Table 1.

Working Unit of Respondents

Working Unit Emergency Room Intensive Care Unit General Ward Total

Frequency Percentage 5 19.2% 5 19.2% 16 61.5% 26 100.0%

Working Unit of Respondents

F r e q u e n c y 18 16 14 12 10 8 6 4 2 0 Emergency Room Intensive General Care Unit Ward Working Unit

Respondents from the general wards comprise the majority of respondents (16 which is 61.5% of the total population). Emergency Room and Intensive Care unit nurses which are more often in contact with physicians have 5 respondents each (19.2%).

Table 2. Should nurses be involved in making policy decision affecting their working conditions?

Response Yes No Total

F 26 0 26

% 100% 0% 100%

Should nurses be involved in making policy decision affecting their working conditions?
F r e q u e n c y 30 25 20 15 10 5 0 Response Yes No

All of the respondents believe that nurses be involved in making policy decision affecting their working conditions. Nurses may articulate what they want to happen in healthcare to make it more truly patient centered and to improve quality, access, and value. They may even have the evidence to support their conclusions. As with any worthy cause, however, they must engage in the policy-making process to ensure the changes they believe in are realized.1
1

Garner C., IOM Envisions Nurses as Policy Makers. Retrieved from http://www.nursetogether.com/Education/Education-Article/itemId/2358/IOM-Envisions-Nurses-as-PolicyMakers-.aspx

Table 4. Should nurses be accountable to patients for the nursing care they provide?

Yes No Total

F 26 0 26

100 100% 0% 100%

Should nurses be accountable to patients for the nursing care they provide?
30 F r e q u e n c y 25 20 15 10 5 0 Response Yes No

Accountability is defined as, "being responsible and answerable for actions or inactions of self or others in the context of delegation" (National Council of State Boards of Nursing, Resources section, 4). This refers to the nurse's legal liability for her actions and patient outcomes.

All of the respondents believe that nurses should be accountable to patients for the nursing care they provide. (3)

Physician should be the dominant authority in all health matters

Response Strongly Agree Agree Disagree Strongly disagree Total

F 0 7 13 6 26

% 0.0% 26.9% 50.0% 23.1% 100

Physician should be dominant authority in all health matters

F r e q u e n c y 15 10 5 0 Strongly Agree Agree Disagree Strongly disagree

Response

The transition from doctor-dominant medical models, to nurse-doctor health care team models, is gradually taking place, all around the world. In the survey conducted, 50% of the respondents (13 nurses) to the idea that physician should be dominant authority in all health matters. 23.1% strongly disagree while 26.9% still agree that physicians should be dominant.

(4)

Patient care is better with joint decision from both physicians and nurses.

Response Strongly Agree Agree Disagree Strongly disagree Total

Frequency 24 2 0 0 26

% 92.3% 7.7% 0.0% 0.0% 100.0%

Patient care is better with joint decision from both physician and nurses
F r e q u e n c y 30 25 20 15 10 5 0 Strongly Agree Agree Disagree Strongly disagree

Response

(5) Physicians and nurses should contribute to decisions regarding the hospital discharge of patients.
Physicians and nurses should contribute to decisions regarding the hospital discharge of patients F
r e q u e n c y 20 15 10 5 0 Strongly Agree Agree Disagree Strongly disagree

Response Strongly Agree Agree Disagree Strongly disagree Total

Frequency 17 9 0 0 26

% 65.4% 34.6% 0.0% 0.0% 100.0%

Response

Collaboration between nurses and physicians is linked to positive outcomes for patients. However, because the disciplines of medicine and nursing have different histories, political agendas, and forms of education that forge professional identities, values, and skills, these differences can be highlighted under conditions of stress. At these times, boundaries tend to be drawn regarding who owns what kinds of knowledge and who is responsible for specific kinds of work.2 To the statement Patient care is better with joint decision from both physicians and nurses., 92.3 % strongly agrees, while 7.7% (2) agree. Furthermore, 65.4% of the respondents strongly agree and 34.6% agree that physician and nurses should contribute to decisions regarding the hospital discharge of patients.

