Table 3.
Effects of Nurse–Physician Teamwork on Surgical Patient Mortality and Failure-to-Rescue
Unadjusted | Patient, hospital characteristics | Fully adjusted with interaction of teamwork and staffing | Fully adjusted with interaction of teamwork and education | |
---|---|---|---|---|
Odds Ratios from Models for Patient Mortality | ||||
OR | OR | OR | OR | |
(95% CI) | (95% CI) | (95% CI) | (95% CI) | |
Teamwork | 0.90*** | 0.95*** | 0.95*** | 0.95*** |
(0.89–0.91) | (0.94–0.97) | (0.94–0.97) | (0.93–0.96) | |
Staffing | 1.03** | 1.04*** | 1.03** | |
(1.02–1.04) | (1.03–1.05) | (1.02–1.04) | ||
Nurse education | 0.94*** | 0.94*** | 0.93*** | |
(0.92–0.95) | (0.92–0.95) | (0.91–0.94) | ||
Teamwork x Staffing | 1.02*** | |||
(1.01–1.03) | ||||
Teamwork x Education | 0.98* | |||
(0.96–0.99) | ||||
OR | OR | OR | OR | |
(95% CI) | (95% CI) | (95% CI) | (95% CI) | |
Teamwork | 0.91*** | 0.95*** | 0.94*** | 0.94*** |
(0.89–0.92) | (0.94–0.96) | (0.93–0.96) | (0.93–0.96) | |
Staffing | 1.03*** | 1.04*** | 1.03** | |
(1.02–1.04) | (1.03–1.06) | (1.02–1.04) | ||
Nurse education | 0.93*** | 0.93*** | 0.93*** | |
(0.92–0.95) | (0.92–0.95) | (0.91–0.94) | ||
Teamwork x Staffing | 1.03*** | |||
(1.02–1.04) | ||||
Teamwork x Education | 0.98* | |||
(0.96–0.99) |
Note. OR = odds ratio, CI = confidence interval. Nurse–physician teamwork is standardized in standard deviation units, staffing is centered on the mean, and education reflects a 10% increase in BSN nurses by standard deviation. Control variables in the adjusted models include patient (age, gender, comorbidities, type of surgery, and whether they were transferred), nurse characteristics (whether they worked in the ICU), and hospital characteristics (bed size, technology level, teaching status, and state).
p < .05
p < .01
p < .001.