title: Linking Unit Collaboration and Nursing Leadership to Nurse Outcomes and Quality of Care.
abstract: OBJECTIVE
  The objective of this study is to identify the effects of unit collaboration and nursing leadership on nurse outcomes and quality of care.
  
  
  BACKGROUND
  Along with the current healthcare reform, collaboration of care providers and nursing leadership has been underscored; however, empirical evidence of the impact on outcomes and quality of care has been limited.
  
  
  METHODS
  Data from 29742 nurses in 1228 units of 200 acute care hospitals in 41 states were analyzed using multilevel linear regressions. Collaboration (nurse-nurse collaboration and nurse-physician collaboration) and nursing leadership were measured at the unit level. Outcomes included nurse job satisfaction, intent to leave, and nurse-reported quality of care.
  
  
  RESULTS
  Nurses reported lower intent to leave, higher job satisfaction, and better quality of care in units with better collaboration and stronger nursing leadership.
  
  
  CONCLUSIONS
  Creating a care environment of strong collaboration among care providers and nursing leadership can help hospitals maintain a competitive nursing workforce supporting high quality of care.
authors: Author Affiliations: Assistant Professor (Dr Ma), College of Nursing, New York University; Associate Professor (DrBott), School of Nursing, University of Kansas, Kansas City; and Assistant Professor (Dr Shang), School of Nursing, Columbia University, New York.
authors: Chenjuan
authors: C
authors: Ma
authors: Jingjing
authors: J
authors: Shang
authors: Marjorie J
authors: MJ
authors: Bott
mesh_terms: D000328:Adult; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009732:Nursing Care / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D010563:Personnel Turnover; D019555:Physician-Nurse Relations; D024382:Professional Role; D011787:Quality of Health Care / Q000458:organization & administration*; D012044:Regression Analysis; D014481:United States