Inter-professional collaboration and associated factors among nurses and physicians in specialized public hospitals, the northwest, Ethiopia: mixed method multi-centered cross-sectional study

Abstract

Objective The study aimed to investigate inter-professional collaboration and associated factors among nurses and physicians working in referral and teaching hospitals in the Northwest and Ethiopia in 2022. Method This study used a concurrent (quantitative cross-sectional and phenomenological qualitative) design from September to October 2022. A structured, self-administered nurse-physician collaborative scale questionnaire was used to collect quantitative data from 279 nurses and 87 physicians. A simple random sampling technique was used to select participants. The magnitude of the association was measured using the odds ratio at a 95% confidence interval and was statistically significant at a p-value less than 0.05 using binary logistic regression analysis. Qualitative data were collected from nine key informants via focused interviews or semi-structured in-depth interviews and analyzed using ATLAS.ti version 7.0.7 software via narratives using the thematic analysis method. Result According to the study’s findings, a greater number (43.4%) of the respondents had ineffective collaboration during their professional activities. In the final model of multivariable analysis, unsatisfactory organizational support, poor professional support, and poor interpersonal support were all independently associated with ineffective collaboration. The qualitative findings identified poor communication, a lack of professionalism, and failure to adhere to professional duties as barriers to nurse-physician collaboration. Conclusion In this study, nurse-physician collaboration was less than expected; thus, the large number of participants had ineffective collaborations. Potential predictors of decreased effective nurse-physician collaboration included dissatisfaction with organizational support, poor professional support, and poor interpersonal support. This outcome emphasizes the importance of improving nurse-physician collaboration by enhancing organizational, professional, and interpersonal factors to form effective collaborative practice. The qualitative finding supports the quantitative study, which showed ineffective collaboration. The authors recommended that there is a need to empower interprofessional collaboration among nurses and physicians through the creation of a conducive and safe working environment.

Enhancing Nursing Personnel- physicians' Communication and Collaboration: Its Effect on Nursing Productivity

“…This result is more in line with findings from international research, as demonstrated by [3], mixed method multi-centered cross-sectional study on interprofessional collaboration and related factors among physicians and nurses in specialized public hospitals in the northwest of Ethiopia. They discovered that the study was successful in giving doctors and nurses the skills and information they needed to handle challenging communication situations and promote cooperative interactions in the healthcare setting.…”

Determinants of Interprofessional Collaboration Practices at Pidie Regency Regional Hospital, Indonesia

“…Every member of the profession in IPC practice must be able to engage in interprofessional contacts since this interaction is critical to the formation of a collaborative team with the goal of assuring the quality of treatment while also contributing to seamless team cooperation [9] . Interpersonal variables have a significant impact on IPC implementation; interprofessional collaboration is twice as likely to be effective when compared to health professionals who get poor interpersonal support [10] . However, the results of this research show that IPC practices from interpersonal factors can also be influenced by other factors, such as the educational level of the respondents, most of whom were Diploma-III in Nursing (71.1%) and nurses' knowledge of IPC practices.…”

“…The inequality of the level of education and the low competence of nurses can cause nurses to be dissatisfied with work, fatigue and risk of experiencing turnover in work in health services [15] . Professional role factors in IPC practice will also run well if supported by effective, responsive and responsible way of communicating between professional health care giving [10] .…”

Explaining ethical challenges and practical solutions from a nursing managements’ perspective: A phenomenological study

“…[ 6 ] Surely, the most important and sensitive issue in nurse management is to create a balance between professional and ethical performance. [ 7 ] Medical staff, especially nurses, should protect the patients’ rights and prevent both material and non-material damages, which are their moral duty In the study of Negarandeh et al ,[ 8 ] patient support programs included the actions such as informing, learning, honoring and respecting, supporting, protecting, and providing continuity of care. Ethical failure leads to challenges and consequences that will reduce patient satisfaction.…”