J Korean Acad Nurs Adm JKANA Journal of Korean Academy of Nursing Administration 1225-9330 2288-4955 Korean Academy of Nursing Administration 10.11111/jkana.2019.25.3.186 Original Article Effects of Nurse-Physician Collaboration on Nursing Performance and Organizational Commitment in Intensive Care Unit Nurses Kwon Eui Ok 1 Lee Myung Ha 2 Jeong Seok Hee 2 Kim Hee Sun 2 CCU, Chonbuk National University Hospital, Korea. College of Nursing · Research Institute of Nursing Science, Chonbuk National University, Korea. Corresponding author: Lee, Myung Ha. College of Nursing, Chonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju 54896, Korea. Tel: +82-63-270-3122, Fax: +82-63-270-3127, leemh@jbnu.ac.kr 06 2019 30 06 2019 25 3 186 197 26 12 2018 02 04 2019 15 04 2019 Copyright © 2019 Korean Academy of Nursing Administration 2019 Korean Academy of Nursing Administration This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 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.

 Nurses Physicians Cooperative behavior Work performance Organizational commitment

This manuscript is a revision of the first author's master's thesis from Chonbuk National University.

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ICU: intensive care unit, *The number of hospital beds versus the number of nurses is classified by reference to the standard for calculating the level of rating the nursing workforce in the ICU (second rating: 0.50~<0.63, third rating: 0.63~<0.77, over four rating:≥0.771)

 Levels of Nurse-Physician Collaboration, Nursing Performance and Organizational Commitment (<italic>N</italic>=203) Correlation among Nurse-Physician Collaboration, Nursing Performance and Organizational Commitment (<italic>N</italic>=203) Effects of Nurses-Physician Collaboration on Nursing Performance (<italic>N</italic>=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.

 Effects of Nurses-Physician Collaboration on Organizational Commitment (<italic>N</italic>=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.