Effects of Perceived Collaboration with Nurses and Physicians on Nursing Performance in Perioperative Nurses

Seohee Jeong; Seok Hee Jeong; Myung Ha Lee; Hyun Kyung Kim

doi:10.11111/jkana.2018.24.3.253

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

Original Article

J Korean Acad Nurs Adm 2018;24(3):253-264.

Published online: 17 January 2018

DOI: https://doi.org/10.11111/jkana.2018.24.3.253

Effects of Perceived Collaboration with Nurses and Physicians on Nursing Performance in Perioperative Nurses

Seohee Jeong¹, Seok Hee Jeong^2,, Myung Ha Lee², Hyun Kyung Kim²

¹QI Team, Chonbuk National University Hospital

²College of Nursing, Research Institute of Nursing Science, Chonbuk National University

Corresponding author: Jeong, Seok Hee College of Nursing, Chonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju 54896, Korea. Tel: +82-63-270-3117, Fax: +82-63-270-3127, E-mail: awesomeprof@jbnu.ac.kr

Received 15 May 2018 Revised 15 May 2018 Accepted 28 May 2018

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.

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.

Keywords: Cooperative behavior, Work performance, Nurses, Physicians, Perioperative nursing

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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
Characteristics	Categories	n (%)	M±SD (range)	M±SD	t or F (p) Scheffé
Age (year)	23~＜30^a	58 (31.2)	35.25±8.12	3.60±0.47	15.90 (＜.001)
	30~＜40^b	68 (36.5)	(23~55)	3.86±0.40	d＞c, b＞a
	40~＜50^c	50 (26.9)		4.02±0.38
	≥50^d	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	Diploma^a	55 (29.6)		3.77±0.38	7.79 (＜.001)
	Bachelor^b	57 (30.6)		3.71±0.51	d＞a, b
	RN-BSN^c	58 (31.2)		3.96±0.45
	≥Master degree^d	16 (8.6)		4.25±0.38
Career as a perioperative nurse (year)	1~＜5^a	49 (26.4)	11.91±8.45	3.67±0.50	9.13 (＜.001)
	5~＜10^b	46 (24.7)	(1~33)	3.74±0.39	d＞b, a
	10~＜20^c	48 (25.8)		3.92±0.41
	≥20^d	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)	1^a	71 (38.2)	4.12±3.54	3.96±0.43	7.72 (.001)
	2~5^b	48 (25.8)	(1~10)	3.94±0.43	a, b＞c
	≥6^c	67 (36.0)		3.68±0.49
Yearly income (10,000 won)	2,000~＜4,000^a	73 (39.2)	4,320.37±1,332.96	3.70±0.47	7.99 (＜.001)
	4,000~＜6,000^b	84 (45.2)	(2,000~7,200)	3.91±0.41	c, b＞a
	≥6,000^c	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)	0^a	94 (50.5)	2.17±2.60	3.98±0.47	8.35 (＜.001)
	1~4^b	68 (36.6)	(0~12)	3.78±0.42	a＞b, c
	≥5^c	24 (12.9)		3.60±0.47
Task aptitude fit	Near fit^a	7 (3.8)	3.98±0.86	3.84±0.41	9.87 (＜.001)
	Moderate fit^b	50 (26.9)	(2~5)	3.63±0.48	d＞c, b
	Good fit^c	69 (37.1)		3.81±0.40
	Very good fit^d	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
Variables	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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