Impact of the professional work environment on the quality of nursing care: a comparative analysis of physicians’ and nurses’ perceptions

Authors

  • B. Levterova Faculty of Public Health, Medical University – Plovdiv Author

Keywords:

professional environment, teamwork, nurses, physicians, quality of care, communication

Abstract

Introduction: Teamwork between nurses and physicians is a key factor in ensuring safety, efficiency, and quality in healthcare. Objective: To analyse nurses’ and physicians’ perceptions of the professional practice environment and its impact on the quality of care. Materials and Methods: The standardized Professional Practice Environment Assessment Scale (PPEAS) was used. The study included 136 healthcare professionals (48 nurses and 36 physicians). Key aspects assessed were communication, mutual respect, collaboration, and participation in decision-making. Results: Physicians rated the characteristics of the professional environment more highly (mean score 77%), while nurses were more sensitive to organizational factors and their involvement in the decision-making process (mean score 73%). The strongest indicator of respect, shared by both groups, was “courteous and dignified behaviour”. Conclusion: The study highlights the need to strengthen teamwork, ensure equal participation, and provide systematic training for multidisciplinary practice to guarantee high-quality nursing care.

References

Петрова Д. Екипната работа в здравеопазването – предизвикателства и перспективи. Сестринско дело. 2020;3(2):4552.

Joint Commission. Patient safety and quality: An evidence-based handbook for nurses. Rockville: Agency for Healthcare Research and Quality; 2008.

Shen HC, Chiu HT, Lee PH, et al. Hospital environment, nurse-physician relationships and quality of care: questionnaire survey. Int J Nurs Stud. 2010;47(7):785‑795.

Krogstad U, Hofoss D, Hjortdahl P. Continuity of hospital care: does it influence patient satisfaction? Int J Qual Health Care. 2004;16(4):315‑322.

Стамболова М. Ролята на медицинската сестра в грижите за пациента. Медицински преглед. 2019;55(1):23‑28.

Amarneh BH, Al Nobani F. The influence of physician-nurse collaboration on patient safety culture. Heliyon. 2022 Sep 16;8(9):e10649.

Dragusheva S, Torniyova B, Bakova D, et al. Students’ reasons for choosing the profession of registered nurse. Biomedical Research. 2018;29(21):3835‑3841.

Петрова Г. Организационна култура и професионална среда в сестринската практика. Сестринско дело. 2020;54(2):33‑38.

Драгушева С. Професионална компетентност и мотивация на медицинските сестри в условията на съвременното здравеопазване. Сестринско дело. 2021;55(1):15‑22.

Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients’ outcomes. Am J Crit Care. 2007;16(6):536‑543.

Zwarenstein M, Goldman J, Reeves S. Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2009 Jul 8;(3):CD000072.

Friese CR, Manojlovich M. Nurse-physician relationships in ambulatory oncology settings. Oncol Nurs Forum. 2012;39(2):160‑167.

Kwon S, Kim K. A predictive model for person-centered care in intensive care units in South Korea: a structural equation model. Korean J Adult Nurs. 2021;33(6):607‑616.

Чанева А. Етични аспекти на сътрудничеството в здравния екип. Сестринско дело. 2021;4(1):12‑18.

Siedlecki SL, Hixson ED. Development and psychometric evaluation of the Professional Practice Environment Assessment Scale. J Nurs Scholarsh. 2011;43(4):421‑427.

Menz BD, Kuderer NM, Chin‑Yee B, et al. Gender representation of health care professionals in large language model–generated stories. JAMA Netw Open. 2024 Sep 23;7(9):e2434997.

Чанева А. Полова структура и професионална идентичност в сестринството. Сестринско дело. 2019;4(1):12‑18.

Rosenstein AH, O’Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patient Saf. 2005;31(8):442‑449.

Тачева М. Комуникативни умения и участие на сестрите в клинични решения. Сестринско дело. 2014;50(2):22‑27.

Петрова Г. Активното участие на сестрите в клиничните решения – фактор за качество на грижите. Сестринско дело. 2020;54(1):33‑38.

Стамболова Д. Професионален опит и доверие в здравния екип. Сестринско дело. 2018;52(3):41‑46.

Щерева-Николова М. Комуникация и уважение в медицинската практика. Сестринско дело. 2014;48(1):15‑20.

Published

30.10.2026

How to Cite

Impact of the professional work environment on the quality of nursing care: a comparative analysis of physicians’ and nurses’ perceptions (B. Levterova , Trans.). (2026). Information for Nursing Staff, 58(3), 27-31. https://journals.mu-sofia.bg/index.php/ins/article/view/1262

Similar Articles

1-10 of 27

You may also start an advanced similarity search for this article.