Primary Care Physicians’ Perceptions on Nurses’ Shared Responsibility for Quality of Patient Care: A Survey
Abstract
:1. Introduction
2. Materials and Methods
2.1. Setting and Study Population
2.2. Instrument
2.3. Data Collection
2.4. Data Analysis
3. Results
3.1. Respondent Characteristics
3.2. PCPs’ Perceptions on Nurses’ Shared Responsibility for the Improvement of Quality-of-Care
3.3. PCPs’ Perceptions on the Contribution of Nurses’ Actual Involvement to the Quality of Practice
3.4. Independent Predictors of PCPs’ Perceptions Regarding Nurses’ Responsibility for the Improvement of Quality-of-Care
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | 2010 N = 605 n (%) | 2020 N = 450 n (%) | p-Value * |
---|---|---|---|
Age | <0.001 | ||
<45 years | 157 (26) | 76 (17) | |
45–60 years | 333 (55) | 225 (50) | |
>60 years | 115 (19) | 149 (33) | |
Sex | NS | ||
Female | 226 (44) | 180 (40) | |
Male | 339 (56) | 270 (60) | |
Religion | <0.001 | ||
Jewish | 460 (76) | 320 (71) | |
Non-Jewish | 145 (24) | 130 (29) | |
Country of birth | <0.005 | ||
Israel | 242 (40) | 220 (49) | |
Other | 363 (60) | 230 (51) | |
Board certification | NS | ||
Family medicine | 248 (41) | 158 (35) | |
Internist | 121 (20) | 99 (22) | |
Non-specialist | 236 (39) | 193 (43) | |
Occupation | <0.001 | ||
Primary care physician | 557 (92) | 396 (88) | |
Specialist | 48 (8) | 54 (12) | |
Employment status | NS | ||
Employed by the health plan | 284 (47) | 189 (42) | |
Self-employed (independent contractor) | 170 (28) | 171 (38) | |
Both | 151 (25) | 90 (20) |
Extent of Involvement | 2010 Weighted % * | 2020 Weighted % * |
---|---|---|
To a very great extent | 17 | 25 |
To a great extent | 42 | 42 |
To a moderate extent | 26 | 21 |
To a small extent | 9 | 7 |
To a very small extent and not at all | 6 | 5 |
Primary Care Physicians’ Response to Survey Items | Respondents Who Perceived That Nurses Share Responsibility for Quality-of-Care to a Very Great Extent Weighted Percentage * (p-Value) | |
---|---|---|
2010 | 2020 | |
Psycho-social state affects medical condition and success of treatment | ||
To a very great extent | 43 (<0.001) | 52 (<0.001) |
Follow-up on indicators increases work overload | ||
To a very great extent | 42 (<0.001) | 46 (<0.001) |
Time devoted to follow-up and improvement of scores on indicators | ||
Up to 5% of the time | 34 (<0.001) | 48 (<0.001) |
Nurses contribute to quality-of-care | ||
To a very great extent | 78 (<0.001) | 86 (<0.001) |
Nurses share with me the performance measured | ||
Definitely agree | 63 (<0.001) | 70 (<0.001) |
I am responsible for the performance of some indicators and nurses—for others | ||
Definitely agree | 56 (<0.001) | 64 (<0.001) |
Variable | Entered as | Reference Group | B | SE B | Odds Ratio | p-Value |
---|---|---|---|---|---|---|
Age, years | 45–60 | <45 | −0.474 | 0.073 | 0.622 | <0.001 |
>60 | −0.310 | 0.085 | 0.734 | <0.001 | ||
Religion | Jewish | Non-Jewish | 0.672 | 0.082 | 1.958 | <0.001 |
Country of birth | Israel | Other countries | 1.040 | 0.071 | 2.830 | <0.001 |
Gender | Male | Female | −0.059 | 0.065 | 0.943 | 0.370 |
Board certification | Family physician | non-certified | −0.228 | 0.068 | 0.796 | <0.001 |
Internist/other | 0.266 | 0.108 | 1.305 | 0.014 | ||
Form of employment | Salaried | Self-employed | 0.198 | 0.079 | 1.219 | 0.012 |
Both salaried and self-employed | 0.261 | 0.089 | 1.298 | 0.003 | ||
Year of survey | 2020 | 2010 | 0.205 | 0.077 | 1.228 | 0.007 |
Attitude to follow-up of quality-of-care | Increases work overload to a very high extent | Increases work overload to a low extent | 0.180 | 0.065 | 1.197 | 0.005 |
Commitment of up to 5% of time to indicators | Commitment of more than 5% of time to indicators | 0.279 | 0.072 | 1.321 | <0.001 | |
Psycho-social state projects onto medical condition | To a very great extent | To a great extent or less | 0.507 | 0.058 | 1.660 | <0.001 |
Shared physician-nurse responsibility | Completely agree | Agree or less | 0.321 | 0.068 | 1.379 | <0.001 |
Full physician-nurse shared responsibility | Completely agree | Agree or less | 1.600 | 0.064 | 4.954 | <0.001 |
Nurses actually contribute to quality of practice | To a very great extent | To a great extent or less | 1.970 | 0.077 | 7.173 | <0.001 |
Cox and Snell R2 | 0.28 | |||||
Nagelkerke R2 | 0.34 | |||||
N | 1055 |
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Sela, Y.; Artom, T.; Rosen, B.; Nissanholtz-Gannot, R. Primary Care Physicians’ Perceptions on Nurses’ Shared Responsibility for Quality of Patient Care: A Survey. Int. J. Environ. Res. Public Health 2022, 19, 10730. https://doi.org/10.3390/ijerph191710730
Sela Y, Artom T, Rosen B, Nissanholtz-Gannot R. Primary Care Physicians’ Perceptions on Nurses’ Shared Responsibility for Quality of Patient Care: A Survey. International Journal of Environmental Research and Public Health. 2022; 19(17):10730. https://doi.org/10.3390/ijerph191710730
Chicago/Turabian StyleSela, Yael, Tamar Artom, Bruce Rosen, and Rachel Nissanholtz-Gannot. 2022. "Primary Care Physicians’ Perceptions on Nurses’ Shared Responsibility for Quality of Patient Care: A Survey" International Journal of Environmental Research and Public Health 19, no. 17: 10730. https://doi.org/10.3390/ijerph191710730