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KMID : 0614820190250020073
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Journal of Korean Academy of Nursing Administration
2019 Volume.25 No. 2 p.73 ~ p.82
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Relationships of Nurse-Nurse Collaboration and Nurse-Physician Collaboration with the Occurrence of Medical Errors
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Lee Yeong-Ju
Hwang Jae-Sam
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Abstract
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Purpose: The aim of this study was to examine degrees of nurse-nurse collaboration and nurse-physician collaboration,and investigate their relationships to the occurrence of medical errors.
Methods: A cross-sectionalquestionnaire survey was conducted with 264 nurses in a university hospital. The questionnaire included fivecomponentnurse-nurse collaboration and three-component nurse-physician collaboration scales. Data wereanalyzed using independent t-tests, ANOVA, x2 tests, and multiple logistic regression.
Results: Mean score fornurse-nurse collaboration was 2.8 out of 4.0, and for nurse-physician collaboration, 3.4 out of 5.0. There weresignificant differences in the nurse-nurse and nurse-physician collaboration scores by nurses’ preference toworkplace and work unit. A significant difference was found in the nurse-nurse collaboration scores by job position. Fifty-seven (21.60%) nurses responded that they had experienced a medical error in the last six months. Logisticregression analysis revealed that nurse-physician collaboration was a significant factor associated with nurses’ errorexperience. Nurses with higher scores for the nurse-physician relationship component were less likely to experiencemedical errors.
Conclusion: Findings from this study show that nurse-nurse and nurse-physician collaboration weremoderate. Negative relationship between nurse-physician collaboration and the occurrence of medical errorindicates that enhancing nurse-physician collaboration would contribute to improving patient safety.
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KEYWORD
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Cooperative behaviors, Interprofessional relations, Physician-nurse relations, Medical errors
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