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Open Access Nurse-Physician Relations and Quality of Nursing Care: Findings From a National Survey of Nurses Relations infirmière-médecin et qualité des soins : constats découlant d'une enquête nationale auprès des infirmières

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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.

French
L'article s'intéresse au rapport entre les relations professionnelles infirmièremédecin et l'évaluation par les infirmières des soins que prodigue l'équipe des soins infirmiers. Le projet se fonde sur un échantillon représentatif d'infirmières autorisées travaillant dans des hôpitaux au Canada. On a eu recours à une analyse de régression logistique multiple pour examiner le lien entre les interactions interprofessionnelles et les rapports des infirmières concernant une prestation moyenne ou médiocre des soins par l'équipe pendant le dernier quart de travail effectué. On a constaté un lien significatif entre la qualité des relations infirmière-médecin et la qualité des soins prodigués par l'équipe d'infirmières, après avoir neutralisé les autres facteurs potentiels. Ces facteurs, qui ont tous une incidence sur la qualité des soins, comprennent : un faible degré de collaboration entre infirmières, l'insatisfaction au travail et un mauvais état de santé signalé par les intéressées. L'analyse met en lumière le rôle important que jouent les relations interprofessionnelles dans l'évaluation par les infirmières de la qualité des soins dans les hôpitaux canadiens.

Keywords: CARE DELIVERY; INTERPROFESSIONAL CARE; NATIONAL SURVEY OF THE WORK AND HEALTH OF NURSES; NURSE RELATIONSHIPS/PROFESSIONAL ISSUES; NURSE-PHYSICIAN COLLABORATION; NURSING ROLES; QUALITY OF PATIENT CARE

Document Type: Research Article

Publication date: 2010-06-01

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