title: Nurse-physician collaboration in an academic medical centre: The influence of organisational and individual factors.
abstract: Ineffective physician-nurse collaboration has been recognised to adversely impact patient and organisational outcomes, and some studies suggest an underlying factor may be that nurses and physicians have different perceptions of interprofessional collaboration (IPC). The objectives of this study were to evaluate for a difference in the perception of IPC between physicians and nurses and to explore potential contributing factors at the individual and organisational levels to any observed difference. Data including measures of perceptions of IPC were collected from a convenience sample of resident physicians (n = 47), attending physicians (n = 18), and nurses (n = 54) providing care for internal medicine patients in a large tertiary care academic medical centre. Regression analysis revealed significantly lower perceptions of IPC scores for nurses in comparison to the scores of both the resident and attending physician groups (p = .0001 for both). Although demographic and workload factors also differed by profession, only profession and workload remained significant in regression analysis. Given the known relationships between effective physician-nurse collaboration and superior patient and organisational outcomes, better defining the individual and organisational predictors of IPC scores may support development of more effective interventions targeting improvements in IPC.
authors.affiliation: a Department of Nursing , Virginia Commonwealth University Health System , Richmond , Virginia , USA.
authors.forename: Darci
authors.initials: D
authors.lastname: Bowles
authors.affiliation: b School of Medicine , Virginia Commonwealth University , Richmond , Virginia , USA.
authors.forename: Georgia
authors.initials: G
authors.lastname: McIntosh
authors.affiliation: b School of Medicine , Virginia Commonwealth University , Richmond , Virginia , USA.
authors.forename: Reena
authors.initials: R
authors.lastname: Hemrajani
authors.affiliation: c Department of Biostatistics , Virginia Commonwealth University , Richmond , Virginia , USA.
authors.forename: Miao-Shan
authors.initials: MS
authors.lastname: Yen
authors.affiliation: b School of Medicine , Virginia Commonwealth University , Richmond , Virginia , USA.
authors.forename: Allison
authors.initials: A
authors.lastname: Phillips
authors.affiliation: b School of Medicine , Virginia Commonwealth University , Richmond , Virginia , USA.
authors.forename: Nathan
authors.initials: N
authors.lastname: Schwartz
authors.affiliation: b School of Medicine , Virginia Commonwealth University , Richmond , Virginia , USA.
authors.forename: Shin-Ping
authors.initials: SP
authors.lastname: Tu
authors.affiliation: b School of Medicine , Virginia Commonwealth University , Richmond , Virginia , USA.
authors.forename: Alan W
authors.initials: AW
authors.lastname: Dow
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D015279:Organizational Culture; D019555:Physician-Nurse Relations; D011795:Surveys and Questionnaires
keywords: Collaboration; interprofessional; nurse; physician; quantitative methodology