An Examination of the Relationship Between Nurse-Nurse Collaboration and Intrahospital Transfer Safety: A Cross-Sectional Study
Yıl 2025,
Cilt: 7 Sayı: 1, 117 - 125, 21.04.2025
Fadime Ulupınar
,
Şeyda Karasu
,
Sibel Meler
Öz
Aim: This study aims to explore the link between effective collaboration among nurses and the safety of intrahospital transfers.
Material and Method: This cross-sectional study, conducted between April 15, 2024, and June 28, 2024, included 501 nurses employed at a city hospital who agreed to participate. Data collection was carried out using the Personal Information Form, the Intrahospital Transfer Safety Scale, and the Nurse-Nurse Collaboration Scale.
Results: The average score on the Nurse-Nurse Collaboration Scale was 3.18 ± 0.55, while the Intrahospital Transfer Safety Scale had an average score of 3.01 ± 0.54. Nurses working in intensive care units outperformed their colleagues in the operating room, emergency department, and surgical wards on the Nurse-Nurse Collaboration Scale and also scored higher on the Intrahospital Transfer Safety Scale compared to those in the emergency department and surgical wards.
Conclusion: Inter-Nurse Collaboration was found to significantly enhance the safety of intrahospital transfers. Developing protocols to strengthen nurse collaboration is recommended to improve the quality of care in healthcare services.
Etik Beyan
Ethical committee approval was obtained (decision no. 10, dated 14.03.2024). Nurses included in the research were provided with a text explaining the purpose and process of the study, fulfilling the principle of "Informed Consent."
Destekleyen Kurum
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Teşekkür
We thank the nurses for their participation in this study.
Kaynakça
- Abdurrouf, M., Pandin, M. G. R. (2021). Interprofessional collaboration improves patient safety: A review. Preprints, 2021040230. https://doi.org/10.20944/preprints202104.0230.v1
- Al-Ajarmeh, D. O., Rayan, A. H., Eshah, N. F., Al-Hamdan, Z. M. (2022). Nurse–nurse collaboration and performance among nurses in intensive care units. Nursing in Critical Care, 27(6), 747–755. doi: 10.1111/nicc.12745
- Bergman, L., Chaboyer, W., Pettersson, M., Ringdal, M. (2020). Development and initial psychometric testing of the Intrahospital Transport Safety Scale in intensive care. BMJ Open, 10(10), e038424. doi: 10.1136/bmjopen-2020-038424
- Çelik Durmuş, S., Gezer, M. F. (2022). Relationship between nurse-nurse collaboration and patient safety culture. Management, 9(3), 363–370. doi: 10.54304/SHYD.2022.13284
- Dougherty, M. B., Larson, E. L. (2010). The nurse-nurse collaboration scale. JONA: The Journal of Nursing Administration, 40(1), 17–25. doi: 10.1097/NNA.0b013e3181c47cd6
- Durmuş, S. Ç., Yıldırım, A. (2016). Adaptation to Turkish of nurse–nurse collaboration scale. Journal of Human Sciences, 13(2), 3521–3528. https://doi:10.14687/jhs.v13i2.3990
- Emich, C. (2018). Conceptualizing collaboration in nursing. Nursing Forum, 53(4), 567–573. doi: 10.1111/nuf.12287
Er, Ö. S., Alcan, A. O. (2022). Adaptation of the Intrahospital Transport Safety Scale into Turkish. Forbes Journal
of Medicine, 3(2), 145–152. https://link.gale.com/apps/doc/A724907754/HRCA?
