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International Journal for Quality in Health Care 2004 16(6):491-497; doi:10.1093/intqhc/mzh082
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International Journal for Quality in Health Care vol. 16 no. 6 © International Society for Quality in Health Care and Oxford University Press 2004; all rights reserved

Doctor and nurse perception of inter-professional co-operation in hospitals

Unni Krogstad1, Dag Hofoss1 and Per Hjortdahl2

1 Norwegian Health Services Research Centre, Quality Evaluations, Oslo, 2 University of Oslo, Department of General Practice and Community Medicine, Norway

Objective. To explore doctor and nurse perception of inter-professional co-operation in hospitals; discuss professional differences as reflections of cultural diversity in the perspective of quality improvement.

Design. Cross-sectional survey data from a stratified sample of 15 Norwegian hospitals, September 1998: 551 doctors and 2050 nurses at medical and surgical wards.

Measures. Doctor and nurse evaluation of their inter-professional co-operation was mapped. Logistic regression models predicting their satisfaction were compared.

Results. Doctors were significantly more often than nurses satisfied with the inter-professional co-operation of the two groups. Satisfaction with inter-professional co-operation was predicted by a number of work situation variables. Some of them contribute differently to doctor and nurse satisfaction.

Conclusions. Doctors and nurses not only evaluate their inter-professional co-operation differently, they also appear to define the concept in different ways. Hospital managers should include an understanding of this cultural diversity into the basis of their quality improvement efforts.

Keywords: doctor–nurse co-operation, hospital care quality, hospital work organization, professional cultures

Address reprint requests to U. Krogstad, Norwegian Health Services Research Centre, Quality Evaluations, Box 7004, St Olavs Plass, 0130 Oslo, Norway. E-mail: unni.krogstad{at}nhsrc.no

Accepted for publication August 13, 2004.


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