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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.
Figures and Tables
Table 1
General Characteristics of Participants & Differences in Nurse-Physician Collaboration, Nursing Performance and Organizational Commitment by General Characteristics (N=203)
Table 2
Levels of Nurse-Physician Collaboration, Nursing Performance and Organizational Commitment (N=203)
Table 3
Correlation among Nurse-Physician Collaboration, Nursing Performance and Organizational Commitment (N=203)
Table 4
Effects of Nurses-Physician Collaboration on Nursing Performance (N=203)
*Dummy variables=Marital state (single=0, married=1); Education (diploma) (bachelor=0, diploma=1, RN-BSN=0,≥master degree=0); Education (RN-BSN) (bachelor=0, diploma=0, RN-BSN=1,≥master degree=0), Education (≥master degree) (bachelor=0, diploma=0, RN-BSN=0,≥master degree=1); Job position (staff nurse=0, charge or head nurse=1), Type of work shift (shift work=0, fixed work=1); ICU=Intensive care unit.
Table 5
Effects of Nurses-Physician Collaboration on Organizational Commitment (N=203)
*Dummy variables=Marital state (single=0, married=1); Education (diploma) (bachelor=0, diploma=1, RN-BSN=0,≥master degree=0); Education (RN-BSN) (bachelor=0, diploma=0, RN-BSN=1,≥master degree=0), Education (≥master degree) (bachelor=0, diploma=0, RN-BSN=0,≥master degree=1); Job position (staff nurse=0, charge or head nurse=1), Type of work shift (shift work=0, fixed work=1); Dedicated ICU doctor (no=0, yes=1); ICU=intensive care unit.
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