Leadership, adequate staffing and material resources, and collegial nurse–physician relationships promote better patients, professionals and institutions outcomes

Gasparino, Renata Cristina; Ferreira, Thelen Daiana Mendonça; Oliveira, Henrique Ceretta; Alves, Daniela Fernanda dos Santos; Balsanelli, Alexandre Pazetto

doi:10.1111/jan.14805

Cited by 16 publications

(19 citation statements)

References 42 publications

(44 reference statements)

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“…Characteristics of the 14 included studies are summarized in Online Supplementary Table S3. Two studies were conducted in Canada (Boamah et al, 2018; Wong & Giallonardo, 2013); two in Iran (Barkhordari-Sharifabad & Mirjalili, 2020; Kakemam et al, 2021); two in the United States (Boev, 2012; Ma et al, 2015); two in the Philippines (Labrague, 2021; Labrague & Obeidat, 2021); two in South Korea (Hwang & Ahn, 2015; Lee & Dahinten, 2021); and one each in Brazil (Gasparino et al, 2021), Ghana (Puni & Hilton, 2020), Jordan (Alloubani et al, 2019), and Pakistan (Asif et al, 2019). The publication dates of the articles ranged from 2012 to 2021.…”

Section: Resultsmentioning

confidence: 99%

“…The patient sample size ranged from 200 to 1,532, and the sample size of nurse managers ranged from 22 to 239. Data were analyzed at the individual level in 12 studies (Alloubani et al, 2019; Asif et al, 2019; Barkhordari-Sharifabad & Mirjalili, 2020; Boamah et al, 2018; Gasparino et al, 2021; Hwang & Ahn, 2015; Kakemam et al, 2021; Labrague, 2021; Labrague & Obeidat, 2021; Lee & Dahinten, 2021; Puni & Hilton, 2020; Wong & Giallonardo, 2013); in the remaining two studies, data were analyzed at the unit level using multilevel analyses (Boev, 2012; Ma et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

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Nurse Managers’ Leadership, Patient Safety, and Quality of Care: A Systematic Review

Lee

Sang

2022

West J Nurs Res

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This review examined relationships between nurse unit managers’ leadership and patient safety and quality of care outcomes in hospital settings. Employing four databases (CINAHL, Embase, PubMed, and Web of Science) and ancestry searches, we identified 14 English-language, peer-reviewed, primary studies that examined such relationships using quantitative analyses. The studies were published between 2012 and 2021, and most used a cross-sectional design. Each study’s quality was assessed using the Mixed-Method Appraisal Tool. In synthesizing results by categorizing outcomes, we found a positive trend in associations between effective nurse unit manager leadership and better outcomes, including fewer patient adverse events, increased nurse error reporting, and higher patient satisfaction and care quality. However, the heterogeneity of leadership measurement approaches and outcomes limited integration of study findings. Future researchers should clearly define study concepts to support interpretation of their findings and should use a suitable theoretical framework to help determine appropriate units of analysis.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Nurse Managers’ Leadership, Patient Safety, and Quality of Care: A Systematic Review

Lee

Sang

2022

West J Nurs Res

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“…Our model of effective NPC (Figure 1 ) can also be used as a guide to educate physicians and residents on effective communication. There is an urgent need to educate providers on NPC skills given a collegial nurse-physician relationship is associated with better safety and quality outcomes [ 29 ]. Furthermore, nurses’ perceptions toward NPC are affected largely by the presence of effective communication, perceived respect, and collaborative attitudes [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Bedside Nurses' Perceptions of Effective Nurse-Physician Communication in General Medical Units: A Qualitative Study

Kato¹,

Clouser²,

Talari³

et al. 2022

Cureus

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Background There is a dearth of research on successful interventions to improve nurse-physician communication (NPC). An important step is identifying what matters to bedside nurses and their perceptions of effective NPC communications and actions. Methods We conducted three focus groups with a total of 19 medical unit nurses across two hospitals in one academic medical center in the United States. Using a convenience sampling strategy, five to eight nurses voluntarily participated in each focus group. The recording was transcribed verbatim and two independent coders performed coding and resolved any discrepancies in codes. Qualitative content analysis was pursued to identify themes and associated quotes. Results The presence of direct communication between physicians and nurses was identified as the first theme and perceived by nurses as very important. Additional themes related to physician communication and attributes emerged including collegiality and respect (e.g., engaging nurses as partners in patient care), attentiveness and responsiveness (e.g., listening carefully and addressing concerns), and directness and support (e.g., backing nurses up in difficult situations). Effective NPC is further facilitated by organizational structure, relationship development separate from patient care, and consistent/timely use of technology. Conclusions Hospital bedside nurses provided valuable insight into improved physician communication and what attributes contribute to more effective NPC. Most importantly, they emphasized the significance of physicians in supporting them with difficult patients.

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“…In particular, safety culture deals with medical errors with non-punitive responses and facilitates effective nurse—physician communication [ 46 ]; thus, enabling mutual engagement can create a positive patient safety culture [ 47 ]. Nursing work environment contributes to better outcomes including collegial nurse–physician relations [ 48 ]. Similar results were observed in this study.…”

Section: Discussionmentioning

confidence: 99%

Combination Relationship between Features of Person-Centered Care and Patient Safety Activities of Nurses Working in Small–Medium-Sized Hospitals: A Cross-Sectional Study

2022

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Perceived safety culture and nursing work environment are considered important prerequisites for a patient safety activity. Patient safety is also associated with person-centered care; however, few studies apply the person-centered care framework which includes staff attributes and care environment. This study aimed to examine the canonical correlations of person-centered care factors, including professional self-concept, patient safety culture, nursing work environment, and patient safety activities of nurses working in small–medium-sized hospitals. A cross-sectional survey was used. Participants included 171 nurses from seven small–medium-sized hospitals in Busan metropolitan city, in Korea. Data were analyzed using descriptive statistics, t-test, one-way analysis of variance (ANOVA), Pearson’s correlation coefficients, and canonical correlations. Two significant canonical variates were found. First, better professional self-concept, a positive patient safety culture, and better nursing work environment were associated with better patient safety care activities. Second, a negative patient safety culture and healthy nursing work environment were associated with a lack of communication between medical staff. Person-centered framework factors such as staff attributes and care environment were positively associated with patient safety activities. Based on the results, nurses in small–medium-sized hospitals should be highly aware of their professional self-concept. Moreover, nurses should be equipped with psychological safety and a healthy work environment to enhance patient safety activities.

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Leadership, adequate staffing and material resources, and collegial nurse–physician relationships promote better patients, professionals and institutions outcomes

Cited by 16 publications

References 42 publications

Nurse Managers’ Leadership, Patient Safety, and Quality of Care: A Systematic Review

Nurse Managers’ Leadership, Patient Safety, and Quality of Care: A Systematic Review

Bedside Nurses' Perceptions of Effective Nurse-Physician Communication in General Medical Units: A Qualitative Study

Combination Relationship between Features of Person-Centered Care and Patient Safety Activities of Nurses Working in Small–Medium-Sized Hospitals: A Cross-Sectional Study

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