Purpose
This study investigated the mediating effects of patient safety management activities on the relationship between nurse-nurse collaboration, nurse-physician collaboration, and nursing performance of clinical nurses.
Methods
Online survey was performed from February 18 to February 28, 2023 using structured questionnaires. The participants were 212 clinical nurses working in tertiary general hospitals in South Korea. The participants completed self-reporting questionnaires, that measured nurse-nurse collaboration, nurse-physician collaboration, nursing performance, and patient safety management activities. Data were analyzed using SPSS 29.0 program, for multiple regression and a simple mediation model, applying the PROCESS macro with a 95% bias-corrected bootstrap confidence interval.
Results
Nurses' patient safety management activities had a mediating effect on the relationship between nurse-nurse collaboration and nursing performance (B=0.24, Boot 95% CI=0.16∼0.34). In addition, patient safety management activities showed a mediating effect on the relationship between nurse-physician collaboration and nursing performance (B=0.10, Boot 95% CI=0.07∼0.15).
Conclusion
The levels of nurse-nurse collaboration, nurse-physician collaboration, and patient safety management activities must be considered when developing strategies to improve nurses’ performance in nursing practice settings.

Citations

• Nurses’s Experience with Department Transfer Following Sudden Ward Closure after a Collective Resignation of Residents
  Yeon Hee Kim, Jeong Min Jo, Hye Mi Kim, Gyu Ri An, Na Yeon Lee, Hee Suk Ha
  Journal of Korean Association for Qualitative Research.2025; 10(1): 14.     CrossRef

PURPOSE
This study was done to identify the effects of nurse-physician collaboration on nursing performance and organizational commitment in intensive care unit (ICU) nurses.
METHODS
A cross-sectional survey was used and data were collected from 203 ICU nurses working in two advanced general hospitals and two general hospitals. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients and Hierarchical multiple regression with SPSSWIN 23.0 program.
RESULTS
The sub-domains of nursephysician collaboration were as follows: 3.77±0.51 for sharing of patient information, 3.36±0.65 for decision-making process on the cure or care, and 3.20±0.72 for relationship between nurse and physician. Nurse-physician collaboration was significantly positively correlated with nursing performance and organizational commitment. Regression analysis showed that nurse-physician collaboration explained an additional 24.9%p of nursing performance and an additional 13.4%p of organizational commitment. 'Sharing of patient information' and 'Relationship between nurse and physician' were significant predictors of nursing performance. 'Relationship between nurse and physician' was a significant predictor of organizational commitment.
CONCLUSION
These results provide evidence that the collaboration between nurses and physicians should be enhanced in terms of sharing patient information and mutual respect, to improve nursing performance and organizational commitment of ICU nurses.

Citations

• Associations between key job resources, job demands, and affective organizational commitment among nursing professionals in German hospitals: a cross-sectional study
  Lucas Fehr, Clemens Koob
  BMC Nursing.2025;[Epub]     CrossRef
• A Systematic Review on Nurse-Physician Collaboration and Its Relationship With Nursing Workforce Outcomes
  Leodoro J. Labrague
  JONA: The Journal of Nursing Administration.2025; 55(3): 157.     CrossRef
• Physician-nurse collaboration in the relationship between professional autonomy and practice behaviors
  Arzu Bulut, Halil Sengül, Çeçenya İrem Mumcu, Berkan Mumcu
  Nursing Ethics.2025; 32(1): 253.     CrossRef
• Impact of Interprofessional Communication and Person-centered Care on Perceived Quality of Death in Intensive Care Units by Nurses: A Cross-Sectional Study
  Hye-Jin Kim, So-Hi Kwon
  Korean Journal of Adult Nursing.2025; 37(2): 153.     CrossRef
• Factors Influencing Nursing Performance of Intensive Care Unit Nurses: Role of Clinical Reasoning Competence, Positive Psychological Capital, and Nursing Work Environment
  MiRim Heo, Haena Jang
  Journal of Korean Critical Care Nursing.2024; 17(2): 83.     CrossRef
• Role of Organizational Commitment in Mediating Relationship between Professional Autonomy and Retention Intention among Public Hospital Nurses
  Maria Choi, Hye Young Cho
  Journal of Korean Academy of Nursing Administration.2024; 30(3): 224.     CrossRef
• Impact of Role Conflict, Nursing Organizational Culture, and Nurse-Physician Collaboration on Job Embeddedness of Intensive Care Unit Nurses
  Young Eun Jin, Yun Mi Lee, Hyo Jin Park
  Journal of Korean Critical Care Nursing.2023; 16(1): 15.     CrossRef
• Factors affecting triage competence among emergency room nurses: A cross‐sectional study
  Seokhwa Hwang, Sujin Shin
  Journal of Clinical Nursing.2023; 32(13-14): 3589.     CrossRef
• Factors Affecting Intensive Care Unit Nurses’ Care Burden of Patients with Hematologic Neoplasm
  Jiwon Lee, Da Seul Jeong, Hyunji Jeon, Jin Hee Kim, Dong Yeon Kim
  Asian Oncology Nursing.2022; 22(4): 235.     CrossRef
• The Mediating Effect of Self-Regulated Learning on the Relationships Among Emotional Intelligence, Collaboration, and Clinical Performance in Korean Nursing Students
  Sun-Hee KIM
  Journal of Nursing Research.2022; 30(3): e212.     CrossRef
• The Effects of Communication Ability, Job Satisfaction, and Organizational Commitment on Nursing Performance of Intensive Care Unit Nurses
  Nu Ri Kim, Sung Eun Kim, So Eun Jang
  Journal of Korean Critical Care Nursing.2022; 15(1): 58.     CrossRef
• Factors Influencing Professional Quality of Life in Intensive Care Unit Nurses of University Hospitals
  Sun Jung Moon, Haena Jang
  Journal of Korean Critical Care Nursing.2022; 15(3): 23.     CrossRef
• Factors Influencing Nursing Professionalism on the Nursing Performance in Intensive Care Unit Nurses
  Sunyoung Jung, Hyojung Park
  Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 451.     CrossRef

