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Published on: February 16, 2011
Impact of provider coordination on nurse and physician perceptions of patient care quality
Nathalie McIntosh1, James F Burgess, Mark Meterko
1Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, Boston, Massachusetts (Drs McIntosh, Burgess, Meterko, Restuccia, and Charns); VA Office of Nursing Services, Washington, District of Columbia (Dr Alt-White); Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Healthcare System, Iowa City (Dr Kaboli); Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City (Dr Kaboli); Department of Health Policy & Management, Boston University School of Public Health, Boston, Massachusetts (Drs Burgess, Meterko, and Charns); and Boston University School of Management, Boston, Massachusetts (Dr Restuccia).
Abstract:
The objective of this study was to assess the role of provider coordination on nurse manager and physician perceptions of care quality, while controlling for organizational factors. Findings indicated that nurse-nurse coordination was positively associated with nurse manager perceptions of care quality; neither physician-physician nor physician-nurse coordination was associated with physician perceptions. Organizational factors associated with positive perceptions of care quality included facility support of education for nurses and physicians, and the use of multidisciplinary rounding.
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