DOI: https://doi.org/10.14710/nmjn.v11i3.41065

The Association of Work Environments and Nurse-Nurse Collaboration: A Multicenter Cross-Sectional Study

Roya Ghasemi  -  MSc Student in Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Iran, Islamic Republic of
*Mansour Ghafourifard orcid  -  Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Iran, Islamic Republic of
Hadi Hassankhani  -  Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Iran, Islamic Republic of
Javad Dehghannezhad  -  Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Iran, Islamic Republic of
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Abstract

Background: Along with the recent healthcare reform, intraprofessional collaboration in nursing is considered an essential factor for managing the challenges related to diverse roles and tasks of nurses in providing high quality care. There is lack of knowledge on how the nursing work environment could influence nurse-nurse collaboration.   

Purpose: The study aimed to assess the relationship between nursing work environment and nurses’ intraprofessional collaboration.

Methods: A total of 300 nurses working in four teaching hospitals participated in this multicenter cross-sectional study. Data were collected using the Nurse-Nurse Collaboration Scale (NNCS) and the Practice Environment Scale of the Nursing Work Index (PES–NWI). The Pearson correlation test was used to analyze the data.

Results: The results showed that the mean score of the PES–NWI was 2.65±0.32 out of 4. The highest and lowest scores belonged to the subscales of the nursing foundations for quality of care (2.86±0.31) and staffing and resource adequacy (2.24±0.49), respectively. The mean total score of nurse-nurse collaboration was 2.94±0.21 out of a score of 4. The results showed a significant positive relationship between nursing work environment and nurses’ intraprofessional collaboration (r=0.49, p<0.05).

Conclusion: The nursing practice environment has a positive and significant relationship with nurse-nurse collaboration. Therefore, improving nurses’ practice environment and providing healthy workplaces could improve the intraprofessional nurse’s collaboration. Moreover, nurse managers should improve nurses’ skills in some areas of collaboration such as conflict management.
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Keywords: Intraprofessional collaboration; nurse-nurse collaboration; nurses; work environment
Funding: Tabriz University of Medical Sciences

