Nurse-physician relations and quality of nursing care: findings from a national survey of nurses

Can J Nurs Res. 2010 Jun;42(2):120-36.

Abstract

This article investigates the association between nurse-physician working relations and nurse-rated quality of nursing team care.The analysis is based on a nationally representative sample of registered nurses working in Canadian hospitals. Multiple logistic regression was used to examine the association between the quality of nurse-physician working relations and nurses' reports of fair or poor nursing team care on the last shift worked. Unfavourable quality of nurse-physician working relations was significantly related to lower quality of nursing team care, controlling for other potential influences. These influences included low nurse co-worker support, job dissatisfaction, and self-rated poor general health, each of which was also related to lower care quality.The analysis highlights the importance of interprofessional working relations to nurse-perceived quality of patient care in Canadian hospitals.

MeSH terms

  • Analysis of Variance
  • Attitude of Health Personnel*
  • Canada
  • Cooperative Behavior
  • Cross-Sectional Studies
  • Humans
  • Job Satisfaction
  • Logistic Models
  • Nursing Methodology Research
  • Nursing Staff, Hospital / organization & administration
  • Nursing Staff, Hospital / psychology*
  • Occupational Health
  • Organizational Culture
  • Patient Care Team / organization & administration
  • Physician-Nurse Relations*
  • Qualitative Research
  • Quality of Health Care / organization & administration*
  • ROC Curve
  • Social Support
  • Surveys and Questionnaires
  • Workplace / organization & administration
  • Workplace / psychology