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ABSTRACT

Background: Relationship between physicians and nurses is for achieving a common goal, i.e., improving the health status of the patient. Creating a correct relationship is an important characteristic for practitioners’ in primary health care. Considering the importance of the communication and collaboration among physicians and nurses in order to promote the quality of patients care, this study was done to determine the condition of the professional relation between physicians and nurses from their own point of view.

Methods: In this descriptive-analytic study, using simple random sampling method, 110 physicians and nurses in teaching hospitals of Ardabil were selected. A questionnaire in cluding 22 question for the physicians and 25 questions for the nurses was used to data collection. Data was analyzed with descriptive and analytical tests, by SPSS v.17 software.

Results: The findings showed that 57/4 percent of nurses reported good communication and 42/6 percent moderate communication with physicians while 80% of physicians reported good interaction and just 20% of them declared it in a moderate level. 74.5 percent of the physicians believed that good communication can affect the patients improvement, while in nurses’opinion of view the most important disrupting factor in nurse-physician relation was the disregarding nurses’ clinical skills.

Conclusion: Results evaluoted that in approximately half of nurses, nurse-physician relations was not evaluoted good. While, keeping good relationship between them could be helpful in improving of�care�quality.�So, educational systems can be effective in enhancing nurse-physicians’ professional relationship by educating proper communicational skills.

Keywords: Professional Relationship, Physician, Nurse

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  Background & objectives: Despite the long history of neonatal resuscitation program, there are still major concerns about poor neonatal resuscitation performance (NRP) in hospitals. Since addressing the barriers to successful NRP may help preventing the potential risks to future neonates, the present study aimed to identify such barriers from the perspective of nurses and physicians.

  Methods: In a descriptive-analytic study in 2013, 119 nurses and 85 physicians, employed at five teaching hospitals affiliated to Shahid Beheshti and Iran University of Medical Sciences were selected based on criteria for the study . Data were collected through a researcher-made questionnaire. All data were analyzed by SPSS v.16, descriptive (frequency, mean, and standard deviation) and inferential statistics (Fisher exact test, T test and chi-square).

  Results: From total samples, 95 nurses (80%) and 75 physicians (88%) had an experience of doing resuscitation. The most important barriers to successful NRP from nurses and physicians point of view were: stress and tension in resuscitation (88.6%), failure to select team members based on work experience and skills in resuscitation (88.2%), and organize them to perform the steps of resuscitation (84.9%), abnormalities and serious respiratory problems (84.9%), low gestational age of newborn (81.5%), lack of safety (80.7%) and sufficiency of equipments (79%), high workload (79.8%), lack of training courses (78.2%) and inadequate skills (79.8%).

  Conclusion: According to the perspectives about NRP, greater attention of hospital officials would be necessary to form a team of competent and coherent NR and personnel training who involved in NR by emphasizing and clarifying these barriers.

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Background & aim: Inappropriate collaboration between nurse-physician effects on patient outcomes, job satisfaction of nurses, and hospital costs. This study aimed to determine nurses and physicians attitude toward nurse-physician collaboration in intensive care units of Ardabil.
Methods: This descriptive correlational study was performed on 126 nurses and 61 physicians working in intensive care units of educational and therapeutic centers of Ardabil University of Medical Sciences. Data were collected using the Jefferson scale of attitudes toward the nurse-physician collaboration. Descriptive statistics (mean, standard deviation and frequency) and inferential statistics (T-test and one-way ANOVA) were used to analyze the data.
Results: The mean scores of the nurse-physician collaboration from nurses and physicians viewpoints were 47.83±3.9 and 47.85±4.25, respectively. There was no significant difference between attitudes of nurses and physicians toward collaboration (p=0.97). Comparing the scores of nurses-physicians in the four areas showed asignificant difference in “care vs. treatment” (p=0.025) and “nurses autonomy” (p=0.008) areas.
Conclusion: The results showed that nurses and physicians had a positive attitude toward nurse-physician collaboration. However, in some areas of collaboration, there are still differences in the attitudes of nurses and physicians. Given the importance of nurse-physician collaboration, especially in intensive care units, planning is needed to improve their attitude toward collaboration.

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Background & aim: Workplace incivility is one of the destructive behaviors in any organization, especially in the organizations providing health services. The purpose of this study was to assess the perceived incivility among nurses working in four educational-hospitals affiliated to Ardabil University of Medical Sciences (ARUMS).
Methods: This study was a descriptive-correlational design. Study population were all nurses working in educational hospitals in the city of Ardabil. Through a consensus sampling approach, the Guidroz's “Incivility in Workplace Questionnaire” was given to all nurses working hospitals affiliated to ARUMS and 600 out of 900 nurses returned the completed questionnaires. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA and Pearson correlation coefficient in SPSS software.
Results: 500 persons (83.3%) from 600 nurses participating in the study were female. The findings showed that perceived incivility among nurses originates from physicians (3.63±0.94), patient-family (2.99±0.85), general incivility (2.80±0.75), head nurses or supervisors (2.75±0.85), and other nursing colleagues (2.71±0.69). In addition, the differences between the mean scores of perceived incivility between these five sources were statistically significant (p<0.001).
Conclusion: Based on the findings of this study, nurses experience incivility from various sources especially from physicians and patients. So, it is necessary for hospital managers to address and resolve the uncivil behaviors through continuous education, role clarification, and improving the nursing’s image in the society.