PURPOSE
The aim of this study was to identify effects of perceived nurse-nurse collaboration and nurse-physician collaboration on nursing performance in perioperative nurses.
METHODS
A cross-sectional survey was used and data were collected in September 2016. Participants were 186 perioperative nurses from three advanced general hospitals and nine general hospitals. Data were analyzed using descriptive statistics, independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients and hierarchical multiple regression with the SPSS/WIN 23.0 program.
RESULTS
The mean scores were for nurse-nurse collaboration, 2.92±0.28 out of 4, for nurse-physician collaboration, 3.29±0.65 out of 5, and for nursing performance, 3.85±0.47 out of 5. There were statistically significant positive correlations among nurse-nurse collaboration, nurse-physician collaboration, and nursing performance. Hierarchical multiple regression analysis revealed that nurse-nurse collaboration explained an additional 29%p of nursing performance. Shared processes, conflict management, and professionalism of nurse-nurse collaboration were statistically significant predictors of nursing performance. The nurse-physician collaboration explained an additional 3%p of nursing performance. Sharing of patient information was a statistically significant predictor of nursing performance.
CONCLUSION
Findings indicate that intervention programs that integrate and strengthen shared processes, conflict management, professionalism, and sharing of patient information are useful to enhance nursing performance.

Citations

• A Systematic Review on Nurse-Physician Collaboration and Its Relationship With Nursing Workforce Outcomes
  Leodoro J. Labrague
  JONA: The Journal of Nursing Administration.2025; 55(3): 157.     CrossRef
• Effects of Verbal Abuse Experience and Communication Competence on Burnout among Operating Room Nurses
  Yesol Byon, Yoon Goo Noh
  Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
• The effect of dental hygienist work cooperation and compensation satisfaction on job embeddedness: mediating effect of positive psychological capital
  Ju-Eon Kim, Seon-Yeong Kim
  Journal of Korean Society of Dental Hygiene.2024; 24(3): 263.     CrossRef
• Effects of Nurse-Nurse Collaboration and Nurse-Physician Collaboration on Nursing Performance in Nurses: The Mediating Effect of Patient Safety Management Activities
  JaHyun Kim, Seok Hee Jeong, Hee Sun Kim, Sunmi Kim
  Journal of Korean Academy of Nursing Administration.2024; 30(4): 343.     CrossRef
• Factors affecting triage competence among emergency room nurses: A cross‐sectional study
  Seokhwa Hwang, Sujin Shin
  Journal of Clinical Nursing.2023; 32(13-14): 3589.     CrossRef
• Impact of Role Conflict, Nursing Organizational Culture, and Nurse-Physician Collaboration on Job Embeddedness of Intensive Care Unit Nurses
  Young Eun Jin, Yun Mi Lee, Hyo Jin Park
  Journal of Korean Critical Care Nursing.2023; 16(1): 15.     CrossRef
• Physician–Nurse and Nurse–Nurse Collaboration From the Perspective of Nurses
  Ebru Şahin, Aslıhan Çatıker, Kamuran Özdil
  Journal for Nurses in Professional Development.2023; 39(1): E8.     CrossRef
• Nurse–nurse collaboration and performance among nurses in intensive care units
  Dalia O. Al‐Ajarmeh, Ahmad H. Rayan, Nidal F. Eshah, Zaid M. Al‐Hamdan
  Nursing in Critical Care.2022; 27(6): 747.     CrossRef
• A Study the Relationships among Verbal Violence Experience, Job Stress, and Resilience and the Communication Ability of Operating Room Nurses
  Hyejung Jung, Yoonshin Lee, Sung Hee Shin
  Journal of Korean Academy of Nursing Administration.2020; 26(2): 120.     CrossRef
• Effects of Nurse-Physician Collaboration on Nursing Performance and Organizational Commitment in Intensive Care Unit Nurses
  Eui Ok Kwon, Myung Ha Lee, Seok Hee Jeong, Hee Sun Kim
  Journal of Korean Academy of Nursing Administration.2019; 25(3): 186.     CrossRef
• Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach
  Jin Nam Kim, Seok Hee Jeong
  Journal of Korean Academy of Nursing.2018; 48(6): 679.     CrossRef