Influences of Empowerment and Physician - Nurse’s Relationship on Quality of Care of Professional Nurses at In-patient Department, Uttaradit Hospital

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Benjamaporn Bualuang
Premruetai Noimuenwai


          The purposes of this descriptive research were to: 1) study the empowerment, physician - nurse’s relationship, and quality of care of professional nurses and 2) the influences of empowerment and physician – nurse’s relationship on quality of care of professional nurses at the In-patient department, Uttaradit hospital. The research tools composed of questionnaires of empowerment, physician – nurse’s relationship, and quality of care that included the random of 118 professional nurses. The content validity indexes of the questionnaires were .90, .90, and 1, respectively. The Cronbach’s alpha reliability coefficients of those questionnaires were .89, .76, and .96, respectively.  Data were analyzed by frequency, percentage, mean, standard deviation, Pearson product-moment correlation, and stepwise multiple regression analysis.

          The major findings were as follows: professional nurses rated their overall empowerment, physician - nurse’s relationship and quality of care at the high level, which influenced on the quality of care of professional nurses with 45.3 percent (R2 = .453, p <.001). This study suggested that the empowerment for professional nurses and physician - nurse relationship could be considered for increase quality of care.



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1) American Nurses Association. (1980). Nursing: a social policy statement. Washing, DC. Act professional check nursing midwifery (issue 2) 1996 (1996, 13 December). Government Gazette Book 114 Part75. (in Thai).

2) Auamtani, A. (2014). Empowerment of nursing services. In Editor (Ed.), Development Services of Nusrsing (Chapter 14, 1-53). Nonthaburi Sukhothai: Thammathirat University. (in Thai).

3) Bogaert, P.V., Peremans, L., Wit, M., Vanheusden, D., Franck, E., Timmermans, O., & Haven, D.S. (2015). Nurse managers perceptions and Experiences regarding staff nurse empowerment: a quality study. Frontiers in Psychology, 6(1), 1-10.

4) Breau, M., & Rhéaume, A. (2014). The relationship between empowerment and work environment on job satisfaction, intent to leave and quality of care among ICU nurses. Canadian Association of Critical Care Nurses, 25(3), 16-24.

5) Chimi, K., Akkadechanunt, T., & Chontawan, R. (2015). Factors Relation to Quality of Nursing Care in Teriary Care Hospitals The Kingdom of Bhutan. Nursing Journal, 42, 126 - 135.

6) Doungpamorn, T. (2009). Relationship between Empowerment working of Team and Outcome of Nursing, Hospital center 14th Ministry of Public Health. (master’s thesis). Sukhothai Thammathirat Univerity, Nonthaburi. (in Thai).

7) Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191.

8) Hingkanont, P. (2016). Nursing service quality development. In Editor (Ed.), Development Services of Nursing (Chapter 9, 1-42). Nonthaburi Sukhothai: Thammathirat University. (in Thai)

9) Jalali, Z. & Shaemi, A. (2015). The impact of nurses’ empowerment and decision-making on the care quality of patients in healthcare reform plan. International academic Journal of Organizational Behavior and Human Resource management, 2(9), 33-39.

10) Junhorm, J. (2007). The relationship between personal factors empowerment for practice of service quality development activities staff nurses in Community Hospital. (master’s thesis). Sukhothai Thammathirat University, Nonthaburi. (in Thai).

11) Johnson, S., & Kring, D. (2012). Nurse, perceptions of nurse – physician relationships: medical – surgical VS. intensive care. Academy of Medical-Surgical Nurses, 21(6), 343-347.

12) Kanrat, K., Pongthavornkamol, K., & Wattanakitkrileart, D. (2016).Factors associated with perception of quality of care in cancer patients during hospitalization. Chulalongkorn Medical Journal, 60(5), 523-524. (in Thai)

13) Khowaja-Punjwani, S., Smardo, C., Hendricks, M.R., & Lantos, J. (2017).Physician-nurse interactions in critical care. Pediatrics, 140(3), 1-4.

14) Kenaszchuk, C., Wilkins, K., Reeves, S., Zwarenstein, M., & Russell, A. (2010). Nurse- physician relations and quality of nurse care: Findings from a national survey of nurses. Canadian Journal of Nursing Research, 42(2), 120 -136.

15) Schmalenberq, C.& Kramer, M. (2009). Nurse – physician relationships in hospital: 2000 nurses tell their story. Critical Care Nurse, 29(1), 74-83.

16) Saiounjai, S. (2007). Relationship between empowerment and satisfaction and outcome of nursing as perceived by staff nurses in community hospital. (master’s thesis). Sukhothai Thammathirat University, Nonthaburi. (in Thai).

17) Sirota, T. (2007). Nurse- physician relationships: improve or not. Nursing, 37(1), 52-55.

18) Siedlecki, S. & Hixson, E. (2015). Relationship between nurses and physician matter. The online Journal of issues nursing, 20(3), 1-12.

19) Suphachutikul, A. & Srirattanaball, J. (2002). Quality of service. Bangkok: Limited design. The group at the nursing, Uttaradit Hospital. (2016-2018). Monthiy Report. (in Thai).

20) Teleki, S. S., Damberg, L.C. & Reville., T.R. (2003). Quality of health care: what is it important, and how can it be improved in California, workers, compensation program? quality and workers’ compensation. Colloquium.

21) Uttaradit Hospital. (2017). Annual report. Uttaradit: Uttaradit Hospital. (in Thai).