collaboration mode could effectively promote the degree of cooperation between physicians and nurses, improve the satisfaction of physicians, nurses and patients, and improve the hospital care quality. Key words: Nurses; SBAR communication mode; Nurse-physician collaboration; Collaboration; Satisfaction

The influence of effective communication, perceived respect and willingness to collaborate on nurses' perceptions of nurse–physician collaboration in China

BackgroundNurse-physician collaboration is a critical prerequisite for high-quality care. Previous researchers have addressed multiple factors that influence collaboration. However, little of this research has explored the influence of interactional factors on nurses' perception of nurse-physician collaboration in China. AimsTo examine the influence of interactional factors (effective communication, perceived respect and willingness to collaborate) on nurses' perception of nurse-physician collaboration. MethodsA cross-sectional survey of 971 registered nurses in nine hospitals was conducted. An author-designed interactional factor questionnaire and the Nurse-Physician Collaboration Scale were used to collect data. Multiple regression analysis was used. ResultsNurse-physician collaboration was identified as at a moderate level (mean = 3.93 ± 0.68). Interactional factors (effective communication, perceived respect and willingness to collaborate) were identified as relatively moderate to high (mean = 4.03 ± 0.68, mean = 3.87 ± 0.75, mean = 4.50 ± 0.59, respectively). The results showed that effective communication, perceived respect and willingness to collaborate explained 57.3% of the variance in nurses' perception of nurse-physician collaboration (Adjusted R2 = 0.573, F = 435.563, P < 0.001). Perceived respect (β = 0.378) was the strongest factor relevant to nurses' perception of nurse-physician collaboration, second was effective communication (β = 0.315), and the weakest factor among these three factors was willingness to collaborate (β = 0.160). ConclusionNurses' perceptions of collaboration were relatively positive, mainly in Sharing of patient information; however, improvements need to be made regarding Joint participation in the cure/care decision-making process. Effective communication, perceived respect and willingness to collaborate significantly affect nurses' perception of nurse-physician collaboration, with perceived respect having greater explanatory power among the three interactional factors. It is necessary for hospital managers to develop strategies to build professional respect for nurses, facilitate effective nurse-physician communication and improve nurses' willingness to collaborate.

The status and influencing factors of the physician-nurse collaboration in feeding critically ill patients

Objective To investigate the status and influencing factors of cooperation of doctors and nurses in the nutritional support of critically ill patients, and provide the basis for future improve the physician-nurse collaboration in the nutritional support. Methods Doctors and nurses who from ICU in Soochow were investigated by the Nurse-Physician Collaboration Scale (NPCS). Results The doctors′ score of physician-nurse collaboration in the nutritional support of critically ill patients was 87.42 ±15.73, which was significantly higher than 80.97 ± 13.80 the nurses′ (t=3.279, P= 0.001).In addition, under the item 1, 3, 5 in the dimension one as well as the total items in the dimensions two and three, the doctors′ score was similarly higher than the nurses, and the differences are also statistically significant (Z=-3.894 - -1.964, all P<0.01 or 0.05). Technical titles, educational level and age was significantly related to the cooperative level between doctors and nurses respectively (χ2=11.037, P=0.012; F=3.488, P=0.037; F=3.499, P=0.016). Conclusions Doctors have higher levels of perceived collaboration than nurses in the nutritional support of critically ill patients, while both require further improvement. We should highlight the physician-nurse collaboration in feeding critically ill patients, and should improve the nutrition quality through standardized process management and active team cooperation. Key words: Nutritional support; Critical illness; Physician-nurse relations; Cooperative behavior

On nurse-physician collaborative behavior in stomatological hospitals

Objective To investigate and compare collaborative behavior between and nurses in stomatological hospitals, and factors influencing nurse-physician collaboration. Methods Physicians and nurses were surveyed by Nurse-Physician Collaboration Scale (NPSC). Factors influencing nurse-physician collaborative level were screened out by analyzing various factors with ANOVA. Results The difference of total collaborative behavior scores between and nurses was not significant (P>0.05); among the 21 items in 3 dimensions of information exchange among patients , joint participation in decision-making of treatment and nursing and relationship between nurses and physicians , 7 items showed differences between the two groups (P<0.05); better nurse-physician collaborative behavior appeared between with extrovert character and emotional stability, and nurses with emotional stability, 3-5 years of working and professional title as registered nurse. Conclusions The difference of nurse-physician collaborative behavior in stomatological hospitals was not significant; however, education and training of collaborative behaviors, such as nurse-physician relationship, dealing with complicated situation, etc. still need to be improved; hospital managers should build a positive collaborative environment, so as to promote team cooperation between nurses and physicians. Key words: Physician; Nurse; Nurse-physician collaboration; Stomatological hospital

Use of the ICU Nurse–Physician Questionnaire (ICU N-P-Q): testing reliability and validity in neonatal intensive care units in Japan

ObjectiveAlthough communication among health providers has become a critical part of improving quality of care, few studies on this topic have been conducted in Japan. This study aimed to examine...

