Nurses’ attitudes towards nurse-physician collaboration, their collaborative behaviours and associated demographic, organisational and relational factors in nurses working in the acute care context in Ireland and the United States of America

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dc.contributor.advisor McCarthy, Geraldine en
dc.contributor.advisor Coffey, Alice en
dc.contributor.author Bell, Miriam Louise
dc.date.accessioned 2018-10-24T09:10:39Z
dc.date.available 2018-10-24T09:10:39Z
dc.date.issued 2018
dc.date.submitted 2018
dc.identifier.citation Bell, M. L. 2018. Nurses’ attitudes towards nurse-physician collaboration, their collaborative behaviours and associated demographic, organisational and relational factors in nurses working in the acute care context in Ireland and the United States of America. PhD Thesis, University College Cork. en
dc.identifier.uri http://hdl.handle.net/10468/7038
dc.description.abstract Background: Despite collaborative practice being promoted as essential for the delivery of safe, quality patient care in acute hospitals in the 21st Century little evidence exists of collaboration in practice. However, the empirical evidence suggests that healthcare professionals’ attitudes towards nurse-physician collaboration are overwhelmingly positive. Aim: The aim of this research was to investigate the attitudes of nurses in Ireland and the United States of America (US) towards nurse-physician collaboration, nurses’ collaborative behaviours and associated demographic, organisational and relational factors. Design: The study design was descriptive correlational and cross-sectional. The sample comprised of 191 nurses in Ireland and 161 nurses in the US. The Jefferson Scale of Attitudes towards Physician-Nurse Collaboration (JSAPNC) was used to study nurses’ attitudes. The Nurse-Physician Collaboration Scale (NPCS) was used to investigate nurses’ collaborative behaviours. A new scale, based on D’Amour et al.’s (2008) work, was developed and used to investigate organisational and relational factors. Findings: Nurses in both groups were highly educated and were experienced. Both samples reported positive attitudes towards nurse-physician collaboration and moderate levels of collaborative behaviours. Statistically significant differences were found between the two groups for both attitudes (Ireland 3.58, SD 0.29; US 3.67, SD 0.24; p = 0.001) and behaviours (Ireland 2.58 SD 0.53; US 2.41, SD 0.73; p=0.014). No relationship was found between nurses’ attitudes towards collaboration and their collaborative behaviours (Irish sample r 0.077, p 0.297; US sample r 0.062, p 0.439) in either sample. Organisational and relational factors explained over 20% of the variation in collaborative behaviour for both groups and this finding was statistically significant. Conclusion: This study supports earlier findings of published research. What was surprising however was that no correlation was found between nurses’ attitudes towards collaboration and their collaborative behaviours in either sample. Further investigation is warranted around the processes surrounding collaboration in particular the organisational and relational factors which affect collaboration. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2018, Miriam Louise Bell. en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.subject Interprofessional collaboration en
dc.subject Nurse-physician collaboration en
dc.subject Attitudes en
dc.subject Behaviours en
dc.subject Organisational and relational factors en
dc.title Nurses’ attitudes towards nurse-physician collaboration, their collaborative behaviours and associated demographic, organisational and relational factors in nurses working in the acute care context in Ireland and the United States of America en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname DN - Doctor of Nursing en
dc.internal.availability Full text not available en
dc.check.info Not applicable en
dc.description.version Accepted Version
dc.description.status Not peer reviewed en
dc.internal.school Nursing and Midwifery en
dc.check.type No Embargo Required
dc.check.reason Not applicable en
dc.check.opt-out Yes en
dc.thesis.opt-out false
dc.check.embargoformat Embargo not applicable (If you have not submitted an e-thesis or do not want to request an embargo) en
ucc.workflow.supervisor g.mccarthy@ucc.ie
dc.internal.conferring Summer 2018 en


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© 2018, Miriam Louise Bell. Except where otherwise noted, this item's license is described as © 2018, Miriam Louise Bell.
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