title: Physicians' capability in home health practice: home health nurses' perceptions.
abstract: OBJECTIVE
  To examine home health nurses' attitudes towards physician capabilities in home health care, and whether nurses' attitudes are associated with their experience, practice setting, degree of physician interaction, or use of home health guidelines.
  
  
  METHODS
  A multiple regression analysis of a 90 item survey on agency characteristics, degree of interaction with physicians, and ratings of physicians capabilities across multiple dimensions of home health practice.
  
  
  METHODS
  86 registered visiting nurses from seven Chicago-area home health agencies, who averaged 25 home visits and over one hour of direct contact with physicians weekly.
  
  
  METHODS
  Nurses' ratings of physician capability in home health practice were scaled from 18 survey items with high internal consistency reliability and correlated with nurses' practice characteristics.
  
  
  RESULTS
  While most nurses (72%) felt that physicians responded adequately in emergencies and respected them as colleagues (70%), over 70% of respondents did not agree that physicians were adequately trained in home health. A majority of respondents rated physicians negatively on patient education, cross-coverage and availability, discharge planning, support and medical supply services, and insurance issues. Respondents' years of home health experience correlated negatively (p = .004) and degree of contact with physicians correlated positively (p = .05) with ratings of physician capabilities.
  
  
  CONCLUSIONS
  Nurses' attitudes about physicians' performance can provide important insights for improving the effectiveness of specialized disease and outcomes management programs which rely on care in the home setting.
authors.affiliation: Ingalls Health System, Harvey, Illinois, Northwestern University Medical School, Chicago, USA.
authors.forename: C E
authors.initials: CE
authors.lastname: Woodson
authors.forename: J
authors.initials: J
authors.lastname: Feinglass
authors.forename: R
authors.initials: R
authors.lastname: Slavensky
mesh_terms: D001291:Attitude of Health Personnel; D002641:Chicago; D002983:Clinical Competence; D003152:Community Health Nursing; D006302:Health Services Research / Q000458:organization & administration; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D009726:Nurses / Q000523:psychology*; D010465:Perception; D019555:Physician-Nurse Relations; D011361:Professional Competence; D011795:Surveys and Questionnaires; D000078329:Workforce