Physicians' Attitude, Practice and Satisfaction Toward Physician-Nurse Collaboration in Japan

Friday, July 15, 2011: 11:10 AM

Mami Onishi, MSN
Deparntment of Nursing Administration, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Keiko Komi, MSN
Aki Public Health and Welfare Center, Kochi Prefectural Government, Kochi, Japan
Katsuya Kanda, PhD
Department of Nursing Administration, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

Learning Objective 1: The learner will be able to know what factors relate to physicians' view of relationships with nurses.

Learning Objective 2: The learner will be able to know important aspects of continuous education for nurses to promote collaborative relationships with physicians.


There are many reports which revealed nurses’ perception and practice on physician-nurse collaboration. However, studies focusing on physicians’ perception and practice are limited. To know the nature of physician-nurse collaboration from physicians’ viewpoint would be useful for the education and management in nursing. This study aimed to describe the current status of physicians’ attitude toward collaboration, their collaborative practice, and the overall satisfaction with physician-nurse relationship in Japan and to explore the relationship between these variables.


Questionnaires were distributed to 520 physicians working at four acute hospitals in Japan in 2009. Data were collected using the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration, the Collaborative Practice Scale, and a scale of 0 to 100 measuring overall satisfaction with physician-nurse relationship; demographic data and experiences of learning on collaboration and joint activities were also asked.


Responses were obtained from 290 physicians (response rates of 56%). Respondents’ attitude and practice on collaboration were lower than previous studies in other countries. The mean score on overall satisfaction with physician-nurse relationship was 61.0. There were statistically significant positive relationships between practice and satisfaction (r=0.469; p<0.001) and between practice and attitude (r=0.336; p<0.001), whereas there was no significant relationship between attitude and satisfaction. A multiple regression analysis was performed with satisfaction, attitude and other variables as independent and collaborative practice as dependent variables. The results showed that satisfaction, attitude, years of service, and out-of-hospital learning on collaboration were significantly associated with collaborative practice.


Previous studies indicated that physicians have less interests in physician-nurse collaboration while nurses have originally higher interests in it. This study suggested physicians’ tendency to practice collaboratively after they acknowledge the nurses’ competence through daily interaction. It is necessary to explore what kind of interaction with the nurses lead physicians to have positive perception of the nurses.