Journal List > J Korean Acad Nurs Adm > v.24(3) > 1098661

Jeong, Jeong, Lee, and Kim: Effects of Perceived Collaboration with Nurses and Physicians on Nursing Performance in Perioperative Nurses

Abstract

Purpose:

The aim of this study was to identify effects of perceived nurse-nurse collaboration and nurse-physician collaboration on nursing performance in perioperative nurses.

Methods:

A cross-sectional survey was used and data were collected in September 2016. Participants were 186 perioperative nurses from three advanced general hospitals and nine general hospitals. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients and hierarchical multiple regression with the SPSS/WIN 23.0 program.

Results:

The mean scores were for nurse-nurse collaboration, 2.92±0.28 out of 4, for nurse-physician collaboration, 3.29±0.65 out of 5, and for nursing performance, 3.85±0.47 out of 5. There were statistically significant positive correlations among nurse-nurse collaboration, nurse-physician collaboration, and nursing performance. Hierarchical multiple regression analysis revealed that nurse-nurse collaboration explained an additional 29%p of nursing performance. Shared processes, conflict management, and professionalism of nurse-nurse collaboration were statistically significant predictors of nursing performance. The nurse-physician collaboration explained an additional 3%p of nursing performance. Sharing of patient information was a statistically significant predictor of nursing performance.

Conclusion:

Findings indicate that intervention programs that integrate and strengthen shared processes, conflict management, professionalism, and sharing of patient information are useful to enhance nursing performance.

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Table 1.
General Characteristics of Participants & Differences in Nursing Performance by General Characteristics (N=186)
Characteristics Categories n (%) M±SD (range) Nursing performance
M±SD t or F (p) Scheffé
Age (year) 23~<30a 58 (31.2) 35.25±8.12 3.60±0.47 15.90 (<.001)
30~<40b 68 (36.5) (23~55) 3.86±0.40 d>c, b>a
40~<50c 50 (26.9) 4.02±0.38
≥50d 10 (5.4) 4.44±0.50
Marital state Single 74 (39.8) 3.64±0.48 -5.55 (<.001)
Married 112 (60.2) 4.00±0.40
Education level Diplomaa 55 (29.6) 3.77±0.38 7.79 (<.001)
Bachelorb 57 (30.6) 3.71±0.51 d>a, b
RN-BSNc 58 (31.2) 3.96±0.45
≥Master degreed 16 (8.6) 4.25±0.38
Career as a perioperative nurse (year) 1~<5a 49 (26.4) 11.91±8.45 3.67±0.50 9.13 (<.001)
5~<10b 46 (24.7) (1~33) 3.74±0.39 d>b, a
10~<20c 48 (25.8) 3.92±0.41
≥20d 43 (23.1) 4.11±0.46
Job position Staff nurse 134 (72.0) 3.77±0.47 -3.80 (<.001)
Charge nurse 52 (28.0) 4.06±0.42
Charge of surgery (number) 1a 71 (38.2) 4.12±3.54 3.96±0.43 7.72 (.001)
2~5b 48 (25.8) (1~10) 3.94±0.43 a, b>c
≥6c 67 (36.0) 3.68±0.49
Yearly income (10,000 won) 2,000~<4,000a 73 (39.2) 4,320.37±1,332.96 3.70±0.47 7.99 (<.001)
4,000~<6,000b 84 (45.2) (2,000~7,200) 3.91±0.41 c, b>a
≥6,000c 29 (15.6) 4.07±0.51
Type of work shift Fixed to days 95 (51.1) 4.00±0.47 4.41 (<.001)
Shift work 91 (48.9) 3.71±0.42
Frequency of night shift (month) 0a 94 (50.5) 2.17±2.60 3.98±0.47 8.35 (<.001)
1~4b 68 (36.6) (0~12) 3.78±0.42 a>b, c
≥5c 24 (12.9) 3.60±0.47
Task aptitude fit Near fita 7 (3.8) 3.98±0.86 3.84±0.41 9.87 (<.001)
Moderate fitb 50 (26.9) (2~5) 3.63±0.48 d>c, b
Good fitc 69 (37.1) 3.81±0.40
Very good fitd 60 (32.2) 4.08±0.44
Table 2.
Levels of Nurse-Nurse and Nurse-Physician Collaboration, Nursing Performance (N=186)
Variables Categories M±SD Min Max Range
Nurse-Nurse Professionalism 3.09±0.48 2.14 4.00 1~4
collaboration Coordination 3.03±0.42 1.60 4.00
Shared processes 2.95±0.36 2.00 4.00
Conflict management 2.94±0.36 1.86 4.00
Communication 2.65±0.34 1.88 4.00
Total 2.92±0.28 2.09 4.00
Nurse-Physician Sharing of patient information 3.51±0.65 1.56 5.00 1~5
collaboration Relationship between nurse-physician 3.36±0.69 1.50 5.00
Decision-making process 3.09±0.77 1.00 5.00
Total 3.29±0.65 1.78 5.00
Nursing Performance capability 3.99±0.50 2.00 5.00 1~5
performance Performance improvement 3.92±0.60 2.00 5.00
Performance attitude 3.79±0.50 2.25 5.00
Nursing process application 3.55±0.67 2.00 5.00
Total 3.85±0.47 2.06 5.00
Table 3.
Correlation among Nurse-Nurse Collaboration, Nurse-Physician Collaboration, and Nursing Performance (N=186)
Variables Nurse-Nurse collaboration Nurse-Physician collaboration
CM Comm. SP Coord. Prof. SPI DMP RNP
r (p) r (p) r (p) r (p) r (p) r (p) r (p) r (p)
Nurse-Physician collaboration .52 (<.001)
Nursing performance .63 (<.001) .37 (<.001)
.52 .40 .56 .45 .50 .48 .25 .32
(<.001) (<.001) (<.001) (<.001) (<.001) (.005) (<.001) (<.001)

