J Korean Acad Nurs Adm.  2019 Jun;25(3):186-197. 10.11111/jkana.2019.25.3.186.

Effects of Nurse-Physician Collaboration on Nursing Performance and Organizational Commitment in Intensive Care Unit Nurses

• Kwon EO
• Lee MH
• Jeong SH
• Kim HS

• KMID: 2451695
• DOI: http://doi.org/10.11111/jkana.2019.25.3.186

Abstract

PURPOSE
This study was done to identify the effects of nurse-physician collaboration on nursing performance and organizational commitment in intensive care unit (ICU) nurses.
METHODS
A cross-sectional survey was used and data were collected from 203 ICU nurses working in two advanced general hospitals and two general hospitals. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients and Hierarchical multiple regression with SPSSWIN 23.0 program.
RESULTS
The sub-domains of nursephysician collaboration were as follows: 3.77±0.51 for sharing of patient information, 3.36±0.65 for decision-making process on the cure or care, and 3.20±0.72 for relationship between nurse and physician. Nurse-physician collaboration was significantly positively correlated with nursing performance and organizational commitment. Regression analysis showed that nurse-physician collaboration explained an additional 24.9%p of nursing performance and an additional 13.4%p of organizational commitment. 'Sharing of patient information' and 'Relationship between nurse and physician' were significant predictors of nursing performance. 'Relationship between nurse and physician' was a significant predictor of organizational commitment.
CONCLUSION
These results provide evidence that the collaboration between nurses and physicians should be enhanced in terms of sharing patient information and mutual respect, to improve nursing performance and organizational commitment of ICU nurses.

Keyword

Nurses; Physicians; Cooperative behavior; Work performance; Organizational commitment

MeSH Terms

Cooperative Behavior*
Critical Care*
Cross-Sectional Studies
Hospitals, General
Humans
Intensive Care Units*
Nursing*
Work Performance

Reference

1. Hamric AB, Blackhall LJ. Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate. Critical Care Medicine. 2007; 35(2):422–429. DOI: 10.1097/01.ccm.0000254722.50608.2d.

2. Hughes B, Fitzpatrick J. Nurse-physician collaboration in an acute care community hospital. Journal of Interprofessional Care. 2010; 24(6):625–632. DOI: 10.3109/13561820903550804.

3. Robinson F, Gorman G, Slimmer L, Yudkowsky R. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nursing Forum. 2010; 45(3):206–216. DOI: 10.1111/j.1744-6198.2010.00182.x.

4. Galletta M, Portoghese I, Carta MG, D'Aloja E, Campagna E. The effect of nurse-physician collaboration on job satisfaction, team commitment, and turnover intention in nurses. Research in Nursing & Health. 2016; 39(5):375–385. DOI: 10.1002/nur.21733.

5. Clark RC, Greenawald M. Nurse-physician leadership: Insights into interprofessional collaboration. Journal of Nursing Administration. 2013; 43(12):653–659. DOI: 10.1097/nna.0000000000000007.

6. Dunn W, Murphy J. Should intensive care medicine itself be on the critical list? Chest. 2009; 135:892–894. DOI: 10.1378/chest.09-0038.

7. Robinson F, Gorman G, Slimmer L, Yudkowsky R. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nursing Forum. 2010; 45(3):206–216. DOI: 10.1111/j.1744-6198.2010.00182.x.

8. Zhang L, Huang L, Liu M, Yan H, Li X. Nurse-physician collaboration impacts job satisfaction and turnover among nurses: A hospital-based cross-sectional study in Beijing. International Journal of Nursing Practice. 2016; 22(3):284–290. DOI: 10.1111/ijn.12424.

9. Lee IS, Kim CH. Conflict management style, communication competence, and collaboration among hospital nurses and physicians. Korean Journal of Rehabilitation Nursing. 2017; 20(1):69–78. DOI: 10.7587/kjrehn.2017.69.

10. Jeong SH, Jeong SH, Lee MH, Kim HK. Effects of perceived collaboration with nurses and physicians on nursing performance in perioperative nurses. Journal of Korean Academy of Nursing Administration. 2018; 24(3):253–264. DOI: 10.11111/jkana.2018.24.3.253.

11. Lee SM, Sohn SK. Relationship between assertiveness and attitudes toward nurse-physician collaboration in general hospital nurses. Journal of East-West Nursing Research. 2015; 21(2):156–164. DOI: 10.14370/jewnr.2015.21.2.156.

