Perception Of Nurses And Physicians Towards Barriers To Nurse-physician Communication And Its Impact On Patients Outcomes At Hawassa Referral And Teaching Hospital Snnprs Ethiopia

Background: Effective communication between nurses and physicians is essential rnin providing safe and effective care. Even if high-quality patient care is the goal of rnmedicine and nursing, patients are dying and experiencing preventable rncomplications because of poor nurse physician relationship. rnObjectives: The main objective of this study was to assess perception of nurses & rnphysicians towards barriers to nurse-physician communication and its impact on rnpatients’ outcome at Hawassa referral and teaching hospital. rnMethodology: An institution based cross sectional study was carried out. All rnnurses and physicians who were working at Hawassa referral and teaching hospital rnduring the data collection time and willing to participate in the study were rnparticipated in the study. Data was collected using a self administered rnquestionnaire while data analysis was done using SPSS version 15. To explain the rnstudy population in relation to relevant variables, frequencies, and percents were rncalculated. Pearson correlation tests were run to test degree and direction of rnrelationship between factors that affect nurse-physician communication and patient rnoutcomes. Ethical approval and clearances were obtained from department of rnnursing and midwifery institutional review board, College of Health Sciences, rnAddis Ababa University. rnResults: All identified factors have been found to have effect on nurse-physician rncommunication with different degrees of impact. The three leading factors with rnpriority of effect as perceived by nurses were unfavorable management decision rnperceived by 88 (77.2%) nurses, information gap as perceived by 83 (72.8%) and rnuncooperativeness at work perceived by 83(72.8%) nurses where as poor rninterpersonal communication skill perceived by 31(86.1%), information gap rnperceived by 29 (80.6%) physicians, and poor attitude to work perceived rn28(77.8%) were priority for physicians. 98% of the total respondents; 111 (97.4%) rnnurses and all 36 (100.0%) physicians perceive that effective nurse-physician rncommunication can improve patient care quality. In addition, 140 (93.3%) rnrespondents; 104 (91.2%) nurses and all physicians (100.0%) perceive that rneffective nurse physician communication can reduce patient length of stay and 143 rn(95.3%) respondents; 109(95.6%) nurse and 34 (94.4%) physicians perceive that rneffective nurse-physician communication can increase patient satisfaction. Pearson rncorrelations testes revealed that there is an inverse relationship between factors rnaffecting nurse-physician communication and patient outcomes. Large proportion rnof nurses 44(38.6%) expressed their overall perception as “poor”; whereas the rnmajority of physicians 16 (44.4%) expressed their overall perception as “good”. rnConclusion: The study showed that all identified factors have been found to haverneffect on nurse-physician communication with different degrees of impact. Bothrnnurses and physicians have perceived that effective nurse-physicianrncommunication have positive impact on patient outcomes. Negative correlationsrnwere existed between factors affecting nurse physician communication and patientrnoutcomes. Nurses were not satisfied with their relation with physicians where asrnphysicians were relatively satisfied with their relation with nurses. Interventionsrnsuggested by nurses and physicians to improve nurse-physician communicationrninclude respect for other & others’ profession, trainings on interpersonal &rnprofessional communication, accountability and responsibility for onesrnprofessional duties and others.

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