Association between nurse-physician collaboration and patient outcomes in three intensive care units

Judith Gedney Baggs, Madeline H. Schmitt, Alvin I. Mushlin, Pamela H. Mitchell, Deborah H. Eldredge, David Oakes, Alan D. Hutson

    Research output: Contribution to journalArticle

    431 Scopus citations

    Abstract

    Objective: To investigate the association of collaboration between intensive care unit (ICU) physicians and nurses and patient outcome. Design: Prospective, descriptive, correlational study using self-report instruments. Settings: A community teaching hospital medical ICU, a university teaching hospital surgical ICU, and a community non-teaching hospital mixed ICU, all in upstate New York. Subjects: Ninety-seven attending physicians, 63 resident physicians, and 162 staff nurses. Procedure: When patients were ready for transfer from the ICU to an area of less intensive care, questionnaires were used to assess care providers' reports of collaboration in making the transfer decision. After controlling for severity of illness, the association between interprofessional collaboration and patient outcome was assessed. Unit-level organizational collaboration and patient outcomes were ranked. Measures: Healthcare providers' reported levels of collaboration, patient severity of illness and individual risk, patient outcomes of death or readmission to the ICU, unit-level collaboration, and unit patient risk of negative outcome. Main Results: Medical ICU nurses' reports of collaboration were associated positively with patient outcomes. No other associations between individual reports of collaboration and patient outcome were found. There was a perfect rank order correlation between unit-level organizational collaboration and patient outcomes across the three units. Conclusions: The study offered some support for the importance of physician-nurse collaboration in ICU care delivery, a variable susceptible to intervention and further study.

    Original languageEnglish (US)
    Pages (from-to)1991-1998
    Number of pages8
    JournalCritical care medicine
    Volume27
    Issue number9
    DOIs
    StatePublished - Oct 7 1999

    Keywords

    • Collaboration
    • Critical care
    • Decision-making
    • Intensive care
    • Intensive care unit discharge decisions
    • Intensive care unit patient transfer
    • Interprofessional relations
    • Nurse-physician relations
    • Patient outcomes

    ASJC Scopus subject areas

    • Critical Care and Intensive Care Medicine

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  • Cite this

    Baggs, J. G., Schmitt, M. H., Mushlin, A. I., Mitchell, P. H., Eldredge, D. H., Oakes, D., & Hutson, A. D. (1999). Association between nurse-physician collaboration and patient outcomes in three intensive care units. Critical care medicine, 27(9), 1991-1998. https://doi.org/10.1097/00003246-199909000-00045