Association between nurse-physician collaboration and patient outcomes in three intensive care units.
To investigate the association of collaboration between intensive care unit (ICU) physicians and nurses and patient outcome.
Prospective, descriptive, correlational study using self-report instruments.
A community teaching hospital medical ICU, a university teaching hospital surgical ICU, and a community non-teaching hospital mixed ICU, all in upstate New York.
Ninety-seven attending physicians, 63 resident physicians, and 162 staff nurses.
Procedure : When patients were ready for transfer from the ICU to an area of less intensive care, questionnaires were used to assess care providers'reports of collaboration in making the transfer decision.
After controlling for severity of illness, the association between interprofessional collaboration and patient outcome was assessed.
Unit-level organizational collaboration and patient outcomes were ranked.
Healthcare providers'reported levels of collaboration, patient severity of illness and individual risk, patient outcomes of death or readmission to the ICU, unit-level collaboration, and unit patient risk of negative outcome.
Medical ICU nurses'reports of collaboration were associated positively with patient outcomes.
No other associations between individual reports of collaboration and patient outcome were found.
There was a perfect rank order correlation between unit-level organizational collaboration and patient out-comes across the three units. (...)
Mots-clés Pascal : Unité soin intensif, Médecin, Infirmier, Coopération, Pratique professionnelle, Prise décision, Pronostic, Soin intensif, Qualité, Soin, Evaluation, Homme, Etude comparative, Etats Unis, Amérique du Nord, Amérique, Service hospitalier, Personnel sanitaire
Mots-clés Pascal anglais : Intensive care unit, Physician, Nurse, Cooperation, Professional practice, Decision making, Prognosis, Intensive care, Quality, Care, Evaluation, Human, Comparative study, United States, North America, America, Hospital ward, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0491792
Code Inist : 002B30A05. Création : 22/03/2000.