Assessment of Inter-Professional Collaboration Between Nurses and Physicians Working at Tikur Anbessa Specialized Hospital Addis Abeba, Ethiopia, 2015
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Date
2015-06
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Addis Ababa University
Abstract
Introduction: Collaboration between Nurses and Physicians is important in health institutions
where most activities are team-performed. Ineffective nurse-physician collaboration affects patient
outcome, nurses’ job satisfaction and organizational cost and is challenged by personal,
interpersonal and organizational factors.
Objective: The aim of this study was to assess inter professional collaboration between nurses and
physicians working at Tikur Anbessa specialized Hospital.
Method: Institution based descriptive cross sectional study was employed from March to April,
2015 using self- administered questionnaire. Systematic random sampling technique was used to
select 293 professionals. Data was entered using epi info version 3.5.3 and exported to SPSS version
20 for cleaning and farther analysis. Descriptive statistics was presented by frequency tables,
percentages and measures of central tendency and dispersion. Student t-test was used to evaluate
mean difference and p-value <0.05 was considered as significant.
Result: Nurses demonstrate more favorable total Jefferson scale of attitude than physicians (p –
value 0.003) with mean score of 49.18 (SEM 0.39) and 46.64 (SEM 0.89) respectively.
Nurses demonstrate more frequent collaborative behavior than physicians with mean score of
76.79(SEM 1.09) and 73.49(SEM 1.98) respectively but it was not significant (p - 0.12). There was
no significance difference based on sex, age, and service year with regard to total Jefferson scale of
attitude towards nurse-physician collaboration. The younger age group showed more frequent
collaborative behavior compared to old age groups with mean value 78.61±16.70, 72.58±15.36(p
value - 0.002). And the respondents with short service year showed more frequent collaborative
behavior compared to respondents with long term service year with mean value 80.00±17.28,
69.81±12.64 (t=5.44 and p value - 0.000).
Conclusion: This study identified that majority of the respondents have favorable total attitude
towards nurse-physician collaboration and infrequent collaborative behavior in overall NPCS.As
compared with physician nurses had more favorable attitudes towards collaboration specifically
toward “shared education”. And also as compared with physicians, nurses had more frequent collab
orative behavior, in subscales of “Decision making process”
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Keywords
Tikur Anbessa Specialized Hospital