1. Schmalenberg, Claudia MSN, RN
  2. Kramer, Marlene PhD, RN, FAAN
  3. King, Cynthia R. PhD, NP, RN, FAAN
  4. Krugman, Mary PhD, RN, FAAN
  5. Lund, Christine MSN, RN
  6. Poduska, Donna MS, RN, CNAA
  7. Rapp, Debbie MSN, RN


Multiple nurse-physician (RNMD) relationships coexist on hospital units; collegial and collaborative (C/C) relationships positively impact patient outcomes more than the others. The goal of this multisite evidence-based management practice initiative was to identify structures that enable C/C RNMD relationships. In part 1, the authors discussed the methodology of the study, presented the results of the literature analysis, and the description and characteristics of the clinical units, experts interviewed, and of the collegial and collaborative RNMD relationships found in the 5 participating hospitals. Part 2 analyzes the extent to which the 5 structures identified by the National Joint Practice Commission as necessary for RNMD collaboration are present in the 5 hospitals, the structures identified by the experts in this study, and suggestions and implications for management practice.