PMID- 19793236
OWN - NLM
STAT- MEDLINE
DCOM- 20100929
LR  - 20151119
IS  - 1365-2834 (Electronic)
IS  - 0966-0429 (Linking)
VI  - 17
IP  - 7
DP  - 2009 Nov
TI  - The impact of nurse/physician collaboration on patient length of stay.
PG  - 796-803
LID - 10.1111/j.1365-2834.2008.00926.x [doi]
AB  - AIM: This study examines the relationship between nurse/physician collaboration 
      and patient length of stay (LOS). BACKGROUND: The quality of nurse/physician 
      relationships has been shown to have an impact on patient outcomes. As the acuity 
      level of patients admitted to hospitals continue to rise, the need for 
      collaboratively determined care is essential for avoiding errors and promoting 
      quality. METHODS: Data were collected on four units located in two Midwest 
      hospitals. Nurses (n = 135) were asked to complete a survey seeking perceptions 
      of nurse/physician collaboration. The survey data were then linked with patient 
      (n = 310) data, including LOS, diagnostic-related groups (DRG) category and other 
      patient-specific characteristics. RESULTS: Perceptions of nurse/physician 
      collaboration were positively linked with actual LOS (P < 0.001) and inversely 
      related to deviation from expected LOS (i.e. patient stay longer than expected) 
      (P < 0.01). Patients receiving care from nurses who perceived greater 
      collaboration were elderly and had higher levels of acuity. Longer LOS for these 
      patients may be a result of their higher acuity level. CONCLUSIONS AND 
      IMPLICATIONS FOR NURSING MANAGEMENT: This study found that collaboratively 
      determined care may result in longer LOS, but could prevent complications that 
      may otherwise go untreated. Nurse administrators must implement strategies that 
      foster the development of nurse/physician collaboration.
FAU - Tschannen, Dana
AU  - Tschannen D
AD  - Nursing Business andHealth Systems, University of Michigan, Ann Arbor, MI, USA. 
      djvs@umich.edu
FAU - Kalisch, Beatrice J
AU  - Kalisch BJ
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - J Nurs Manag
JT  - Journal of nursing management
JID - 9306050
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Attitude of Health Personnel
MH  - Confidence Intervals
MH  - *Cooperative Behavior
MH  - Cross-Sectional Studies
MH  - Female
MH  - Health Care Surveys
MH  - Humans
MH  - Length of Stay/*statistics & numerical data
MH  - Male
MH  - Michigan
MH  - Middle Aged
MH  - Nurse Administrators
MH  - *Physician-Nurse Relations
MH  - Regression Analysis
MH  - *Social Perception
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - United States
MH  - Young Adult
EDAT- 2009/10/02 06:00
MHDA- 2010/09/30 06:00
CRDT- 2009/10/02 06:00
PHST- 2009/10/02 06:00 [entrez]
PHST- 2009/10/02 06:00 [pubmed]
PHST- 2010/09/30 06:00 [medline]
AID - JNM926 [pii]
AID - 10.1111/j.1365-2834.2008.00926.x [doi]
PST - ppublish
SO  - J Nurs Manag. 2009 Nov;17(7):796-803. doi: 10.1111/j.1365-2834.2008.00926.x.