Key result
Better nurse-physician teamwork in hospitals was associated with significantly lower odds of 30-day mortality (OR 0.95) and failure-to-rescue (OR 0.95) among surgical patients.
Why the study?
The study aimed to describe nurse-physician teamwork, estimate its association with surgical patient outcomes, and determine if these relationships depend on modifiable hospital nursing characteristics.
Does better nurse-physician teamwork reduce 30-day mortality and failure-to-rescue in adult surgical patients?
Cross-Sectional (n=1,321,904)
Yes
Does better nurse-physician teamwork reduce 30-day mortality and failure-to-rescue in adult surgical patients?
Better nurse-physician teamwork, along with favorable nurse staffing and education levels, is associated with reduced 30-day mortality and failure-to-rescue in surgical patients.
Associated with lower surgical mortality; hypothesis-generating and should not change practice without prospective trials.
In this study we describe nurse-physician teamwork, estimate its association with surgical patient outcomes (30-day mortality and failure-to-rescue), and determine whether these relationships depend upon other modifiable hospital nursing characteristics (nurse staffing and education levels) known to be associated with patient outcomes. This cross-sectional analysis included linked data from 29,391 nurses representing 665 acute care hospitals and 1,321,904 adult patients who underwent a general surgical, vascular, or orthopedic procedure. Surgical patients cared for in hospitals with better nurse-physician teamwork had significantly lower odds of 30-day mortality (odds ratio [OR] = 0.95) and failure-to-rescue (OR = 0.95). In addition, the odds of death and failure-to-rescue were lower for patients in hospitals with both higher nurse-physician teamwork and more favorable patient-to-nurse staffing ratios. Similar trends were observed related to nursing education levels. Improving interprofessional teamwork is one strategy to improve patient outcomes with the added importance of also considering additional features of their nursing workforce.
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Kang et al. (2019) conducted a cross-sectional in Surgical patients (n=1,321,904). Better nurse-physician teamwork vs. Lower nurse-physician teamwork was evaluated on 30-day mortality and failure-to-rescue (OR 0.95). Better nurse-physician teamwork in hospitals was associated with significantly lower odds of 30-day mortality (OR 0.95) and failure-to-rescue (OR 0.95) among surgical patients.
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