u=anon~79b0d6ef&sid=googleScholar&xid=788a1828
- Germack, H. D., Fekieta, R., Campbell Britton, M., Feder, S. L., Rosenberg, A., Chaudhry, S. I. (2020). Collaboration and conflict in intra‐hospital transfers: A qualitative analysis. Nursing Open, 7(2), 634–641. doi: 10.1002/nop2.434
- Hashemian, M., Salami, Z., Azizpour, I., Mirzaei, A. (2023). Evaluation of the safety status of intrahospital transfer of critically ill patients from the perspective of emergency and ICU nurses: A cross-sectional study in Iran. BMJ
Open, 13(10), e072584. doi: 10.1136/bmjopen-2023-072584
- Hassona, F. M. H., El-Aziz, M. (2017). Relation between nurse-nurse collaboration and missed nursing care among intensive care nurses. IOSR Journal of Nursing and Health Science, 6(2), 28–35. doi: 10.9790/1959-0602092835
- Hatip, Ö., Seren, A. H. (2021). Bir üniversite hastanesinde hemşireler arasındaki iş birliğinin hemşirelerin iş doyum düzeyleri üzerindeki etkisinin incelenmesi. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, 1(3), 181–194. https://dergipark.org.tr/en/download/article-file/2052945
- Köstekli, S., Çelik, S., Karahan, E. (2020). Cerrahi birimlerde çalışan hemşirelerin ameliyathaneye hasta transferi konusundaki kanıta dayalı bilgi düzeyleri. Sağlık Akademisi Kastamonu, 5(1), 52–64. doi: 10.25279/sak.580761
- Leonard, J., Whiteman, K., Stephens, K., Henry, C., Swanson-Biearman, B. (2022). Improving communication and collaboration skills in graduate nurses: An evidence-based approach. OJIN: The Online Journal of Issues in Nursing, 27(2), 1–8. doi: 10.3912/OJIN.Vol27No02Man03
- Lin, S.-J., Tsan, C.-Y., Su, M.-Y., Wu, C.-L., Chen, L.-C., Hsieh, H.-J., Jerng, J.-S. (2020). Improving patient safety during intrahospital transportation of mechanically ventilated patients with critical illness. BMJ Open Quality, 9(2), e000698. doi: 10.1136/bmjoq-2019-000698
- Ma, C., Park, S. H., Shang, J. (2018). Inter-and intra-disciplinary collaboration and patient safety outcomes in US acute care hospital units: A cross-sectional study. International Journal of Nursing Studies, 85, 1–6. doi: 10.1016/j.ijnurstu.2018.05.001
- Murata, M., Nakagawa, N., Kawasaki, T., Yasuo, S., Yoshida, T., Ando, K. (2022). Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. The American Journal of Emergency Medicine, 52, 13–19. doi: 10.1016/j.ajem.2021.11.021
- Murray, E. (2017). Nursing leadership and management: For patient safety and quality care. FA Davis. https://books.google.com.tr/books?hl=tr&lr=&id=HeATDgAAQBAJ&oi=fnd&pg=PA1&dq=Nursing+leadership+and+management:+For+patient+sa
fety+and+quality+care&ots.
