Jones Terri S, Fitzpatrick Joyce J
Case Western University, USA.
AANA J. 2009 Dec;77(6):431-6.
The benefits of collaboration in healthcare have been linked positively with higher patient satisfaction, improved patient outcomes, enhanced nursing staff satisfaction, and decreased hospital costs. A sample of nurse anesthetists and anesthesiologists affiliated with postgraduate training programs in the state of Texas responded to a survey designed to gather attitudes toward physician-nurse collaboration using an adaptation of the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. Two-hundred seventy surveys were completed by 62 anesthesiologists and 208 nurse anesthetists. The mean for the total scores on attitudes toward collaboration for anesthesiologists was 44.4 (+/- SD 8.7) and 51.8 (+/- SD 2.7) for nurse anesthetists. Mean scores were consistently higher in the 4 subscales (showed stronger agreement) for nurse anesthetists than for anesthesiologists. No significant differences in attitudes were found between men and women for the total sample. However, the health discipline showed a statistically significant difference. These findings suggest that Certified Registered Nurse Anesthetists who deal with role conflict or unclear expectations as well as limited scope of practice may have increased job stress and dissatisfaction.
医疗保健领域合作的益处与更高的患者满意度、更好的患者治疗效果、护理人员满意度的提高以及医院成本的降低呈正相关。德克萨斯州与研究生培训项目相关的麻醉护士和麻醉医生样本，对一项旨在通过改编杰斐逊医生 - 护士合作态度量表来收集对医生 - 护士合作态度的调查做出了回应。62名麻醉医生和208名麻醉护士完成了270份调查问卷。麻醉医生对合作态度的总分平均值为44.4（±标准差8.7），麻醉护士为51.8（±标准差2.7）。麻醉护士在4个分量表上的平均得分（显示出更强的认同）始终高于麻醉医生。在整个样本中，男性和女性在态度上未发现显著差异。然而，医疗学科显示出统计学上的显著差异。这些发现表明，处理角色冲突、期望不明确以及执业范围有限的注册麻醉护士可能会增加工作压力和不满情绪。