CM=Conflict management; Comm.=Communication; SP=Shared process; Coord.=Coordination; Prof.=Professionalism; SPI=Sharing of patient information; DMP=Decision-making process on the cure/care; RNP=The relationship between nurse and physician.

Table 4.
Effects of Nurses' Perceived Collaboration with Nurses and Physicians on Nursing Performance (N=186)
Variables Step 1 Step 2 Step 3
β p β p β p
Career .32 .024 .22 .051 .17 .135
Marital state (Married) .16 .063 .14 .044 .11 .096
Education (Bachelor) .05 .565 -.01 .834 -.02 .820
Education (RN-BSN) .02 .824 .02 .729 .06 .393
Education (≥Master degree) .20 .010 .19 .001 .19 .001
Job position (Charge nurse) -.18 .104 -.14 .121 -.09 .292
Charge of Surgery -.14 .076 -.02 .818 .02 .791
Yearly income (4,000~<6,000) -.03 .696 .05 .447 .06 .395
Yearly income (≥6,000) -.07 .487 .08 .384 .13 .147
Type of work shift (Fixed days) .10 .367 .04 .663 .06 .486
Frequency of night shift -.01 .952 .06 .451 .07 .321
Task aptitude .15 .032 -.04 .477 -.01 .831
Nurse-Nurse collaboration
Conflict management .27 <.001 .26 <.001
Communication -.06 .404 -.08 .225
Shared processes .27 <.001 .22 .001
Coordination .09 .206 .04 .579
Professionalism .19 .015 .13 .095
Nurse-Physician collaboration
Sharing of patient information .29 .003
Decision-making process -.11 .258
Relationship between nurse-physician .06 .436
R2 .30 .57 .61
Adj. R2 .24 .53 .56
△R2 (p) .28 (<.001) .03 (.003)
△Adj. R2 (p) .29 (<.001) .03 (.019)
F (p) 5.95 (<.001) 13.18 (<.001) 12.65 (<.001)

Durbin-Watson=2.03, Kolmogorov-Smirnov (Z=1.12, p=.161), Breusch-Pagan (x

2 =5.43, p=.066).

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