Pullon S
Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.
J Interprof Care. 2008 Mar;22(2):133-47. doi: 10.1080/13561820701795069.
Professional relationships between doctors and nurses have often been seen as problematic, a barrier to effective collaborative practice, yet little is known about the intrinsic nature of such relationships in the primary care context. This study set out to explore roles of, and relationships between, nurses and doctors currently working in New Zealand primary care settings. Using a qualitative methodology, data were collected using in-depth interviews with 18 individual nurses and doctors working in primary care settings in Wellington, New Zealand. Doctors' and nurses' perceptions of their own and each others' roles, and the perceived relationships between individuals from both disciplinary groups were explored, using principles of naturalistic enquiry in a mixed method of analysis. The study findings indicate that effective interprofessional relationships between individual doctors and nurses can, and often do, exist in New Zealand primary care settings, although they are not universal. The identification and separation of vocational and business roles, and the development of professional identity, form the basis for a theory of trust development in nurse-doctor interprofessional relationships in New Zealand primary care. Professional identity is related to demonstration of professional competence, in turn related to development of mutual interprofessional respect and enduring interprofessional trust.
医生与护士之间的职业关系常常被视为存在问题，是有效协作实践的障碍，但在初级保健环境中，对于这种关系的内在本质却知之甚少。本研究旨在探讨目前在新西兰初级保健机构工作的护士与医生的角色及相互关系。采用定性研究方法，通过对新西兰惠灵顿初级保健机构工作的18名护士和医生进行深入访谈来收集数据。运用自然主义探究原则，采用混合分析方法，探讨医生和护士对自身及对方角色的认知，以及两个学科群体个体之间的感知关系。研究结果表明，在新西兰初级保健机构中，个体医生和护士之间能够且常常存在有效的跨专业关系，尽管并非普遍存在。职业角色和业务角色的识别与区分，以及职业身份的发展，构成了新西兰初级保健中护士 - 医生跨专业关系中信任发展理论的基础。职业身份与专业能力的展示相关，而专业能力又与跨专业相互尊重和持久的跨专业信任的发展相关。