- Neal-Williams, T., Walker, K., Lines, T., Ugoni, A., Taylor, D. M. (2021). Risk events during intrahospital transport of patients from the emergency department: A prospective observational study. Emergency Medicine Journal, 38(10), 776–779. doi: 10.1136/emermed-2021-211409
- Richardson, A., Storr, J. (2010). Patient safety: A literature review on the impact of nursing empowerment, leadership and collaboration. International Nursing Review, 57(1), 12–21. doi: 10.1111/j.1466-7657.2009.00757.x
- Sakshi, G. (2021). Effectiveness of transport guidelines on intra hospital transport practices of nurses and occurrence of mishaps among critically ill patients. Indian Journal of Forensic Medicine & Toxicology, 15(1), 87–94. https://pdfs.semanticscholar.org/cf93/0e8869ecc1ccb3883e7fd4df53005010bf8c.pdf
- Schmidt, J., Gambashidze, N., Manser, T., Güß, T., Klatthaar, M., Neugebauer, F., Hammer, A. (2021). Does interprofessional team-training affect nurses’ and physicians’ perceptions of safety culture and communication practices? Results of a pre-post survey study. BMC Health Services Research, 21, 1–10. doi: 10.1186/s12913-021-06137-5
- Sten, L.-M., Ingelsson, P., Bäckström, I., Häggström, M. (2021). The development of a measurement instrument focusing on team collaboration in patient transfer processes. International Journal of Quality and Service Sciences, 13(1), 45–62. doi: 10.1108/IJQSS-04-2020-0055
- Şahbaz, F., Durmuş, S. Ç. (2021). Collaboration among nurses and tendency to make medical errors of nurses working in a university hospital: A descriptive cross-sectional study. International Journal of Disciplines Economics & Administrative Sciences Studies, 7(35), 857–864. doi: 10.26728/ideas.524
- Temsah, M.-H., Al-Sohime, F., Alhaboob, A., Al-Eyadhy, A., Aljamaan, F., Hasan, G., Al-Barrak, R. (2021). Adverse events experienced with intrahospital transfer of critically ill patients: A national survey. Medicine, 100(18), e25810. doi: 10.1097/MD.0000000000025810
- Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. doi: 10.3390/ijerph17062028
- Wargo-Sugleris, M., Robbins, W., Lane, C. J., Phillips, L. R. (2018). Job satisfaction, work environment and successful ageing: Determinants of delaying retirement among acute care nurses. Journal of Advanced Nursing, 74(4), 900–913. doi: 10.1111/jan.13504
- Ylitörmänen, T., Kvist, T., Turunen, H. (2019). Perceptions on nurse–nurse collaboration among registered nurses in Finland and Norway. Scandinavian Journal of Caring Sciences, 33(3), 731–740. doi: 10.1111/scs.12669
Hemşireler Arası İş Birliği ile Hastane İçi Transfer Güvenliği Arasındaki İlişkinin İncelenmesi: Kesitsel Bir Çalışma
Yıl 2025,
Cilt: 7 Sayı: 1, 117 - 125, 21.04.2025
Fadime Ulupınar
,
Şeyda Karasu
,
Sibel Meler
Öz
Amaç: Bu çalışma, hemşireler arası iş birliği ile hastane içi transfer güvenliği arasındaki ilişkileri araştırmayı amaçlamaktadır.
Gereç ve Yöntem: Bu kesitsel çalışma, 15 Nisan - 28 Haziran 2024 tarihleri arasında, bir şehir hastanesinde çalışan ve çalışmaya katılmayı kabul eden 501 hemşire ile gerçekleştirilmiştir. Araştırma verileri Kişisel Bilgi Formu, Hastane İçi Transfer Güvenliği Ölçeği ve Hemşire-Hemşire İş Birliği Ölçeği kullanılarak toplanmıştır.
Bulgular: Hemşire–Hemşire İş Birliği Ölçeği ortalaması 3.18 ± 0.55, Hastane İçi Transfer Güvenliği Ölçeği ortalaması ise 3.01 ± 0.54’tür. Yoğun bakımda çalışan hemşireler, diğer birimlerde çalışan hemşirelerden daha yüksek puan almıştır. Yoğun bakımda çalışan hemşirelerin Hemşire-Hemşire İş Birliği Ölçeğinden aldıkları puanlar ameliyathane, acil servis ve cerrahi servislerde çalışan hemşirelere göre, Hastane İçi Transfer Güvenliği Ölçeği’nden aldıkları puanlar ise acil servis ve cerrahi servislere göre daha fazladır.
Sonuç: Hemşireler arası iş birliğinin hastane içi transfer güvenliğini anlamlı düzeyde artırdığı bulunmuştur. Sağlık hizmetlerinde bakım kalitesini yükseltmek için hemşire iş birliğini güçlendirecek protokollerin geliştirilmesi önerilmektedir.
