Association between the Quantity of Nurse–Doctor Interprofessional Collaboration and in-Patient Mortality: A Systematic Review
Abstract
:1. Background
2. Methods
2.1. Eligibility Criteria
2.2. Information Sources
2.3. Search Strategy
2.4. Selection Process
2.5. Multiple Papers from a Single Study
2.6. Checking for Retraction
2.7. Data Collection Process
2.8. Data Items
2.9. Study Risk of Bias Assessment
2.10. Protocol Amendment
3. Results
3.1. Study Selection
3.2. Study Characteristics
3.3. Clinical Settings
3.4. Study Participants
3.5. Definition of Mortality in the Included Studies
3.6. Description of the Measures of the Quantity of Nurse–Doctor Collaboration
3.7. Decision about Transfer (DAT)
3.8. Collaboration and Satisfaction about Care Decisions (CSACD)
3.9. Practice Environment Scale of the Nurse Work Index (PES-NWI)
3.10. Quality Appraisal
3.11. Results of Individual Studies
3.12. Meta-Analysis
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Citation | Additional Citation | Study Site | Study Type | Study Participants | Measure of the Quantity of Interprofessional Collaboration (Score Range) | Perceived Quantity of Nurse –Doctor Collaboration Mean (SD) | Outcome |
---|---|---|---|---|---|---|---|
Baggs (1990) 1 [21] | Baggs et al. (1992) [22] | 17-bed medical ICU | prospective, observational | Patient (n = 286) Nurse (n = 56) Doctor (n = 31) | Decision About Transfer (1–7) | Nurse: 4.1 (2.2) Doctor: 4.4 (2.0) | Nurses’ reported collaboration not associated with mortality of patients (B = −0.25, t = −1.83, p = 0.068). A significant association between nurses’ reported collaboration and negative patient outcomes (B = −0.22, t = −2.34, p = 0.020). No association between doctors’ reported collaboration and negative patient outcomes. |
Baggs et al. (1999) [23] | Baggs et al. 2 (1994) [26] | ICUs from three hospitals 16-bed medical ICU, 20-bed surgical ICU, 7-bed mixed ICU | prospective observational | Patient (n = 1432) Nurse (n = 162) Doctor (n = 160) [Resident doctor (n = 63), Attending doctor (n = 97)] | Collaboration and Satisfaction about Care Decisions (CSACD) scale (1–49) | Medical ICU 3 Nurse: 30.7 Doctor: 31.1 Surgical ICU 3 Nurse: 24.6 Resident: 27.8 Attending: 37.5 Mixed ICU 3 Nurse: 30.6 Doctor: 31.9 | The association between collaboration and patient mortality was not reported in the manuscript. A significant association between nurses’ reported collaboration and negative patient outcomes (p = 0.037) in MICU. No association between nurses’ reported collaboration and negative patient outcomes in surgical and mixed ICUs. No statistically significant association between doctors’ reported collaboration and negative patient outcomes in any of the three ICUs. |
Kang (2016) 1 [24] | Kang et al. (2020) [25] | Adult acute care hospitals (n = 665) | secondary data analysis | Patient (n = 1,321,904) Nurse (n = 29,391) | Nurse–physician relations subscale (1–4) in the Practice Environment Scale of the Nurse Work Index | Nurse: 2.90 (0.22) | A significant association between collaboration and patient outcomes [OR = 0.98, 95% CI = 0.96, 0.999, p < 0.001] even after controlling for patient and hospital characteristics, nurse teamwork, and education. |
Scheme 1990 | Criteria | Baggs (1990) [21] | Baggs et al. (1999) [23] | Kang (2016) [24] |
---|---|---|---|---|
A | Selection bias | Strong | Moderate | Moderate |
B | Study design | Weak | Weak | Weak |
C | Confounders | Weak | Weak | Weak |
D | Blinding | Weak | Weak | Weak |
E | Data collection methods | Strong | Strong | Strong |
F | Withdrawals and drop-outs | Not applicable | Not applicable | Not applicable |
G | Intervention integrity | - | - | - |
H | Analysis | - | - | - |
Global Rating 1 Strong (no weak ratings) 2 Moderate (one weak rating) 3 Weak (two or more weak ratings) | Weak | Weak | Weak |
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Pantha, S.; Jones, M.; Moyo, N.; Pokhrel, B.; Kushemererwa, D.; Gray, R. Association between the Quantity of Nurse–Doctor Interprofessional Collaboration and in-Patient Mortality: A Systematic Review. Int. J. Environ. Res. Public Health 2024, 21, 494. https://doi.org/10.3390/ijerph21040494
Pantha S, Jones M, Moyo N, Pokhrel B, Kushemererwa D, Gray R. Association between the Quantity of Nurse–Doctor Interprofessional Collaboration and in-Patient Mortality: A Systematic Review. International Journal of Environmental Research and Public Health. 2024; 21(4):494. https://doi.org/10.3390/ijerph21040494
Chicago/Turabian StylePantha, Sandesh, Martin Jones, Nompilo Moyo, Bijaya Pokhrel, Diana Kushemererwa, and Richard Gray. 2024. "Association between the Quantity of Nurse–Doctor Interprofessional Collaboration and in-Patient Mortality: A Systematic Review" International Journal of Environmental Research and Public Health 21, no. 4: 494. https://doi.org/10.3390/ijerph21040494
APA StylePantha, S., Jones, M., Moyo, N., Pokhrel, B., Kushemererwa, D., & Gray, R. (2024). Association between the Quantity of Nurse–Doctor Interprofessional Collaboration and in-Patient Mortality: A Systematic Review. International Journal of Environmental Research and Public Health, 21(4), 494. https://doi.org/10.3390/ijerph21040494