Nurse–physician collaboration impacts job satisfaction and turnover among nurses: A hospital‐based cross‐sectional study in Beijing

This study aims to explore the impact of physician-nurse collaboration on nurse job satisfaction and turnover in a dental hospital. Physician-nurse collaboration is important for the stability of the entire nursing team. Few studies have shown the impact on job satisfaction and turnover among nurses working in Chinese dental hospitals. This was a prospective, cross-sectional study and investigated nurses from a tertiary dental hospital in Beijing using convenience non-randomized sampling. A structured questionnaire was used to collect data, which included general information, the Index of Work Satisfaction, the Nurse-Physician Collaboration Scale and the Turnover Intention Scale. The scores of physician-nurse collaboration correlated positively with those for job satisfaction and negatively with the stated likelihood of turnover intention. Physician-nurse collaboration scores positively predicted job satisfaction and negatively predicted the likelihood of quitting the current job. In conclusion, improving the level of physician-nurse collaboration is helpful to enhance job satisfaction and reduce turnover among nurses in a dental hospital.

The study of status and influencing factors of nurse-physician collaboration in tertiary general hospitals

Objective We aimed to study the status of nursephysician collaboration in tertiary gen-eral hospitals and analyze the influencing factors, and provide references for improving the status and the service of medical-nursing quality. Methods Totally 280 nurses and 186 doctors working in medicine, surgery, emergency room, operating room and ICU in tertiary general hospitals were recruited in the study. The participants were investigated with the questionnaire of Nurse-Physician Collaboration Scale, Jefferson Scale of Attitudes towards Physician-Nurse Collaboration and the Tool for Organizational Culture. Results The status of nurse-physician collaboration was in a good condition, doctors scored (82.98±12.97), which was signifi-cantly higher than those of nurses (76.71±14.25), and there was sighificant difference. For doctors, the influ-encing factors included organizational culture, cooperative attitudes, gender, the type of contract; for nurses, the influencing factors included organizational culture, the department and marital status. Conclusions It is suggested to improve the condition of nurse-physician collaboration from the hospital managers and medi-cal staff's point of view in tertiary general hospitals and construct the harmonious relationship between health care to provide high quality service for patients. Key words: Doctors; Nurses; Physician-nurse collaboration; Influencing factors

The nurse-physician collaboration: a survey among Internal Medical Units in Liguria region

The nurse-physician relationship is undergoing profound changes after the introduction of the degree in nursing sciences. We conducted a survey among 18 Internal Medicine Units in Liguria region to investigate the real picture of this collaboration, using the Jefferson collaboration scale (JCS) and the nurse-physician collaboration scale (NPCS). We sent anonymous questionnaires to 580 nurses and 180 physicians of whom over 50% responded. Of 15 items of JCS and 27 of NPCS, 9 (60%) and 13 (48.1%) did not show different opinions between nurses and physicians, respectively. However, significant differences were observed on several items, including the caring process, the nurse autonomy, the physician authority and the human relationship. On the question: The primary function of the nurse is to carry out the physician’s orders, 23% of the nurses and 33% of physicians agreed, whereas only 46% of the nurses and 22% of the physicians strongly disagreed (P<0.001). Our study demonstrates the desire of nurses and physicians to cooperate, although some differences are still evident and require plans of improvement.

Frequency of nurse–physician collaborative behaviors in an acute care hospital

A new culture bolstering collaborative behavior among nurses and physicians is needed to merge the unique strengths of both professions into opportunities to improve patient outcomes. To meet this challenge it is fundamental to comprehend the current uses of collaborative behaviors among nurses and physicians. The purpose of this descriptive study was to delineate frequently used from infrequently used collaborative behaviors of nurses and physicians in order to generate data to support specific interventions for improving collaborative behavior. The setting was an acute care hospital, and participants included 114 registered nurses and 33 physicians with active privileges. The Nurse–Physician Collaboration Scale was used to measure the frequency of use of nurse–physician collaborative behaviors self-reported by nurses and physicians. The background variables of gender, age, education, ethnicity, years of experience, years practiced at the current acute care hospital, practice setting and professional certification were accessed. In addition to analyzing the frequency of collaborative behaviors, this study compares levels of collaborative behavior reported by nurses and physicians.

Nurse–Physician Collaboration Scale: development and psychometric testing

TitleNurse-Physician Collaboration Scale: development and psychometric testing.AimThis paper is a report of a study conducted to develop and test the psychometric properties of the Nurse–Physician Collaboration Scale.BackgroundThe importance of cooperation between healthcare professionals is widely acknowledged in Europe and the United States of America, but there have been no specific studies of interactions between healthcare professionals or of nurse–physician cooperation in Japan.MethodsThe 51-item Nurse–Physician Collaboration Scale was developed using a process of item design, item refinement, and testing for reliability and validity. Random sampling was used to identify potential respondents from 27 of the 87 acute care hospitals in one city in Japan in 2006. Valid responses were obtained from 446 physicians and 1217 nurses (response rate 78·7% for nurses, and 54·4% for physicians). Construct validity was first confirmed by an exploratory factor analysis and then by a confirmatory factor analysis. Finally, a simultaneous analysis of several groups was performed. The test–retest method and Cronbach’s α coefficients were used to assess reliability.FindingsExploratory factor analysis yielded three factors. The three-factor models were confirmed by a confirmatory factor analysis (CFI >0·9, RMSEA <0·08). Simultaneous analysis of several groups (RMSEA = 0·046, AIC = 3115·888) showed the same factor structure for both nurses and physicians. The r values of the test–retest reliability correlations were all 0·7 or above. Internal consistency was demonstrated by a Cronbach’s α = 0·8 or above.ConclusionThe Nurse–Physician Collaboration Scale can be used to establish standards for nurse–physician collaboration, to measure the frequency of collaborative activity, and to verify unit-specific relationships between collaboration and quality of care.