Abstract
Purpose:
The aim of this study was to examine degrees of nurse-nurse collaboration and nurse-physician collaboration, and investigate their relationships to the occurrence of medical errors.
Methods:
A cross-sectional questionnaire survey was conducted with 264 nurses in a university hospital. The questionnaire included five-component nurse-nurse collaboration and three-component nurse-physician collaboration scales. Data were analyzed using independent t-tests, ANOVA, x2 tests, and multiple logistic regression.
Results:
Mean score for nurse-nurse collaboration was 2.8 out of 4.0, and for nurse-physician collaboration, 3.4 out of 5.0. There were significant differences in the nurse-nurse and nurse-physician collaboration scores by nurses’ preference to workplace and work unit. A significant difference was found in the nurse-nurse collaboration scores by job position. Fifty-seven (21.60%) nurses responded that they had experienced a medical error in the last six months. Logistic regression analysis revealed that nurse-physician collaboration was a significant factor associated with nurses’ error experience. Nurses with higher scores for the nurse-physician relationship component were less likely to experience medical errors.
Conclusion:
Findings from this study show that nurse-nurse and nurse-physician collaboration were moderate. Negative relationship between nurse-physician collaboration and the occurrence of medical error indicates that enhancing nurse-physician collaboration would contribute to improving patient safety.
Go to : 

REFERENCES
1. Pronovost PJ, Thompson DA, Holzmueller CG, Lubomski LH, Dorman T, Dickman F, et al. Toward learning from patient safety reporting systems. Journal of Critical Care. 2006; 21(4):305–315. https://doi.org/10.1016/j.jcrc.2006.07.001.


2. Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Critical Care Nurse. 2007; 27(5):27–34. quiz 35.
3. Mujumdar S, Santos D. Teamwork and communication: an effective approach to patient safety. World Hospitals and Health Services. 2014; 50(1):19–22.
4. House S, Havens D. Nurses' and physicians' perceptions of nurse-physician collaboration: a systematic review. Journal of Nursing Administration. 2017; 47(3):165–171. https://doi.org/10.1097/nna.0000000000000460.
5. Tang CJ, Chan SW, Zhou WT, Liaw SY. Collaboration between hospital physicians and nurses: An integrated literature review. International Nursing Review. 2013; 60(3):291–302. https://doi.org/10.1111/inr.12034.


6. Collette AE, Wann K, Nevin ML, Rique K, Tarrant G, Hickey LA, et al. An exploration of nurse-physician perceptions of collaborative behaviour. Journal of Interprofessional Care. 2017; 31(4):470–478. https://doi.org/10.1080/13561820.2017.1301411.


7. Sollami A, Caricati L, Sarli L. Nurse-physician collaboration: A meta-analytical investigation of survey scores. Journal of Interprofessional Care. 2015; 29(3):223–229. https://doi.org/10.3109/13561820.2014.955912.


8. 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.
9. Ushiro R. Nurse-Physician Collaboration Scale: Development and psychometric testing. Journal of Advanced Nursing. 2009; 65(7):1497–1508. https://doi.org/10.1111/j.1365-2648.2009.05011.x.
10. Dougherty MB, Larson EL. The nurse-nurse collaboration scale. Journal of Nursing Administration. 2010; 40(1):17–25. https://doi.org/10.1097/NNA.0b013e3181c47cd6.


11. Ma C, Shang J, Bott MJ. Linking unit collaboration and nursing leadership to nurse outcomes and quality of care. Journal of Nursing Administration. 2015; 45(9):435–442. https://doi.org/10.1097/nna.0000000000000229.


12. Bowles D, McIntosh G, Hemrajani R, Yen MS, Phillips A, Schwartz N, et al. Nurse-physician collaboration in an academic medical centre: The influence of organisational and individual factors. Journal of Interprofessional Care. 2016; 30(5):655–660. https://doi.org/10.1080/13561820.2016.1201464.


13. Rosenstein AH. Nurse-physician relationships: Impact on nurse satisfaction and retention. The American Journal of Nursing. 2002; 102(6):26–34.


