Jafary SeyedMeysam, Alavi Mousa, Irajpour Alireza, Mehrabi Tayebeh
Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2017 Jul-Aug;22(4):262-266. doi: 10.4103/1735-9066.212982.
Attitude towards physician-nurse relationship is fundamental to achieve health care quality. Such attitude maybe determined by some personality traits such as differentiation of self. Hence, the present study aimed to investigate the relationship between differentiation of self and attitude to professional physician-nurse relationship.
This cross-sectional study was done in three hospitals in Isfahan in 2015. The study included all nurses and physicians. In total, 400 participants were recruited through convenience-sampling method. Data gathering instruments included a three-part questionnaire [demographic data sheet, Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (JSAPNC) and differentiation of self-inventory (DSI)]. The data were analyzed through descriptive and inferential statistics [-test, analysis of variance (ANOVA), and multiple linear regression) by the Statistical Package for the Social Sciences (SPSS) version 16 software.
The mean [standard deviation (SD)] of the scores of differentiation of self in physicians and nurses were 86.43 (9.62) and 159.28 (9.53), respectively. The results showed that the predicting model of attitudes towards physician-nurse relationship based on dimensions of differentiation of self both in nurses and physicians were significant. Moreover, the findings from linear regression analyses showed that predictor variables explained 0.18 and 0.14 of the variance of attitudes towards physician-nurse relationships in nurses and physicians, respectively.
Considering the significant role of differentiation of self to predict attitudes towards physician-nurse relationship, it is worthwhile to suggest provision of training programs particularly in the nursing and medical students to enhance differentiation of self both in physicians and nurses to improve culture of interprofessional relationships and to achieve optimum professional relationships between doctors and nurses.
对医护关系的态度是实现医疗质量的基础。这种态度可能由一些人格特质决定，比如自我分化。因此，本研究旨在调查自我分化与对专业医护关系态度之间的关系。
本横断面研究于2015年在伊斯法罕的三家医院进行。研究纳入了所有护士和医生。总共通过便利抽样法招募了400名参与者。数据收集工具包括一份三部分的问卷[人口数据表、杰斐逊医护合作态度量表（JSAPNC）和自我分化量表（DSI）]。数据通过社会科学统计软件包（SPSS）16版软件进行描述性和推断性统计分析（t检验、方差分析（ANOVA）和多元线性回归）。
医生和护士的自我分化得分均值[标准差（SD）]分别为86.43（9.62）和159.28（9.53）。结果表明，基于护士和医生自我分化维度的医护关系态度预测模型具有显著性。此外，线性回归分析结果显示，预测变量分别解释了护士和医生对医护关系态度方差的0.18和0.14。
鉴于自我分化在预测医护关系态度方面的重要作用，值得建议提供培训项目，特别是针对护理和医学专业学生，以增强医生和护士的自我分化，改善跨专业关系文化，实现医生和护士之间的最佳专业关系。
