title: Excellence through evidence: securing collegial/collaborative nurse-physician relationships, part 1.
abstract: Multiple nurse-physician (RNMD) relationships coexist on hospital units; collegial and collaborative (C/C) relationships positively impact, more than others, patient outcomes. The goal of this multisite evidence-based management practice initiative was to identify structures that enable C/C RNMD relationships. In part 1, the authors discuss the methodology and selection of the sample of 141 physicians, managers, and staff nurses from 44 clinical units in 5 hospitals that had previously demonstrated extensive C/C RNMD relationships. These 141 experts were interviewed to identify structures enabling C/C RNMD relationships. Part 1 presents the structures that enable C/C RNMD relationships as described and tested in the literature, as well as a description of the characteristics of the clinical units, experts, and C/C RNMD relationships found in this study. In part 2, the structures identified by the experts as needed for securing C/C RNMD relationships will be presented, along with suggestions for attainment.
authors.affiliation: Health Science Research Associates, PO Box 7667, Tahoe City, CA 96145, USA. claudializ@juno.com
authors.forename: Claudia
authors.initials: C
authors.lastname: Schmalenberg
authors.forename: Marlene
authors.initials: M
authors.lastname: Kramer
authors.forename: Cynthia R
authors.initials: CR
authors.lastname: King
authors.forename: Mary
authors.initials: M
authors.lastname: Krugman
authors.forename: Christine
authors.initials: C
authors.lastname: Lund
authors.forename: Donna
authors.initials: D
authors.lastname: Poduska
authors.forename: Debbie
authors.initials: D
authors.lastname: Rapp
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D015401:Nursing Administration Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D019555:Physician-Nurse Relations; D011361:Professional Competence / Q000592:standards*; D035502:Trust; D014481:United States; D016526:Workload