Collective Self-esteem and Attitudes Toward Collaboration as Predictors to Collaborative Practice Behaviors Used by Registered Nurses and Physicians in Acute Care Hospitals
Review TypeNone: Degree-based Submission
Repository Posting Date2019-09-18T13:36:29Z
Author(s)Bankston, Karen D.
Author DetailsKaren D. Bankston, MSN, PhD, FACHE
Level of EvidenceOther
Research ApproachQuantitative Research
Beginning in 2000, the Institute of Medicine clearly established the importance of fostering interdisciplinary collaboration and teamwork with regard to improving patient care quality and safety in acute care hospitals. IOM documents also presented evidence of the positive impact that interdisciplinary collaboration and teamwork can have on other key dimensions of organizational performance. Interdisciplinary collaboration represents a significant issue confronting hospital and nursing executives, deans of colleges of nursing and medicine and practicing nurses and physicians. The aim of this study was to examine the extent to which collective self-esteem and attitudes toward collaboration were predictors to nurse-to-nurse, nurse-to-physician and physician to nurse collaborative practice behaviors in acute care hospitals. The conceptual framework used to guide the study was derived from social identity theory, symbolic interaction theory, and relevant published research on nurse physician collaboration in contemporary acute care hospitals. Three instruments were mailed to randomly selected registered nurses and physicians in southwest Ohio. Bivariate and multi-variable regression relationships were determined. In the prediction of nurse-to-nurse collaboration, a model comprised of attitudes toward collaboration (JSA) and collective self-esteem (CSE) revealed a significant contribution from JSA (t(88) = 5.58, p < .0001) and CSE (t(88) = 2.55, p < .0126). In the prediction of nurse-to-physician collaboration, a model comprised of JSA and CSE revealed a significant contribution from JSA (t(88) = 5.5, p < .0001) and a non-significant contribution from CSE (t(88) = 1.77, p = .08). A similar finding resulted when examining physician-to-nurse collaborative practice, where a significant contribution from JSA (t(63) = 5.23, p < .0001) and a nonsignificant contribution from CSE (t(63) = 0.08, p < 0.9366) was found.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3197001; ProQuest document ID: 305004634. The author still retains copyright.
Advisor(s)Workman, Linda L.
Degree GrantorUniversity of Cincinnati
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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