Kaynakça
- Abdurrouf, M., Pandin, M. G. R. (2021). Interprofessional collaboration improves patient safety: A review. Preprints, 2021040230. https://doi.org/10.20944/preprints202104.0230.v1
- Al-Ajarmeh, D. O., Rayan, A. H., Eshah, N. F., Al-Hamdan, Z. M. (2022). Nurse–nurse collaboration and performance among nurses in intensive care units. Nursing in Critical Care, 27(6), 747–755. doi: 10.1111/nicc.12745
- Bergman, L., Chaboyer, W., Pettersson, M., Ringdal, M. (2020). Development and initial psychometric testing of the Intrahospital Transport Safety Scale in intensive care. BMJ Open, 10(10), e038424. doi: 10.1136/bmjopen-2020-038424
- Çelik Durmuş, S., Gezer, M. F. (2022). Relationship between nurse-nurse collaboration and patient safety culture. Management, 9(3), 363–370. doi: 10.54304/SHYD.2022.13284
- Dougherty, M. B., Larson, E. L. (2010). The nurse-nurse collaboration scale. JONA: The Journal of Nursing Administration, 40(1), 17–25. doi: 10.1097/NNA.0b013e3181c47cd6
- Durmuş, S. Ç., Yıldırım, A. (2016). Adaptation to Turkish of nurse–nurse collaboration scale. Journal of Human Sciences, 13(2), 3521–3528. https://doi:10.14687/jhs.v13i2.3990
- Emich, C. (2018). Conceptualizing collaboration in nursing. Nursing Forum, 53(4), 567–573. doi: 10.1111/nuf.12287
Er, Ö. S., Alcan, A. O. (2022). Adaptation of the Intrahospital Transport Safety Scale into Turkish. Forbes Journal
of Medicine, 3(2), 145–152. https://link.gale.com/apps/doc/A724907754/HRCA?
u=anon~79b0d6ef&sid=googleScholar&xid=788a1828
- Germack, H. D., Fekieta, R., Campbell Britton, M., Feder, S. L., Rosenberg, A., Chaudhry, S. I. (2020). Collaboration and conflict in intra‐hospital transfers: A qualitative analysis. Nursing Open, 7(2), 634–641. doi: 10.1002/nop2.434
- Hashemian, M., Salami, Z., Azizpour, I., Mirzaei, A. (2023). Evaluation of the safety status of intrahospital transfer of critically ill patients from the perspective of emergency and ICU nurses: A cross-sectional study in Iran. BMJ
Open, 13(10), e072584. doi: 10.1136/bmjopen-2023-072584
- Hassona, F. M. H., El-Aziz, M. (2017). Relation between nurse-nurse collaboration and missed nursing care among intensive care nurses. IOSR Journal of Nursing and Health Science, 6(2), 28–35. doi: 10.9790/1959-0602092835
- Hatip, Ö., Seren, A. H. (2021). Bir üniversite hastanesinde hemşireler arasındaki iş birliğinin hemşirelerin iş doyum düzeyleri üzerindeki etkisinin incelenmesi. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, 1(3), 181–194. https://dergipark.org.tr/en/download/article-file/2052945
- Köstekli, S., Çelik, S., Karahan, E. (2020). Cerrahi birimlerde çalışan hemşirelerin ameliyathaneye hasta transferi konusundaki kanıta dayalı bilgi düzeyleri. Sağlık Akademisi Kastamonu, 5(1), 52–64. doi: 10.25279/sak.580761
- Leonard, J., Whiteman, K., Stephens, K., Henry, C., Swanson-Biearman, B. (2022). Improving communication and collaboration skills in graduate nurses: An evidence-based approach. OJIN: The Online Journal of Issues in Nursing, 27(2), 1–8. doi: 10.3912/OJIN.Vol27No02Man03
- Lin, S.-J., Tsan, C.-Y., Su, M.-Y., Wu, C.-L., Chen, L.-C., Hsieh, H.-J., Jerng, J.-S. (2020). Improving patient safety during intrahospital transportation of mechanically ventilated patients with critical illness. BMJ Open Quality, 9(2), e000698. doi: 10.1136/bmjoq-2019-000698
- Ma, C., Park, S. H., Shang, J. (2018). Inter-and intra-disciplinary collaboration and patient safety outcomes in US acute care hospital units: A cross-sectional study. International Journal of Nursing Studies, 85, 1–6. doi: 10.1016/j.ijnurstu.2018.05.001
- Murata, M., Nakagawa, N., Kawasaki, T., Yasuo, S., Yoshida, T., Ando, K. (2022). Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. The American Journal of Emergency Medicine, 52, 13–19. doi: 10.1016/j.ajem.2021.11.021
- Murray, E. (2017). Nursing leadership and management: For patient safety and quality care. FA Davis. https://books.google.com.tr/books?hl=tr&lr=&id=HeATDgAAQBAJ&oi=fnd&pg=PA1&dq=Nursing+leadership+and+management:+For+patient+sa
fety+and+quality+care&ots.
