Please use this identifier to cite or link to this item:
https://hdl.handle.net/20.500.14279/3782
Title: | Nurse-physician collaboration and associations with perceived nurse autonomy in critical care nurses in Cyprus | Authors: | Georgiou, Evanthia Papathanassoglou, Elizabeth Pavlakis, Andreas |
Major Field of Science: | Medical and Health Sciences | Field Category: | Health Sciences | Keywords: | Autonomy;Clinical decision-making;Collaboration;Critical care;Power disparities;Professional satisfaction | Issue Date: | 16-Jan-2015 | Source: | Nursing in Critical Care, 2015, vol. 22. no. 1, pp. 29-39 | Volume: | 22 | Issue: | 1 | Start page: | 29 | End page: | 39 | Journal: | Nursing in Critical Care | 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. | URI: | https://hdl.handle.net/20.500.14279/3782 | ISSN: | 14785153 | DOI: | 10.1111/nicc.12126 | Rights: | © British Association of Critical Care Nurses | Type: | Article | Affiliation : | Open University Cyprus Cyprus University of Technology Ministry of Health |
Publication Type: | Peer Reviewed |
Appears in Collections: | Άρθρα/Articles |
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