Hansen H E, Biros M H, Delaney N M, Schug V L
School of Nursing, University of Minnesota, Minneapolis 55455-0342, USA.
Acad Emerg Med. 1999 Apr;6(4):271-9. doi: 10.1111/j.1553-2712.1999.tb00388.x.
To examine perceptions of nurse-physician collaboration and research utilization in a large, county medical center with an emergency medicine (EM) residency program, to assess differences among nurses, residents, and attending physicians, and to explore the relationship between collaboration and research utilization.
A cross-sectional, exploratory, correlational design. Questionnaires measuring four aspects of collaboration-leadership, communication, problem solving, and coordination-and four aspects of research utilization-support, attitude, availability, and use-were distributed to 115 nurses, 18 attending physicians, and 33 EM residents (n = 166). A 59% response rate was achieved.
The survey instruments demonstrated acceptable reliability at 0.70 or better Cronbach's alpha except for communication timeliness (alpha = 0.64) and predictive validity. Overall, physicians and nurses rated measures of collaboration and research favorably. However, there were significant differences (p < 0.05) between physicians and nurses on four measures of collaboration (i.e., physician leadership, communication openness within group, communication openness between groups, and problem solving within group) and research utilization (research use), with physicians holding more favorable views than nurses. Three measures of collaboration predicted 47% of the variance in research use for physicians; only one measure of collaboration was important for nurses, explaining 9.3% of the variance in research use.
Interdisciplinary collaboration showed some significance in promoting research use in the ED, especially for physicians. However, nurse-physician differences in perceptions of collaboration and research use should be examined more fully.
在一家设有急诊医学（EM）住院医师培训项目的大型县级医疗中心，考察护士与医生协作以及研究利用情况的认知，评估护士、住院医师和主治医生之间的差异，并探讨协作与研究利用之间的关系。
采用横断面、探索性、相关性设计。向115名护士、18名主治医生和33名急诊医学住院医师（n = 166）发放问卷，问卷测量协作的四个方面——领导力、沟通、问题解决和协调，以及研究利用的四个方面——支持、态度、可及性和使用。应答率为59%。
除沟通及时性（α = 0.64）外，调查工具在Cronbach's α系数为0.70或更高时显示出可接受的信度和预测效度。总体而言，医生和护士对协作和研究的各项测量评价良好。然而，在协作的四项测量（即医生领导力、组内沟通开放性、组间沟通开放性和组内问题解决）和研究利用（研究使用）方面，医生和护士之间存在显著差异（p < 0.05），医生的看法比护士更积极。协作的三项测量预测了医生研究使用差异的47%；对护士而言，只有一项协作测量很重要，解释了研究使用差异的9.3%。
跨学科协作在促进急诊科研究利用方面显示出一定意义，尤其是对医生而言。然而，应更全面地考察护士与医生在协作和研究利用认知上的差异。