- Neal-Williams, T., Walker, K., Lines, T., Ugoni, A., Taylor, D. M. (2021). Risk events during intrahospital transport of patients from the emergency department: A prospective observational study. Emergency Medicine Journal, 38(10), 776–779. doi: 10.1136/emermed-2021-211409
- Richardson, A., Storr, J. (2010). Patient safety: A literature review on the impact of nursing empowerment, leadership and collaboration. International Nursing Review, 57(1), 12–21. doi: 10.1111/j.1466-7657.2009.00757.x
- Sakshi, G. (2021). Effectiveness of transport guidelines on intra hospital transport practices of nurses and occurrence of mishaps among critically ill patients. Indian Journal of Forensic Medicine & Toxicology, 15(1), 87–94. https://pdfs.semanticscholar.org/cf93/0e8869ecc1ccb3883e7fd4df53005010bf8c.pdf
- Schmidt, J., Gambashidze, N., Manser, T., Güß, T., Klatthaar, M., Neugebauer, F., Hammer, A. (2021). Does interprofessional team-training affect nurses’ and physicians’ perceptions of safety culture and communication practices? Results of a pre-post survey study. BMC Health Services Research, 21, 1–10. doi: 10.1186/s12913-021-06137-5
- Sten, L.-M., Ingelsson, P., Bäckström, I., Häggström, M. (2021). The development of a measurement instrument focusing on team collaboration in patient transfer processes. International Journal of Quality and Service Sciences, 13(1), 45–62. doi: 10.1108/IJQSS-04-2020-0055
- Şahbaz, F., Durmuş, S. Ç. (2021). Collaboration among nurses and tendency to make medical errors of nurses working in a university hospital: A descriptive cross-sectional study. International Journal of Disciplines Economics & Administrative Sciences Studies, 7(35), 857–864. doi: 10.26728/ideas.524
- Temsah, M.-H., Al-Sohime, F., Alhaboob, A., Al-Eyadhy, A., Aljamaan, F., Hasan, G., Al-Barrak, R. (2021). Adverse events experienced with intrahospital transfer of critically ill patients: A national survey. Medicine, 100(18), e25810. doi: 10.1097/MD.0000000000025810
- Vaismoradi, M., Tella, S., Logan, P. A., Khakurel, J., Vizcaya-Moreno, F. (2020). Nurses’ adherence to patient safety principles: A systematic review. International Journal of Environmental Research and Public Health, 17(6), 2028. doi: 10.3390/ijerph17062028
- Wargo-Sugleris, M., Robbins, W., Lane, C. J., Phillips, L. R. (2018). Job satisfaction, work environment and successful ageing: Determinants of delaying retirement among acute care nurses. Journal of Advanced Nursing, 74(4), 900–913. doi: 10.1111/jan.13504
- Ylitörmänen, T., Kvist, T., Turunen, H. (2019). Perceptions on nurse–nurse collaboration among registered nurses in Finland and Norway. Scandinavian Journal of Caring Sciences, 33(3), 731–740. doi: 10.1111/scs.12669