Hojat M, Nasca T J, Cohen M J, Fields S K, Rattner S L, Griffiths M, Ibarra D, de Gonzalez A A, Torres-Ruiz A, Ibarra G, Garcia A
Jefferson Longitudinal Study in the Center for Research in Medical Education and Health Care, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania 19107-5083, USA.
Nurs Res. 2001 Mar-Apr;50(2):123-8. doi: 10.1097/00006199-200103000-00008.
Inter-professional collaboration between physicians and nurses, within and between cultures, can help contain cost and insure better patient outcomes. Attitude toward such collaboration is a function of the roles prescribed in the culture that guide professional behavior.
The purpose of the study was to test three research hypotheses concerning attitudes toward physician-nurse collaboration across genders, disciplines, and cultures.
The Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration was administered to 639 physicians and nurses in the United States (n = 267) and Mexico (n = 372). Attitude scores were compared by gender (men, women), discipline (physicians, nurses), and culture (United States, Mexico) by using a three-way factorial analysis of variance design.
Findings confirmed the first research hypothesis by demonstrating that both physicians and nurses in the United States would express more positive attitudes toward physician-nurse collaboration than their counterparts in Mexico. The second research hypothesis, positing that nurses as compared to physicians in both countries would express more positive attitudes toward physician-nurse collaboration, was also supported. The third research hypothesis that female physicians would express more positive attitudes toward physician-nurse collaboration than their male counterparts was not confirmed.
Collaborative education for medical and nursing students, particularly in cultures with a hierarchical model of inter-professional relationship, is needed to promote positive attitudes toward complementary roles of physicians and nurses. Faculty preparation for collaboration is necessary in such cultures before implementing collaborative education.
医生与护士之间跨专业的合作，无论在文化内部还是不同文化之间，都有助于控制成本并确保更好的患者治疗效果。对这种合作的态度是文化中规定的指导职业行为的角色的一种体现。
本研究的目的是检验关于不同性别、学科和文化对医生 - 护士合作态度的三个研究假设。
对美国（n = 267）和墨西哥（n = 372）的639名医生和护士进行了杰斐逊医生 - 护士合作态度量表测试。通过使用三因素方差分析设计，按性别（男性、女性）、学科（医生、护士）和文化（美国、墨西哥）对态度得分进行比较。
研究结果证实了第一个研究假设，即美国的医生和护士对医生 - 护士合作的态度比墨西哥的同行更积极。第二个研究假设，即与两国的医生相比，护士对医生 - 护士合作的态度更积极，也得到了支持。第三个研究假设，即女医生对医生 - 护士合作的态度比男医生更积极，未得到证实。
需要为医学和护理专业学生开展合作教育，特别是在专业间关系呈等级模式的文化中，以促进对医生和护士互补角色的积极态度。在实施合作教育之前，在这种文化中教师做好合作准备是必要的。
