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专业与团队承诺在护士与医生协作中的作用:双重身份模型视角

The role of professional and team commitment in nurse-physician collaboration: A dual identity model perspective.

作者信息

Caricati Luca, Guberti Monica, Borgognoni Patrizia, Prandi Carmen, Spaggiari Ivana, Vezzani Emanuela, Iemmi Marina

机构信息

a Department of Economics , University of Parma , Parma , Italy and.

b IRCCS Arcispedale Santa Maria Nuova , Reggio Emilia , Italy.

出版信息

J Interprof Care. 2015;29(5):464-8. doi: 10.3109/13561820.2015.1016603. Epub 2015 May 14.

DOI:10.3109/13561820.2015.1016603
PMID:25973523
Abstract

Nurse-physician collaboration involves healthcare operators from different professions working together. The dual identity model predicts that nurse-physician interprofessional collaboration could improve if these operators feel they belong to both their professional category and care unit. This study tested this prediction by analyzing the effect of professional and team commitments on interprofessional collaboration between nurses and physicians in a hospital based in Northern Italy. A cross-section questionnaire survey was administered to 270 nurses and 95 physicians. Results indicate that interprofessional collaboration is positively affected by team commitment, while professional commitment had no effect. In accordance with the dual identity model, results indicate that interprofessional collaboration is higher when: (i) both professional and team commitment is high, and (ii) when team commitment is high and professional commitment is low. These results support dual identity model predictions and suggest that interprofessional collaboration can be increased by bolstering both team and professional commitment of nurses and physicians.

摘要

护士与医生的协作涉及不同专业的医疗保健工作者共同合作。双重身份模型预测,如果这些工作者觉得自己既属于专业类别又属于护理单元,那么护士与医生的跨专业协作可能会得到改善。本研究通过分析专业承诺和团队承诺对意大利北部一家医院护士与医生之间跨专业协作的影响,对这一预测进行了检验。对270名护士和95名医生进行了横断面问卷调查。结果表明,跨专业协作受到团队承诺的积极影响,而专业承诺则没有影响。根据双重身份模型,结果表明在以下情况下跨专业协作程度更高:(i)专业承诺和团队承诺都很高,以及(ii)团队承诺很高而专业承诺很低。这些结果支持了双重身份模型的预测,并表明通过增强护士和医生的团队承诺和专业承诺,可以提高跨专业协作。

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