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  2. Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., McKee, M., Bruyneel, L., Rafferty, A. M., Griffiths, P., & Moreno-Casbas, M. T. (2012). Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ, 344, e1717. https://doi.org/10.1136/bmj.e1717
  3. Al-Hamdan, Z. M., Alyahia, M., Al-Maaitah, R., Alhamdan, M., Faouri, I., Al-Smadi, A. M., & Bawadi, H. (2021). The relationship between emotional intelligence and nurse–nurse collaboration. Journal of Nursing Scholarship, 53(5), 615-622. https://doi.org/10.1111/jnu.12687
  4. Chiarella, M., Currie, J., & Wand, T. (2020). Liability and collaborative arrangements for nurse practitioner practice in Australia. Australian Health Review, 44(2), 172-177. https://doi.org/10.1071/AH19072
  5. Choi, S. P. P., Cheung, K., & Pang, S. M. C. (2013). Attributes of nursing work environment as predictors of registered nurses’ job satisfaction and intention to leave. Journal of Nursing Management, 21(3), 429-439. https://doi.org/10.1111/j.1365-2834.2012.01415.x
  6. Di Prospero, L., & Bhimji-Hewitt, S. (2011). Teaching collaboration: A retrospective look at incorporating teamwork into an interprofessional curriculum. Journal of Medical Imaging and Radiation Sciences, 42(3), 118-123. https://doi.org/10.1016/j.jmir.2011.06.003
  7. Dougherty, M. B., & Larson, E. L. (2010). The nurse-nurse collaboration scale. Journal of Nursing Administration, 40(1), 17-25. https://doi.org/10.1097/NNA.0b013e3181c47cd6
  8. Durmuş, S., Ekici, D., & Yildirim, A. (2018). The level of collaboration amongst nurses in Turkey. International Nursing Review, 65(3), 450-458. https://doi.org/10.1111/inr.12440
  9. Durmuş, S. Ç., & Yıldırım, A. (2016). Adaptation to Turkish of nurse–nurse collaboration scale. Journal of Human Sciences, 13(2), 3521-3528. https://doi.org/10.14687/jhs.v13i2.3990
  10. Elmi, S. (2013). Validity and reliability practice environment scale of the Nursing Work Index (Master’s thesis). Tabriz University of Medical Sciences
  11. Flynn, L., Liang, Y., Dickson, G. L., & Aiken, L. H. (2010). Effects of nursing practice environments on quality outcomes in nursing homes. Journal of the American Geriatrics Society, 58(12), 2401-2406. https://doi.org/10.1111/j.1532-5415.2010.03162.x
  12. Gabriel, A. S., Erickson, R. J., Moran, C. M., Diefendorff, J. M., & Bromley, G. E. (2013). A multilevel analysis of the effects of the Practice Environment Scale of the Nursing Work Index on nurse outcomes. Research in Nursing & Health, 36(6), 567-581. https://doi.org/10.1002/nur.21562
  13. Galletta, M., Portoghese, I., Carta, M. G., D'Aloja, E., & Campagna, M. (2016). The effect of nurse‐physician collaboration on job satisfaction, team commitment, and turnover intention in nurses. Research in Nursing & Health, 39(5), 375-385. https://doi.org/10.1002/nur.21733
  14. Hassona, F., & El-Aziz, M. (2017). Relation between nurse-nurse collaboration and missed nursing care among intensive care nurses. IOSR Journal of Nursing and Health Science, 6(2), 28-35. https://doi.org/10.9790/1959-0602092835
  15. Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607-610. https://doi.org/10.1177/001316447003000308
  16. Lake, E. T. (2002). Development of the practice environment scale of the Nursing Work Index. Research in Nursing & Health, 25(3), 176-188. https://doi.org/10.1002/nur.10032
  17. Lapeña, L. F. R., Tuppal, C. P., Loo, B. G. K., & Abe, K. H. (2017). Transformational and transactional leadership styles of nurse managers and job satisfaction among Filipino nurses: A pilot study. Nurse Media Journal of Nursing, 7(2), 65-78. https://doi.org/10.14710/nmjn.v7i2.15171
  18. Lee, Y. J., & Hwang, J. I. (2019). Relationships of nurse-nurse collaboration and nurse-physician collaboration with the occurrence of medical errors. Journal of Korean Academy of Nursing Administration, 25(2), 73-82. https://doi.org/10.11111/jkana.2019.25.2.73
  19. Lemetti, T,, Puukka, P., Stolt, M., & Suhonen, R. (2021). Nurse‐to‐nurse collaboration between nurses caring for older people in hospital and primary health care: A cross‐sectional study. Journal of Clinical Nursing, 30(7-8), 1154-1167. https://doi.org/10.1111/jocn.15664
  20. Lemetti, T., Voutilainen, P., Stolt, M., Eloranta, S., & Suhonen, R. (2017). An enquiry into nurse-to-nurse collaboration within the older people care chain as part of the integrated care: A qualitative study. International Journal of Integrated Care, 17(1), 1-11. https://doi.org/10.5334/ijic.2418
  21. Liao, C., Qin, Y., He, Y., & Guo, Y. (2015). The Nurse–Nurse Collaboration Behavior Scale: Development and psychometric testing. International Journal of Nursing Sciences, 2(4), 334-339. https://doi.org/10.1016/j.ijnss.2015.10.005
  22. Ma, C., Park, S. H., & Shang, J. (2018). Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A cross-sectional study. International Journal of Nursing Studies, 85, 1-6. https://doi.org/10.1016/j.ijnurstu.2018.05.001
  23. Mohammadzadeh, A., Asghari, E., & Ghafourifard, M. (2021). Work index and contextual variables as predictors of emergency nurses’ career success. Nurse Media Journal of Nursing, 11(2), 210-218. https://doi.org/10.14710/nmjn.v11i2.37875
  24. Moore, J., & Prentice, D. (2013). Collaboration among nurse practitioners and registered nurses in outpatient oncology settings in Canada. Journal of Advanced Nursing, 69(7), 1574-1583. https://doi.org/10.1111/jan.12017
