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Background <p>Effective collaboration among nurses is essential for delivering safe and high-quality patient care, particularly in high-acuity environments such as emergency departments. Ineffective collaboration may lead to poor communication, mistrust among team members, and an increased risk of medical errors. Millennials currently comprise a substantial proportion of the global nursing workforce and bring unique communication styles, work values, and career expectations into clinical practice. However, limited evidence exists regarding nurse–nurse collaboration among millennial emergency room nurses in the Philippine healthcare setting.</p> Methods <p>A quantitative descriptive cross-sectional study was conducted among millennial emergency room nurses working in five government hospitals in Metro Manila, Philippines. A total of 173 respondents were selected from 194 eligible nurses through simple random sampling, yielding a response rate of 89.2%. Data were collected using the Nurse–Nurse Collaboration (NNC) Scale, a validated 22-item instrument measuring four domains: conflict management, common goals, communication and coordination, and professionalism and autonomy. Descriptive statistics, weighted mean, Fisher’s exact test, and Pearson correlation were used to analyze the data.</p> Results <p>The largest proportion of respondents were 30 years old and below (38.7%), female (68.8%), and had 2–9 years of clinical experience (76.9%). Respondents reported favorable perceptions of nurse–nurse collaboration across all domains including conflict management (M = 1.556), common goals (M = 1.550), communication and coordination (M = 1.633), and professionalism and autonomy (M = 1.586). No significant relationship was found between collaboration and demographic factors such as age and gender (<i>p</i> &gt; .05). However, length of experience showed weak but statistically significant negative correlations with collaboration in terms of common goals (<i>r</i> = − .161, <i>p</i> = .034) and professionalism and autonomy (<i>r</i> = − .178, <i>p</i> = .019).</p> Conclusions <p>Millennial emergency room nurses demonstrated favorable perceptions of nurse–nurse collaboration across all domains. While age and gender were not significantly associated with collaboration, clinical experience demonstrated weak negative relationships with selected domains of nurse–nurse collaboration. The findings may support efforts to strengthen collaborative workplace cultures and professional development initiatives within emergency nursing environments.</p>

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Nurse–nurse collaboration among millennial emergency room nurses in government hospitals in Metro Manila, Philippines: a cross-sectional study

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  • 发表日期：

    2026年6月22日

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  • Ma. Jessica Zyra Cunanan,
  • Diannie Buensalida,
  • Jamaica Capunong,
  • Anjelina Mey Gozo,
  • Rica Ella Tolentino,
  • Clarence Marie Nava,
  • John Eric Rosales

摘要

Background

Effective collaboration among nurses is essential for delivering safe and high-quality patient care, particularly in high-acuity environments such as emergency departments. Ineffective collaboration may lead to poor communication, mistrust among team members, and an increased risk of medical errors. Millennials currently comprise a substantial proportion of the global nursing workforce and bring unique communication styles, work values, and career expectations into clinical practice. However, limited evidence exists regarding nurse–nurse collaboration among millennial emergency room nurses in the Philippine healthcare setting.

Methods

A quantitative descriptive cross-sectional study was conducted among millennial emergency room nurses working in five government hospitals in Metro Manila, Philippines. A total of 173 respondents were selected from 194 eligible nurses through simple random sampling, yielding a response rate of 89.2%. Data were collected using the Nurse–Nurse Collaboration (NNC) Scale, a validated 22-item instrument measuring four domains: conflict management, common goals, communication and coordination, and professionalism and autonomy. Descriptive statistics, weighted mean, Fisher’s exact test, and Pearson correlation were used to analyze the data.

Results

The largest proportion of respondents were 30 years old and below (38.7%), female (68.8%), and had 2–9 years of clinical experience (76.9%). Respondents reported favorable perceptions of nurse–nurse collaboration across all domains including conflict management (M = 1.556), common goals (M = 1.550), communication and coordination (M = 1.633), and professionalism and autonomy (M = 1.586). No significant relationship was found between collaboration and demographic factors such as age and gender (p > .05). However, length of experience showed weak but statistically significant negative correlations with collaboration in terms of common goals (r = − .161, p = .034) and professionalism and autonomy (r = − .178, p = .019).

Conclusions

Millennial emergency room nurses demonstrated favorable perceptions of nurse–nurse collaboration across all domains. While age and gender were not significantly associated with collaboration, clinical experience demonstrated weak negative relationships with selected domains of nurse–nurse collaboration. The findings may support efforts to strengthen collaborative workplace cultures and professional development initiatives within emergency nursing environments.