The Association of Nurse–Physician Teamwork and Mortality in Surgical Patients
In this study we describe nurse–physician teamwork, estimate its association with surgical patient outcomes (30-day mortality and failure-to-rescue), and determine whether these relationships depend upon other modifiable hospital nursing characteristics (nurse staffing and education levels) known to...
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| Veröffentlicht in: | Western journal of nursing research 2020-04, Vol.42 (4), p.245-253 |
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| container_title | Western journal of nursing research |
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| creator | Kang, Xiao Linda Brom, Heather M. Lasater, Karen B. McHugh, Matthew D. |
| description | In this study we describe nurse–physician teamwork, estimate its association with surgical patient outcomes (30-day mortality and failure-to-rescue), and determine whether these relationships depend upon other modifiable hospital nursing characteristics (nurse staffing and education levels) known to be associated with patient outcomes. This cross-sectional analysis included linked data from 29,391 nurses representing 665 acute care hospitals and 1,321,904 adult patients who underwent a general surgical, vascular, or orthopedic procedure. Surgical patients cared for in hospitals with better nurse–physician teamwork had significantly lower odds of 30-day mortality (odds ratio [OR] = 0.95) and failure-to-rescue (OR = 0.95). In addition, the odds of death and failure-to-rescue were lower for patients in hospitals with both higher nurse–physician teamwork and more favorable patient-to-nurse staffing ratios. Similar trends were observed related to nursing education levels. Improving interprofessional teamwork is one strategy to improve patient outcomes with the added importance of also considering additional features of their nursing workforce. |
| doi_str_mv | 10.1177/0193945919856338 |
| format | Article |
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This cross-sectional analysis included linked data from 29,391 nurses representing 665 acute care hospitals and 1,321,904 adult patients who underwent a general surgical, vascular, or orthopedic procedure. Surgical patients cared for in hospitals with better nurse–physician teamwork had significantly lower odds of 30-day mortality (odds ratio [OR] = 0.95) and failure-to-rescue (OR = 0.95). In addition, the odds of death and failure-to-rescue were lower for patients in hospitals with both higher nurse–physician teamwork and more favorable patient-to-nurse staffing ratios. Similar trends were observed related to nursing education levels. 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This cross-sectional analysis included linked data from 29,391 nurses representing 665 acute care hospitals and 1,321,904 adult patients who underwent a general surgical, vascular, or orthopedic procedure. Surgical patients cared for in hospitals with better nurse–physician teamwork had significantly lower odds of 30-day mortality (odds ratio [OR] = 0.95) and failure-to-rescue (OR = 0.95). In addition, the odds of death and failure-to-rescue were lower for patients in hospitals with both higher nurse–physician teamwork and more favorable patient-to-nurse staffing ratios. Similar trends were observed related to nursing education levels. Improving interprofessional teamwork is one strategy to improve patient outcomes with the added importance of also considering additional features of their nursing workforce.</description><subject>Acute services</subject><subject>Clinical outcomes</subject><subject>Cross-Sectional Studies</subject><subject>Education, Nursing, Baccalaureate - statistics & numerical data</subject><subject>Female</subject><subject>Hospitals</subject><subject>Hospitals - statistics & numerical data</subject><subject>Humans</subject><subject>Interdisciplinary aspects</subject><subject>Male</subject><subject>Medical education</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Nurse-Patient Relations</subject><subject>Nursing</subject><subject>Patients</subject><subject>Physician-Nurse Relations</subject><subject>Physicians</subject><subject>Retrospective Studies</subject><subject>Staffing</subject><subject>Surgeons</subject><subject>Surgical Procedures, Operative - mortality</subject><subject>Surgical Procedures, Operative - statistics & numerical data</subject><subject>Teamwork</subject><subject>Time Factors</subject><subject>Workforce</subject><subject>Workforce planning</subject><issn>0193-9459</issn><issn>1552-8456</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kclOwzAQhi0EgrLcOSFLXLgEvCbxBQlVbBJLJcrZchynNaQx2AmoN96BN-RJcNVSFonTSPN__z8zGgB2MTrEOMuOEBZUMC6wyHlKab4CephzkuSMp6ugN5OTmb4BNkN4QAgRhsk62KCYYE5Z3gOD4djAkxCctqq1roGugjedD-bj7X0wngYb-w0cGjV5df4RqqaE1863qrbtFNoG3nV-ZLWq4SDaTdOGbbBWqTqYnUXdAvdnp8P-RXJ1e37ZP7lKNEtJmxSVZnEdRZVRBKfcCKLylPOcYSGELowmFBWMIUVLkmUVLREXBSKEx0Ze5nQLHM9zn7piYkodZ3tVyydvJ8pPpVNW_lYaO5Yj9yJTQVCKaAw4WAR499yZ0MqJDdrUtWqM64IkhFEmcEpm6P4f9MF1vonnSUIzRDMmWBYpNKe0dyF4Uy2XwUjO3iX_vita9n4esTR8_ScCyRwIamS-p_4b-An4Qp2N</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Kang, Xiao Linda</creator><creator>Brom, Heather M.</creator><creator>Lasater, Karen B.</creator><creator>McHugh, Matthew D.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4295-6372</orcidid></search><sort><creationdate>20200401</creationdate><title>The Association of Nurse–Physician Teamwork and Mortality in Surgical Patients</title><author>Kang, Xiao Linda ; 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| subjects | Acute services Clinical outcomes Cross-Sectional Studies Education, Nursing, Baccalaureate - statistics & numerical data Female Hospitals Hospitals - statistics & numerical data Humans Interdisciplinary aspects Male Medical education Middle Aged Mortality Nurse-Patient Relations Nursing Patients Physician-Nurse Relations Physicians Retrospective Studies Staffing Surgeons Surgical Procedures, Operative - mortality Surgical Procedures, Operative - statistics & numerical data Teamwork Time Factors Workforce Workforce planning |
| title | The Association of Nurse–Physician Teamwork and Mortality in Surgical Patients |
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