Nurses’ Perception Regarding the Quality of Communication between Nurses and Physicians in Emergency Departments in Saudi Arabia: A Cross Sectional Study

Abstract

Background: One of the defining characteristics of safe and highly reliable patient care is effective team communication. It is becoming increasingly crucial to improve communication among healthcare team members since social and medical conditions change quickly. Main aim: The present study seeks to assess nurses’ perception of the quality of communications between physicians and nurses and associated factors in the emergency departments of selected government hospitals in Saudi Arabia. Methods: A cross-sectional study was carried out in five hospitals in Jazan and three hospitals in Hail City, Saudi Arabia, on a convenience sample of 250 nurses total using self-administered questionnaires. Independent sample t-tests and one-way ANOVA were used for the data analysis. Ethical considerations were adhered to throughout the conduct of the study. Results: The mean score of all domains of nurses’ perceptions of the quality of nurse–physician communication in emergency departments was 60.14 out of 90. The highest mean score was observed in the openness subdomain, followed closely by relevance and satisfaction, with mean percentages of 71.65% and 71.60%, respectively. Age, level of education, years of experience, and job position had significant positive correlations with nurses’ perceptions of the quality of nurse–physician communication. (p = 0.002, 0.016, 0.022, and 0.020, respectively). Post hoc tests showed that nurses older than 30, those with diplomas, those with more than 10 years’ experience, and those in supervisory positions had more positive perceptions of the quality of nurse–physician communication. On the other hand, there was no significant difference in the mean scores of quality of nurse–physician communication with regard to participants’ sex, marital status, nationality, and working hours (p > 0.05). Multiple linear regression showed that none of the independent factors affected the nurses’ perceptions of the quality of nurse–physician communication in emergency departments (p > 0.05). Conclusions: Overall, the quality of communication between nurses and physicians was not satisfactory. Future research should be meticulously planned, using validated outcome measures, that will capture and reflect the goals of communication among healthcare teams.

A grounded theory of the implementation of medical orders by clinical nurses

“…Shortages of nurses, job-related stress, and the workplace atmosphere contribute to errors in implementing medication orders [ 10 ]. Initiatives by nurse managers to enhance workplace conditions positively impact the implementation of orders by nurses [ 11 ]. Additionally, creating an environment where nurses can report errors in the implementation of medical orders without fear of consequences is crucial [ 10 ].…”