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2019年埃塞俄比亚西南部吉马市吉马大学专科医院护士和助产士与医生的跨专业协作及相关因素:横断面研究

Inter-professional collaboration of nurses and midwives with physicians and associated factors in Jimma University specialized teaching hospital, Jimma, south West Ethiopia, 2019: cross sectional study.

作者信息

Melkamu Eneyew, Woldemariam Solomon, Haftu Abera

机构信息

1School of nursing and midwifery, college of health sciences, Jimma University, P.O.Box:378, Jimma, Ethiopia.

2Department of midwifery, college of health sciences, Mekelle University, P.O.Box:231, Mekelle, Ethiopia.

出版信息

BMC Nurs. 2020 Apr 26;19:33. doi: 10.1186/s12912-020-00426-w. eCollection 2020.

Abstract

BACKGROUND

Inter-professional collaboration between professionals is crucial in health care where most of the activities are undertaken in a team. One of these collaborations is the collaboration of nurses and midwives with physicians. The main objective of this study was to assess interprofessional collaboration of nurses and midwives with physicians and associated factors at Jimma University specialized teaching hospital from March 20 to April 8, 2019.

METHODS

An institution-based cross-sectional study was conducted among 358 nurses and 52 midwives who are working in Jimma University Specialized teaching hospital using a structured self-administered questionnaire. Study units were selected by simple random sampling using the lottery method. The result was summarized using descriptive statistics and statements. The level of significance was set at a  < 0.05.

RESULT

The overall response rate was 99.76%. Around two-third, 66.7% ( = 273) of participants had a satisfactory inter-professional collaboration with physicians and 238 (58.2%) had good relationship with physicians. Again 234 (57.2%) of participants had a favorable attitude towards interprofessional collaboration with physicians. Moreover, statistical significance was obtained on the relationship of participants with physicians ( = 0.000), the experience of disruptive behavior ( = 0.000), attitude towards interprofessional collaboration with physicians (p = 0.000) and occupational status ( = 0.001).

CONCLUSION

The majority of the participants had a satisfactory inter-professional collaboration with physicians and four of the many possible factors under consideration were finally found statistically significant. Again, it was revealed that nurses and midwives did not significantly differ in their inter-professional collaboration with physicians.

摘要

背景

在医疗保健领域,专业人员之间的跨专业协作至关重要,因为大多数活动都是团队开展的。其中一种协作是护士和助产士与医生之间的协作。本研究的主要目的是评估2019年3月20日至4月8日在吉马大学专科医院工作的护士和助产士与医生之间的跨专业协作及相关因素。

方法

在吉马大学专科医院工作的358名护士和52名助产士中开展了一项基于机构的横断面研究,使用结构化的自填式问卷。研究对象通过抽签法简单随机抽样选取。结果采用描述性统计和陈述进行总结。显著性水平设定为α < 0.05。

结果

总体应答率为99.76%。约三分之二(66.7%,n = 273)的参与者与医生有令人满意的跨专业协作,238名(58.2%)与医生关系良好。此外,234名(57.2%)参与者对与医生的跨专业协作持积极态度。而且,在参与者与医生的关系(p = 0.000)、破坏性行为经历(p = 0.000)、对与医生跨专业协作的态度(p = 0.000)和职业地位(p = 0.001)方面获得了统计学显著性。

结论

大多数参与者与医生有令人满意的跨专业协作,在所考虑的众多可能因素中,最终发现有四个因素具有统计学显著性。此外,还发现护士和助产士在与医生的跨专业协作方面没有显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adba/7183687/fe561c4bcb08/12912_2020_426_Fig1_HTML.jpg

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