رسائل ماجيستير
English
2022
Nurses' perception about the impact of nurse/physician collaboration on the quality of health services in medical departments at governmental hospitals in Gaza Strip
عماد جمال احمد العسلي, يوسف م. عواد
كلية المهن الصحية - العلوم الطبية المساندة-جامعة القدس · فلسطين
This study aims to assess the perception of nurses toward nurse/physician collaboration in medical departments at governmental hospitals in Gaza Strip (GS) to determine their effect on the quality of health services. The study design was descriptive, analytical, and cross-sectional. The study sample used census sampling, which means selecting all nurses who were working in internal medical departments at governmental hospitals in GS. The study population were 209 nurses with a response rate of 92.3% (193 nurses). Data were collected by the self-administered questionnaire of the Jefferson Scale of Attitudes toward NPC and another developed questionnaire by the researcher to reflect nurses' perceptions of the quality of health services.
Analysis of the data was undertaken using IBM SPSS Ver. 22 Statistics, and the study findings were as follows: The study results indicate that most of the participants were female, representing 52.3%, and 74.1% of the participants were married. According to the age group, 51.8% of participants were between 30 to 40 years. According to academic qualifications, 74.1% of participants have a bachelor's degree. Most of the participants have experience in nursing less than 10 years, about 65.3%, but experience in the medical department shows that 62.7% have less than 5 years.
This study found a high level of NPC with a RW of (74.14%) from the point of view of nurses. This means a positive perception toward NPC from the nurse’s point of view. The nurse autonomy dimension ranked first with a RW of (82.20%), followed by the shared education & collaboration dimension (80.14%). However, the responsibility and role dimension ranked third with a RW of (77.20%), while physician authority ranked last with a RW of (57.0%).
Regarding the level of quality health care, there is a high level of quality health care with a RW of (75.20%) in medical departments at governmental hospitals in GS from the nurses' point of view. The dimension of "Timely" was ranked 1st with RW (80.31%), "Integrated" ranked 2nd with RW (79.03%), "People-centered" ranked 3rd with RW (78.55%), "Efficient" ranked 4th with RW (77.94%), "Safety" ranked 5th with RW (70.94%), and "Effective" ranked 6th with RW (65.81%).
According to the relationship between the perception of nurses toward NPC and the level of quality health services, the study found a positive relationship, which means the increased perception of nurses toward NPC can increase the quality of health services. While regarding the relationship between the perception of nurses toward nurse/physician collaboration and socio-demographic variables, there was no relationship between the perception of nurses toward NPC and gender, age, experience, and education level.
The study concluded that the relationship between the perception of nurses toward NPC and the level of quality health care is a positive correlation. It is imperative for physicians, nurses, healthcare executives, and organizational leaders who are responsible for NPC to become actively involved in creating structures that promote effective nurse-physician communication and collaboration. The researcher has recommended initiating and developing mutually respectful inter-professional relationships between nurses and physicians to increase the quality of health services in governmental hospitals.
