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Title: Nurse-physician collaboration and associations with perceived nurse autonomy in critical care nurses in Cyprus
Authors: Georgiou, Evanthia 
Papathanassoglou, Elizabeth 
Pavlakis, Andreas 
Keywords: Autonomy;Clinical decision-making;Collaboration;Critical care;Power disparities;Professional satisfaction
Category: Health Sciences
Field: Medical and Health Sciences
Issue Date: 16-Jan-2015
Publisher: John Wiley & Sons
Source: Nursing in Critical Care, 2015, Early View
Abstract: Background and aims: Increased nurse-physician collaboration is a factor in improved patient outcomes. Limited autonomy of nurses has been proposed as a barrier to collaboration. This study aims to explore nurse-physician collaboration and potential associations with nurses’ autonomy and pertinent nurses’ characteristics in adult intensive care units (ICUs) in Cyprus. Design and Methods: Descriptive correlational study with sampling of the entire adult ICU nurses’ population in Cyprus (five ICUs in four public hospitals, n =163, response rate 88⋅58%). Nurse-physician collaboration was assessed by the Collaboration and Satisfaction About Care Decisions Scale (CSACD), and autonomy by the Varjus et al. scale. Results: The average CSACD score was 36⋅36 ±13⋅30 (range: 7 – 70), implying low levels of collaboration and satisfaction with care decisions. Male participants reported significantly lower CSACD scores (t =2⋅056, p =0⋅04). CSACD correlated positively with years of ICU nursing experience (r =0⋅332, p <0⋅0001) and professional satisfaction (r =0⋅455, p <0⋅0001). The mean autonomy score was 76⋅15 ±16⋅84 (range: 18 – 108). Higher degree of perceived collaboration (CSACD scores) associated with higher autonomy scores (r =0⋅508, p <0⋅0001). Conclusions: Our findings imply low levels of nurse-physician collaboration and satisfaction with care decisions and moderate levels of autonomy in ICU nurses in Cyprus. Relevance to clinical practice: The results provide insight into the association between nurse-physician collaboration and nurses’ autonomy and the correlating factors.
ISSN: 1478-5153
DOI: 10.1111/nicc.12126
Rights: © British Association of Critical Care Nurses
Type: Article
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