Spiraling Upward for Nurse Retention & Quality Care (D. S. Havens, principal investigator). The information and content or conclusions presented in this article are those of the authors and should not be construed as the official position or policy of nor should any official endorsement be inferred by the DN, BHPr, HRSA, DHHS, or the US government.
Relational coordination among nurses and other providers: impact on the quality of patient care
Article first published online: 21 OCT 2010
© 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd
Journal of Nursing Management
Special Issue: This issue: Positive Working Relationships Matter for Better Nurse and Patient Outcomes Issue editor: Heather K. Spence Laschinger
Volume 18, Issue 8, pages 926–937, November 2010
How to Cite
HAVENS, D. S., VASEY, J., GITTELL, J. H. and LIN, W.-T. (2010), Relational coordination among nurses and other providers: impact on the quality of patient care. Journal of Nursing Management, 18: 926–937. doi: 10.1111/j.1365-2834.2010.01138.x
- Issue published online: 15 NOV 2010
- Article first published online: 21 OCT 2010
- Accepted for publication: 2 June 2010
- interdisciplinary communication;
- interdisciplinary relationships;
havens d.s., vasey j., gittell j.h. & lin w-t. (2010) Journal of Nursing Management 18, 926–937 Relational coordination among nurses and other providers: impact on the quality of patient care
Aim The present study examined nurse reports of relational coordination between nurses and other providers and the impact of relational coordination on patient care quality.
Background While communication between providers has been traditionally considered important to improve quality, relational coordination extends this view, emphasising the value of high-quality relationships exemplified by shared goals, shared knowledge and mutual respect; and high-quality communication that is timely, frequent, accurate and problem-solving.
Methods Direct care registered nurses (RNs) (n = 747) completed surveys to assess relational coordination across five provider functions and six types of patient care units. Nurses also reported perceptions about patient care quality.
Results In all analyses, relational coordination between nurses and other providers was significantly related to overall quality, in the expected directions. As relational coordination increased, nurses reported decreases in adverse events such as hospital-acquired infections and medication errors.
Conclusions Enhancing relational coordination between nurses and other providers is central to improving the quality of patient care.
Implications for nurse managers and new knowledge The emerging theory of relational coordination provides a useful new research-based framework for managers to use to improve provider relationships, communication and the quality of care.