Relationship between physicians and nurses in China: collaboration or subordination?

Tian, Xu; Xiao-ling, Liu; Pi, Yuan-Ping; Chen, Weiqing

doi:10.20517/2572-8180.2017.11

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…It is also important to note that trust was found to have a greater effect on nurses. Indeed, Chinese nurses do not work as equal team members [48]. Although the lower ratings of empowerment and commitment by the nurses, linked with their lowered status in the Chinese hospital system, may have a profound impact on their ratings on the impacts of teamwork, they do not offer a full explanation of the professional differences between doctors and nurses.…”

Section: Main Findingsmentioning

confidence: 99%

“…The reform of the Chinese health care system has likely contributed to the professional differences between doctors and nurses. Empirical evidence shows that nurses in China have become increasingly subordinate to the doctors, not only in professional practice but also financially, which defies international trends and causes serious concerns [48]. In the late 1980s and early 1990s, China introduced market-oriented reform and government investment in public hospitals was reduced.…”

Section: Main Findingsmentioning

confidence: 99%

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Link of Patient Care Outcome to Occupational Differences in Response to Human Resource Management: A Cross-Sectional Comparative Study on Hospital Doctors and Nurses in China

Liu

Bartram

Leggat

2020

IJERPH

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This study assessed the link of patient care outcome to occupational differences in response to human resource management. A cross-sectional survey was conducted in three large regional hospitals in China. A total of 700 questionnaires were distributed to doctors, nurses, allied health workers, and managers and 499 (71%) were completed. Data were analyzed using a final sample of 193 doctors and 180 nurses. Quality of patient care was rated by the participants using a modified version of the Victorian Patient Satisfaction Questionnaire. Human resource management was measured on seven aspects: job security, recruitment, training, transformational leadership, information sharing, job quality, and teams. The differences between doctors and nurses in response to the human resource management practices and their associations with quality of care were compared through independent samples t-tests, correlational analyses, and moderator regressions. Doctors gave a higher rating on quality of patient care than their nurse counterparts. ‘Training’, ‘transformational leadership’, and ‘information sharing’ were more likely to be associated with higher ratings on quality of patient care in nurses. By contrast, a greater association between ‘teams’ and quality of patient care was found in doctors. Although doctors and nurses in China are exposed to the same hospital management environment, professional differences may have led them to respond to management practices in different ways.

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Section: Main Findingsmentioning

confidence: 99%

Section: Main Findingsmentioning

confidence: 99%

Link of Patient Care Outcome to Occupational Differences in Response to Human Resource Management: A Cross-Sectional Comparative Study on Hospital Doctors and Nurses in China

Liu

Bartram

Leggat

2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Nurses were not offered sufficient opportunities or encouraged to participate in decision‐making in clinical practice or hospital affairs (Tian, Liu, Pi, & Chen, 2017). This might be due to nurses’ traditional role and be regarded as assistants to the physicians as well as having a lower education background in comparison with physicians.…”

Section: Discussionmentioning

confidence: 99%

The organisational context of nursing practice in hospitals in China and its relationship with quality of care, and patient and nurse outcomes: A mixed‐methods review

Ying

Fitzpatrick

Philippou

et al. 2020

Journal of Clinical Nursing

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Background Achieving high‐quality care and retention of nurses are major concerns for nurse leaders in hospitals. The organisational context is theorised to influence the quality of care and patient and nurse outcomes. This review focuses on China where the healthcare system is different from most Western countries in terms of government healthcare expenditure, public health insurance and healthcare delivery system. Objectives To explore the organisational context of nursing practice in hospitals in China and its relationship with quality of care, patient outcomes (patient adverse events, safety and satisfaction) and nurse outcomes (burnout, job satisfaction and intention to leave). Design A mixed‐methods review. Data sources The electronic databases PubMed, EMBASE, CINAHL, PsycINFO and China Academic Journals Database were used. Methods This review was conducted using the SALSA (Search, Appraisal, Synthesis and Analysis) framework. Quality assessment was conducted using the Joanna Briggs Institute (JBI) critical appraisal checklists for cross‐sectional studies and qualitative research. A narrative synthesis was conducted and was supported by tabulation of study data. The PRISMA guidelines were used for this review. Results Twenty‐three articles met the inclusion criteria and were retrieved, analysed and synthesised. This review supports the link between organisational context, quality of care, and patient and nurse outcomes in the Chinese healthcare system. Aspects of organisational context warrant attention including nurse staffing levels, the shortage of nurses, a lack of nurse participation in hospital affairs and support for the professional development of nurses. Conclusions The findings suggest that tailored interventions are needed to improve the organisational context of nursing practice in Chinese hospitals and, in particular, to address the nurse workforce issues and organisational leadership and support. The unique policy context of the Chinese healthcare system should be considered when developing these interventions. Relevance to Clinical Practice Recognising the importance of the organisational context, it is imperative that nurse leaders make every effort to legislate for safe nurse staffing and to establish a caring culture to improve quality of care and nurse and patient outcomes.

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Relationship between physicians and nurses in China: collaboration or subordination?

Cited by 2 publications

References 2 publications

Link of Patient Care Outcome to Occupational Differences in Response to Human Resource Management: A Cross-Sectional Comparative Study on Hospital Doctors and Nurses in China

Link of Patient Care Outcome to Occupational Differences in Response to Human Resource Management: A Cross-Sectional Comparative Study on Hospital Doctors and Nurses in China

The organisational context of nursing practice in hospitals in China and its relationship with quality of care, and patient and nurse outcomes: A mixed‐methods review

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