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Int Nurs Rev. 2013 Sep;60(3):291-302. doi: 10.1111/inr.12034. Epub 2013 May 27.

Collaboration between hospital physicians and nurses: an integrated literature review.

Author information

1
Alice Lee Centre for Nursing Studies, National University of Singapore, National University Health System, Singapore, Singapore.

Abstract

BACKGROUND:

Ineffective physician-nurse collaboration has been shown to cause work dissatisfaction among physicians and nurses and compromised the quality of patient care.

AIM:

The review sought to explore: (1) attitudes of physicians and nurses toward physician-nurse collaboration; (2) factors affecting physician-nurse collaboration; and (3) strategies to improve physician-nurse collaboration.

METHODS:

A literature search was conducted in the following databases: CINAHL, PubMed, Wiley Online Library and Scopus from year 2002 to 2012, to include papers that reported studies on physician-nurse collaboration in the hospital setting.

FINDINGS:

Seventeen papers were included in this review. Three of the reviewed articles were qualitative studies and the other 14 were quantitative studies. Three key themes emerged from this review: (1) attitudes towards physician-nurse collaboration, where physicians viewed physician-nurse collaboration as less important than nurses but rated the quality of collaboration higher than nurses; (2) factors affecting physician-nurse collaboration, including communication, respect and trust, unequal power, understanding professional roles, and task prioritizing; and (3) improvement strategies for physician-nurse collaboration, involving inter-professional education and interdisciplinary ward rounds.

CONCLUSION:

This review has highlighted important aspects of physician-nurse collaboration that could be addressed by future research studies. These include: developing a comprehensive instrument to assess collaboration in greater depth; conducting rigorous intervention studies to evaluate the effectiveness of improvement strategies for physician-nurse collaboration; and examining the role of senior physicians and nurses in facilitating collaboration among junior physicians and nurses. Other implications include inter-professional education to empower nurses in making clinical decisions and putting in place policies to resolve workplace issues.

KEYWORDS:

Attitudes; Inter-Professional Collaboration; Inter-Professional Education; Nurse-Physician Relations; Physician-Nurse Collaboration

PMID:
23961790
DOI:
10.1111/inr.12034
[Indexed for MEDLINE]

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