Relationship between Assertiveness and physician-nurse collaboration with Safety Culture

Improving patient safety is one of the main pillars of health services. On the other hand, the professional communication between the health team members and some personality characteristics of nurses, such as Assertiveness, can affect the quality of services provided to the patient. Therefore, this study aimed to determine how safety culture is associated with nurse-physician collaboration and Assertiveness from nurses' perspective.

A cross-sectional study was done in 2018, in this study300 nurses from 9 teaching hospitals located in South Khorasan province were selected through convenience sampling. Data were collected using the HSOPSC Hospital Safety Culture Questionnaire, Ushiro Nurse's Contribution, and Ratus Determinism. Finally, using SPSS-22 software, Pearson correlation and And analysis of the Amos route.

The results of the study showed that the mean and standard deviation of the safety culture score was 123.40 ± 14.26, the Assertiveness was equal to 1.99 ± 14.82 and the mean value collaboration was 81.5 ± 17.96. On the other hand, the results of Amos analysis showed that the cooperation of the physicians and nurse directly and Assertiveness indirectly affects the culture of safety. This is how Assertiveness influences the culture of safety through the collaboration of physicians and nurses.

The findings suggest designing programs aimed at improving the relationship between physicians and nurses and enhancing the skill of nurses and thus enhancing patient safety.