title: Nurse-physician relations and quality of nursing care: findings from a national survey of nurses.
abstract: This article investigates the association between nurse-physician working relations and nurse-rated quality of nursing team care.The analysis is based on a nationally representative sample of registered nurses working in Canadian hospitals. Multiple logistic regression was used to examine the association between the quality of nurse-physician working relations and nurses' reports of fair or poor nursing team care on the last shift worked. Unfavourable quality of nurse-physician working relations was significantly related to lower quality of nursing team care, controlling for other potential influences. These influences included low nurse co-worker support, job dissatisfaction, and self-rated poor general health, each of which was also related to lower care quality.The analysis highlights the importance of interprofessional working relations to nurse-perceived quality of patient care in Canadian hospitals.
authors.affiliation: Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
authors.forename: Chris
authors.initials: C
authors.lastname: Kenaszchuk
authors.forename: Kathryn
authors.initials: K
authors.lastname: Wilkins
authors.forename: Scott
authors.initials: S
authors.lastname: Reeves
authors.forename: Merrick
authors.initials: M
authors.lastname: Zwarenstein
authors.forename: Ann
authors.initials: A
authors.lastname: Russell
mesh_terms: D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D002170:Canada; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology*; D016272:Occupational Health; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration; D019555:Physician-Nurse Relations; D036301:Qualitative Research; D011787:Quality of Health Care / Q000458:organization & administration*; D012372:ROC Curve; D012944:Social Support; D011795:Surveys and Questionnaires; D017132:Workplace / Q000458:organization & administration / Q000523:psychology