  25. Moisoglou, I., Yfantis, A., Tsiouma, E., & Galanis, P. (2020). The work environment of haemodialysis nurses and its mediating role in burnout. Journal of Renal Care, 47(2), 133-140. https://doi.org/10.1111/jorc.12353
  26. Nantsupawat, A., Kunaviktikul, W., Nantsupawat, R., Wichaikhum, O. A., Thienthong, H., & Poghosyan, L. (2017). Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. International Nursing Review, 64(1), 91-98. https://doi.org/10.1111/inr.12342
  27. O'Leary, K. J., Haviley, C., Slade, M. E., Shah, H. M., Lee, J., & Williams, M. V. (2011). Improving teamwork: Impact of structured interdisciplinary rounds on a hospitalist unit. Journal of Hospital Medicine, 6(2), 88-93. https://doi.org/10.1002/jhm.714
  28. Pakpour, V., Ghafourifard, M., & Salimi, S. (2019). Iranian nurses’ attitudes toward nurse-physician collaboration and its relationship with job satisfaction. Journal of Caring Sciences, 8(2), 111-116. https://doi.org/10.15171/jcs.2019.016
  29. Parker, D., Tuckett, A., Eley, R., & Hegney, D. (2010). Construct validity and reliability of the Practice Environment Scale of the Nursing Work Index for Queensland nurses. International Journal of Nursing Practice, 16(4), 352-358. https://doi.org/10.1111/j.1440-172X.2010.01851.x
  30. Piasecka, H., Woźniak, K., & Kiljańska, M. (2015). Cooperation of a nurse and a doctor in the outpatient care of patients with the most common sudden illnesses. Journal of Public Health, Nursing and Medical Rescue, 164(4), 18-23
  31. Prentice, D., Moore, J., Crawford, J., Lankshear, S., & Limoges, J. (2020). Collaboration among registered nurses and licensed practical nurses: A scoping review of practice guidelines. Journal of Nursing research, 20, 1-7. https://doi.org/10.1155/2020/5057084
  32. Prezerakos, P., Galanis, P., & Moisoglou, I. (2015). The work environment of haemodialysis nurses and its impact on patients’ outcomes. International Journal of Nursing Practice, 21(2), 132-140. https://doi.org/10.1111/ijn.12223
  33. Rivaz, M., Tavakolinia, M., & Momennasab, M. (2021). Nursing professional practice environment and its relationship with nursing outcomes in intensive care units: A test of the structural equation model. Scandinavian Journal of Caring Sciences, 35(2), 609-615. https://doi.org/10.1111/scs.12877
  34. Rydenfält, C., Johansson, G., Larsson, P. A., Åkerman, K., & Odenrick, P. (2012). Social structures in the operating theatre: How contradicting rationalities and trust affect work. Journal of Advanced Nursing, 68(4), 783-795. https://doi.org/10.1111/j.1365-2648.2011.05779.x
  35. Sanjar, M., Shirazi, F., Heidarii, S., Mirzabeigi, G., & Salemi, S. (2012). Assessing nurses’ attitudes toward clinical environment. Quarterly Journal of Nursing Management, 1(2), 9-19
  36. Sapar, L., & Oducado, R. M. F. (2021). Revisiting job satisfaction and intention to stay: A cross-sectional study among hospital nurses in the Philippines. Nurse Media Journal of Nursing, 11(2), 133-143. https://doi.org/10.14710/nmjn.v11i2.36557
  37. Sevilla-Zeigen, N. (2016). A grounded theory approach to healthy work environment: Its impact on nurses, patient safety, and significance in healthcare settings. [Doctoral dissertation, University of San Diego]. https://digital.sandiego.edu/dissertations/57/
  38. Stewart, M. A. (2018). Stuck in the middle: The impact of collaborative interprofessional communication on patient expectations. Shoulder Elbow, 10(1), 66-72. https://doi.org/10.1177/1758573217735325
  39. Tsai, Y. (2011). Relationship between organizational culture, leadership behavior and job satisfaction. BMC Health Services Research, 11(98), 1-9. https://doi.org/10.1186/1472-6963-11-98
  40. Valizadeh, L., Zamanzadeh, V., Dewar, B,, Rahmani, A., & Ghafourifard, M. (2018). Nurse’s perceptions of organisational barriers to delivering compassionate care: A qualitative study. Nursing Ethics, 25(5), 580-590. https://doi.org/10.1177/0969733016660881
  41. Wei, H., Sewell, K. A., Woody, G., & Rose, M. A. (2018). The state of the science of nurse work environments in the United States: A systematic review. International Journal of Nursing Sciences, 5(3), 287-300. https://doi.org/https://doi.org/10.1016/j.ijnss.2018.04.010
  42. Ylitörmänen, T., Turunen, H., Mikkonen, S., & Kvist, T. (2019). Good nurse–nurse collaboration implies high job satisfaction: A structural equation modelling approach. Nursing Open, 6(3), 998-1005. https://doi.org/10.1002/nop2.279
  43. Zamanzadeh, V., Valizadeh, L., Rahmani, A., & Ghafourifard, M. (2017). Compassionate care in nursing: A hybrid concept analysis. Hayat, 22(4), 362-380. http://hayat.tums.ac.ir/article-1-1655-en.html
  44. Zamanzadeh, V., Valizadeh, L., Rahmani, A., van der Cingel, M., & Ghafourifard M. (2018). Factors facilitating nurses to deliver compassionate care: A qualitative study. Scandinavian Journal of Caring Sciences, 32(1), 92-97. https://doi.org/10.1111/scs.12434
  45. Zeleníková, R., Jarošová, D., Plevová, I., & Janíková, E. (2020). Nurses’ perceptions of professional practice environment and its relation to missed nursing care and nurse satisfaction. International Journal of Environmental Research and Public Health, 17(11), 3805
  46. Zhang, L., Huang, L., Liu, M., Yan, H., & Li, X. (2016). Nurse–physician collaboration impacts job satisfaction and turnover among nurses: A hospital‐based cross‐sectional study in Beijing. International Journal of Nursing Practice, 22(3), 284-290. https://doi.org/10.1111/ijn.12424

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