12. Son YJ, Lee YA, Sim KN, Kong SS, Park YS. Influence of communication competence and burnout on nursing performance of intensive care units nurses. The Korean Journal of Fundamentals of Nursing. 2013; 40(3):278–288. DOI: 10.7739/jkafn.2013.20.3.278.

13. Propp KM, Apker J, Ford Z, Wallace N, Serbenski M, Hofmeister N. Meeting the complex needs of the health care team: Identification of nurse-team communication practices perceived to enhance patient outcomes. Qualitative Health Research. 2010; 20(1):15–28. DOI: 10.1177/1049732309355289.

14. Mun MY, Kim MY. Influence of teamwork skill and decision making competency on nursing work performance. Journal of the Korean Data & Information Science Society. 2016; 27(5):1361–1373. DOI: 10.7465/jkdi.2016.27.5.1361.

15. Lee SI, Lee EU. Effect of nursing work environment, emotional labor and ego-resilience on nursing performance of clinical nurses. Journal of the Korean society for Wellness. 2016; 11(4):267–276. DOI: 10.21097/ksw.2016.11.11.4.267.

16. Mowday RT, Steers RM, Porter LW. The measurement of organizational commitment. Journal of Vocational Behavior. 1979; 14:224–247. DOI: 10.1016/0001-8791(79)90072-1.

17. Kim SN, Yoo MS. Relationships between resilience, job stress, and organizational commitment in ICU Nurses. Journal of Korean Academic Society of Home Care Nursing. 2014; 21(1):36–43.

18. Lee NY, Kim YS. Effects of relational bonds and professional authority in the organizational commitment of intensive carte unit nurses. Journal of Korean Academy of Nursing Administration. 2017; 23(2):151–160. DOI: 10.11111/jkana.2017.23.2.151.

19. Oh EH, Chung BY. The effect of empowerment on nursing performance, job satisfaction, organizational commitment, and turnover intention in hospital nurses. Journal of Korean Academy of Nursing Administration. 2011; 17(4):391–401. DOI: 10.11111/jkana.2011.17.4.391.

20. Lee SY, Lee MH, Kim HK, Park OL, Sung BJ. Effects of head nurses' servant leadership on organizational commitment among clinical nurses: Focused on the mediating effect of empowerment. Journal of Korean Academy of Nursing Administration. 2015; 21(5):552–560. DOI: 10.11111/jkana.2015.21.5.552.

21. Hong JY, Kim OH, Lee EK. The relationship among nurse-doctor collaboration, job autonomy and organizational commitment. Journal of Korean Academy of Nursing Administration. 2009; 15(4):601–609.

22. Duchscher JB. A process of becoming: The stages of new nursing graduate professional role transition. The Journal of Continuing Education in Nursing. 2008; 39(10):441–450. DOI: 10.3928/00220124-20081001-04.

23. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009; 41(4):1149–1160. DOI: 10.3758/BRM.41.4.1149.

24. Ushiro R. Nurse-physician collaboration scale: Development and psychometric testing. Journal of Advanced Nursing. 2009; 65(7):1497–1508. DOI: 10.1111/j.1365-2648.2009.05011.x.

25. Moon EH. Reliability and validity of the Korean version of nurse-physician collaboration scale (K-NPCS). [master's thesis]. Daejeon: Eulji University;2015. 1–78.

26. Ko YK, Lee TH, Lim JY. Development of a performance measurement scale for hospital nurses. Journal of Korean Academy of Nursing Administration. 2007; 37(3):286–294. DOI: 10.4040/jkan.2007.37.3.286.

27. Lee MH. Relationship between organizational culture types and organizational effectiveness in hospitals. [dissertation]. Daejeon: Chungnam National University;1998. 1–141.

28. Baggs JG, Schmitt MH. Nurses' and resident physicians' perceptions of the process of collaboration in an MICU. Research in Nursing Health. 1997; 20(1):71–80. DOI: 10.1002/(SICI)1098-240X(199702)20:1<71::AID-NUR8>3.0.CO;2-R.

29. Petri L. Concept analysis of interdisciplinary collaboration. Nursing Forum. 2010; 45(2):73–82. DOI: 10.1111/j.1744-6198.2010.00167.x.