eaching effects to remove the barriers of relations between doctors and nurses on the quality of services in the hospital and clinics of Marivan

Background: Patients are constantly seeking to increase the quality of health care. One of the important factor of improving the quality of clinical services is the relationship between doctors-nurses in hospitals. The barriers of relationship between doctor and nurse will be reduce the quality of nursing services. This study was performed to evaluate the effect education of removing barriers in relationship doctors-nurses in increasing the quality of services provided in hospitals and clinics of the city of Marivan city. Methods: This study was an experimental study that communication barriers (negative attitudes of doctors with nurses) between nurse-physician were evaluated before and after training. The statistical population included all the doctors, nurses and patients in Fajr and Buali hospitals of Marivan city. Thirty doctors were chosen for each experimental and control group. The estimated sample size of patients were 322 persons, with randomly selection. Sample size of nurses were 200 persons which selected by enumeration methods. Data of this study were collected by questionnaire Morinaga and Choi questionnaires. Descriptive statistics such as mean and standard deviation and T-test were used for statistical analysis. Results: The mean negative behaviors after the intervention in the experimental group had significance difference with negative behavior mean before the intervention in the experimental group and the control group (P <0.01). Negative behaviors mean after intervention in the experimental group was lower than in the other groups. Services quality had significance difference after the intervention with before intervention (p<0.05) on the base of patients’ viewpoint. Mean of services quality after intervention was higher than before intervention. Conclusion: The results showed that training was effective on the elimination of barriers of nurse-physician relationship, which increases the quality of services provided to patients. Therefore providing the necessary training in order to reduce barriers to physician-nurse and providing mechanisms necessary will be provided the quality of health services.