Federal Medical Centre, Owo, Nigeria.
West Afr J Med. 2020 Dec;37(7):776-782.
Good nurse-physician collaboration is an invaluable asset of any health care service. Nursing and medicine are inseparably intertwined in hospital care. Good hospital care depends on the physician's skill in diagnosis and treatment as well as upon nurses' continuous observation and their skill in communicating the right information to the right professional partners. The subject matter of nurse-physician collaboration in hospital care setting is an important asset every health care manager, hospital administrator, policy maker and any reason-able government would want to embrace.
This was a comparative cross sectional study of Physicians and Nurses' attitude to nurse-physician collaboration in Nigerian tertiary hospital care setting. This study utilized a semi structured questionnaire for data collection in assessing Nurses and Physicians' attitudes to nurse-physician collaboration.
The findings revealed that registered Nurses had statistical higher total mean positive attitude score to nurse-physician collaboration 63.4 compared with Physicians 58.5 (P<0.0001). The scores that obviates the phenomenon of 'dominance', 'autonomy' were significantly higher for nurses; 15.8 and 13.7 and compared with physicians; 13.7 and 11.9 respectively P<0.0001 and P<0.005. Reciprocal respect scores was statistically higher for nurses (26.8) compared with Physicians (24.7) P<0.0001. Both Nurses and Physicians scores of perception of negative impact of poor nurse-physician collaboration and scores for remedy ie acceptance of need to include nurse-physician collaboration in both professional academic curricular were compared. There was no statistical difference when Nurses' mean perception score 3.8 was compared with Physicians' mean perception score 4.0 (P < 0.164). There was however significant difference when mean 'remedy' score for Nurses 4.5 compared with Physicians' 4.2 (p<0.03).
Physicians and nurses express positive attitude toward nurse-physician collaboration but nurses' attitude was found to be significantly better. Although both group admitted the negative impact of poor nurse-physician collaboration. Nurses were found to be more favorably disposed toward inclusion of nurse-physician collaboration in nursing and medicine training curricular. There is need to incorporate inter-professional education into the training of our health workers so that they enter into workplace as a member of the collabora-tive practice team. We acknowledge the time and resource constraint in this study hence, larger studies and from other geopolitical zones in the country are needed.
良好的护医合作是任何医疗服务的宝贵资产。护理和医学在医院护理中是不可分割的。良好的医院护理取决于医生的诊断和治疗技能以及护士的持续观察以及他们将正确信息传达给合适的专业合作伙伴的技能。护士与医生在医院护理环境中的合作主题是每个医疗保健经理、医院管理员、政策制定者和任何明智的政府都希望拥有的重要资产。
这是一项在尼日利亚三级医院护理环境中比较医生和护士对护医合作态度的横断面研究。本研究使用半结构化问卷收集数据，评估护士和医生对护医合作的态度。
研究结果显示，注册护士对护医合作的总平均积极态度评分高于医生，为 63.4 分，而医生为 58.5 分（P<0.0001）。护士的“主导”和“自主”得分明显更高，分别为 15.8 和 13.7，而医生的得分分别为 13.7 和 11.9（P<0.0001 和 P<0.005）。护士的相互尊重评分也高于医生，为 26.8，而医生的为 24.7（P<0.0001）。护士和医生对护医合作不良的负面影响的看法评分以及对补救措施（即接受将护医合作纳入专业学术课程的必要性）的看法评分进行了比较。当比较护士的平均感知评分 3.8 与医生的平均感知评分 4.0 时（P<0.164），没有统计学差异。然而，当比较护士的平均“补救”评分 4.5 与医生的平均“补救”评分 4.2 时（P<0.03），差异具有统计学意义。
医生和护士对护医合作持积极态度，但护士的态度明显更好。尽管两组都承认护医合作不良的负面影响，但护士更倾向于将护医合作纳入护理和医学培训课程。有必要将跨专业教育纳入我们卫生工作者的培训中，以便他们作为协作实践团队的一员进入工作场所。我们承认本研究存在时间和资源限制，因此需要进行更大规模的研究，并在该国其他地缘政治区域进行研究。