14. Tschannen D, Kalisch BJ. The impact of nurse/physician collaboration on patient length of stay. Journal of Nursing Management. 2009; 17(7):796–803. https://doi.org/10.1111/j.1365-2834.2008.00926.x.


15. Boev C, Xia Y. Nurse-physician collaboration and hospital- acquired infections in critical care. Critical Care Nurse. 2015; 35(2):66–72. https://doi.org/10.4037/ccn2015809.
16. Ma C, Park SH, Shang J. Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A cross-sectional study. International Journal of Nursing Studies. 2018; 85:1–6. https://doi.org/10.1016/j.ijnurstu.2018.05.001.


17. Hwang JI, Park HA. Relationships between evidence-based practice, quality improvement and clinical error experience of nurses in Korean hospitals. Journal of Nursing Management. 2015; 23(5):651–660. https://doi.org/10.1111/jonm.12193.


18. Cho EH, Chin DL, Kim SH, Hong OS. The relationships of nurse staffing level and work environment with patient adverse events. Journal of Nursing Scholarship. 2016; 48(1):74–82. https://doi.org/10.1111/jnu.12183.


19. Lee EJ. Reporting of medication administration errors by nurses in South Korean hospitals. International Journal for Quality in Health Care. 2017; 29(5):728–734. https://doi.org/10.1093/intqhc/mzx096.


20. Hughes R. Patient safety and quality: an evidence-based handbook for nurses. AHRQ publication no. 08-0043. Rockville, MD: Agency for Healthcare Research and Quality, U.S. Dept. of Health and Human Services;2008.
22. The Joint Commission. Sentinel event statistics released for 2015. The Joint Commission Perspectives. 2016; 36(4):10.
23. Polit DF. Statistics and data analysis for nursing research. 2nd ed. Upper Saddle River, N.J.: Pearson Education;2010.
24. World Health Organization. Conceptual framework for the international classification for patient safety: final technical report. Geneva: World Health Organization;2009.
25. Dorrian J, Lamond N, van den Heuvel C, Pincombe J, Rogers AE, Dawson D. A pilot study of the safety implications of Australian nurses' sleep and work hours. Chronobiology International. 2006; 23(6):1149–1163. https://doi.org/10.1080/07420520601059615.


26. McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006; 130(5):1571–1578. https://doi.org/10.1378/chest.130.5.1571.
27. Rosenstein AH, O'Daniel M. Disruptive behavior and clinical outcomes: Perceptions of nurses and physicians. The American Journal of Nursing. 2005; 105(1):54–64. quiz 64-55.https://doi.org/10.1097/00006247-200501000-00008.
28. Messmer PR. Enhancing nurse-physician collaboration using pediatric simulation. Journal of Continuing Education in Nursing. 2008; 39(7):319–327. https://doi.org/10.3928/00220124-20080701-07.


29. Hewitt T, Chreim S, Forster A. Sociocultural factors influencing incident reporting among physicians and nurses: Understanding frames underlying self- and peer-reporting practices. Journal of Patient Safety. 2017; 13(3):129–137. https://doi.org/10.1097/pts.0000000000000130.


30. Soydemir D, Seren Intepeler S, Mert H. Barriers to medical error reporting for physicians and nurses. Western Journal of Nursing Research. 2017; 39(10):1348–1363. https://doi.org/10.1177/0193945916671934.


21. Kim MS. Influence of shift work on sleep quality, daytime sleepiness, and perceived errors in nursing work among hospital nurses [master's thesis]. Jinju: Gyeongsang National University;2013.
Go to : 

Table 1.
Nurse-Nurse Collaboration, Nurse-Physician Collaboration and Medical Error Occurrence by Participants' Characteristics (N=264)
Table 2.
Pearson Correlations between Nurse-Nurse Collaboration and Nurse-Physician Collaboration (N=264)
Table 3.
Nurse-Nurse Collaboration and Nurse-Physician Collaboration by the Occurrence of Medical Errors (N=264)
Table 4.
Results of Logistic Regression Analyses for the Occurrence of Medical Errors (N=264)