Stein-Parbury, J, and Liaschenko, J., (2005) Understanding Collaboration Between Nurses and Physicians as Knowledge at Work retrieved from http://ajcc.aacnjournals.org/content/16/5/470.full

(6)

The primary function of the nurse is to carry out the physicians orders.

Response Strongly Agree Agree Disagree Strongly disagree Total

Frequency 2 12 6 6 26

% 7.69% 46.15% 23.08% 23.08% 100.00%

The primary function of the nurse is to carry out the physicians orders
F r e q u e n c y

15 10 5 0 Strongly Agree Agree Disagree Strongly disagree

. The statement The primary function of the nurse is to carry out the physicians orders. reflects the physician dominance in healthcare wherein 46.15% of the responses agreed and 23.08% responded strongly disagree on the other hand. Response Strongly Agree Agree Disagree Strongly disagree Total Frequency 2 12 6 6 26 % 7.69% 46.15% 23.08% 23.08% 100.00%

Response

(7)

Nurses should have the responsibility for monitoring the effects of medical treatment.

Response Strongly Agree Agree Disagree Strongly Disagree Total

Respondents 15 11 0 0 26

% 57.7% 42.3% 0.0% 0.0% 100.0%

Nurses should have the responsibility for monitoring the effects of medical treatment
16 F r e q u e n c y 14 12 10 8 6 4 2 0 Strongly Agree Agree Disagree Strongly Disagree

Response

Nurses should clarify a physicians order when they think it might have the potential for detrimental effects on the patient.
(8)
Nurses should clarify a physicians order when they think it might have the potential for detrimental effects on the patient
30 25 F r 20 e 15 q u 10 e n 5 c 0 y

Response Strongly Agree Agree Disagree Strongly Disagree Total

Respondents 24 2 0 0 26

% 92.3% 7.7% 0.0% 0.0% 100.0%

Questions no. 7 and 8 reflects the accountability of nurses in the practice of their profession. These questions somehow indicates how effective their

Strongly Agree

Agree

Disagree

Strongly Disagree

Response

abilities to communicate to the physician and to assume full responsibility and accountability regarding patient care. In question no. 7, 57.7% of the respondents strongly agree that nurses should have the responsibility for monitoring the effects of medical treatment while 42.3% of them agree.

Inter-professional relationships between physicians and nurses should be included in their educational programmes
18 F r e q u e n c y 16 14 12 10 8 6 4 2 0 Strongly Agree Agree Disagree Strongly disagree

Inter-professional relationships between physicians and nurses should be included in their educational programmes.
(9)

Response

Response Strongly Agree Agree Disagree Strongly disagree Total

Respondents % 17 65.4% 9 34.6% 0 0.0% 0 0.0% 26 100.0%

The physician seeks for my opinion and advice on a patients condition before a decision is reached.
(10)

Response Always Often Sometimes Rarely Never Total

F 2 2 13 9 0 26

% 7.7% 7.7% 50.0% 34.6% 0.0% 100.0%

The Physician Seeks for Nurses Opinion and Advice on Patient's Condition
F r e q u e n c y 14 12 10 8 6 4 2 0 Always Often Sometimes Response Rarely Never

(11)

I suggest to the physicians, the patient care approach that I think is useful.

Response Always Often Sometimes Rarely Never Total

F 1 12 9 4 0 26

% 3.8% 46.2% 34.6% 15.4% 0.0% 100.0%

Nurses Suggest to the Physicians, the Patient Care Approach They Think is Useful
F 14 r 12 e q 10 u 8 e 6 n 4 c 2 y 0

Response

12 The physician appreciates and respects the work I do as a nurse.

Response Always F 6 % 23.1%
The physician appreciates and respects the work I do as a nurse
12 F 10 r e 8

Often Sometimes Rarely Never Total

8 11 1 0 26

30.8% 42.3% 3.8% 0.0% 100.0%

I inform the physicians about areas of practice which are unique to nursing
14 F 12 r 10 e q 8 u e 6 n 4 c y 2 0

(13)

The physician makes me feel like an important part of the patient-care team

Response

Response Always Often Sometimes Rarely Never Total

F 5 4 13 4 0 26

% 19.2% 15.4% 50.0% 15.4% 0.0% 100.0%

(14)

I inform the physicians about areas of practice which are unique to nursing

Response Always Often Sometimes Rarely Never Total

F 5 4 13 4 0 26

% 19.2% 15.4% 50.0% 15.4% 0.0% 100.0%

I inform the physicians about areas of practice which are unique to nursing
F 14 r 12 e 10 q 8 u 6 e 4 n 2 c 0 y

Response

(15)

I encounter overlapping areas of responsibility while working with the physicians

Response Always Often F 2 7 % 8% 27%

Sometimes Rarely Never Total

13 4 0 26

50% 15% 0% 100%

I encounter overlapping areas of responsibility while working with the physicians

14 F 12 r 10 e 8 q 6 u 4 e 2 n 0 c y Response

(16)

Are you satisfied with your professional relationships with physicians?

Response Frequency %

Are you satisfied with your professional relationships with physicians?

18 F 16

Yes No Total

16 10 26

61.5% 38.5% 100.0%

Do you think most physicians understand what you do as a nurse?

16 F 14 r 12 e 10 q 8 u e 6 n 4 c 2 y 0 Yes Response No

Do you think most physicians what you do as a nurse?

(17)

understand

Response Yes No Total

Frequency 15 11 26

% 57.7% 42.3% 100.0%

(18)Do

physicians routinely consult you about care and treatment for your patients?
Response Never Seldom Frequency 1 8 % 3.8% 30.8%
Do physicians routinely consult you about care and treatment for your patients?
10 9 8 7 6 5 4 3

F r e q u e n

Sometimes Often Always Total

9 6 2 26

34.6% 23.1% 7.7% 100.0%

(19)Do physicians speak to you in an unprofessional way?

Do physicians speak to you in an unprofessional way?
16 F r 14 e 12 q 10 u 8 e

Response Never Seldom

Frequency 4 4

% 15.4% 15.4%

Sometimes Often Always Total

15 3 0 26

57.7% 11.5% 0.0% 100.0%

(20)

In general, how would you describe nurse/physician relationships in your facility?

Type of NursePhysician Relationship Collegial

Frequency 8

% 30.8%

In general, how would you describe nurse/physician relationships in your facility?

Collegial 30.8%

Nurses subordinate to Physicians Total

18 26

69.2% 100.0%

(21)

Have you witnessed disruptive behavior by a physician in the past year?

Response Freequency Yes 20

% 76.9%

Have you witnessed disruptive behavior by a physician in the past year?

23.1%

No Total

6 26

23.1% 100.0%

(22)Does your facility have a process in place for dealing with disruptive physician behavior?

Response Frequency % Yes 14 53.8%

Does your facility have a process in place for dealing with disruptive physician behavior?

46.2%

Yes

No Total

12 26

46.2% 100.0%

(23)

Have you ever reported a physician for disruptive behavior?

Response Frequency %

Have you ever reported a physician for disruptive behavior?

Yes No Total

11 15 26

42.3% 57.7% 100.0%

(24)How

satisfied are you with your professional relationships with physicians?

Response Very Satisfied Satisfied Frequency % 2 7.7% 14 53.8%
How satisfied are you with your professional relationships with physicians?
16 F 14 r 12 e 10 q 8

Neither Dissatisfied Very Dissatisfied Total

5 5 0 26

19.2% 19.2% 0.0% 100.0%

(25) If

dissatisfied, what are the reasons?

Reasons of Dissatisfaction

Frequency

% (Based on Population of Respondents)

Physicians display unprofessional behaviour (demeaning, dismissive, intimidating). Physicians arent receptive to communicating with me about my concerns for a patient Physicians treat me like their handmaiden Physicians dont understand my role and responsibilities as a nurse. Physicians dont listen to what I have to say about patients Total Population: 26 Respondents

23.1%

3 3 2 2

11.5% 11.5% 7.7% 7.7%

If dissatisfied, what are the reasons?

7

6 F r e q u e n c y

Physicians display unprofessional behaviour (demeaning, dismissive, intimidating). Physicians arent receptive to communicating with me about my concerns for a patient Physicians treat me like their handmaiden

Reasons of Dissatisfaction