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巴基斯坦伊斯兰堡-拉瓦尔品第地区不同医院的护士和医生对护士-医生跨专业合作的态度。

Attitudes of nurses and physicians toward nurse-physician interprofessional collaboration in different hospitals of Islamabad-Rawalpindi Region of Pakistan.

机构信息

Final Year Medical Student, Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.

出版信息

J Interprof Care. 2021 Nov-Dec;35(6):863-868. doi: 10.1080/13561820.2020.1853079. Epub 2021 Jan 11.

DOI:10.1080/13561820.2020.1853079
PMID:33430669
Abstract

Interprofessional collaboration (IPC) is crucial to efficient patient management in the modern healthcare setting. We sought to determine the attitudes of physicians and nurses working in different hospitals in the Islamabad-Rawalpindi region of Pakistan. We employed the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (JSAPNC), a 15-item questionnaire that quantifies these attitudes in a meaningful way. Higher scores indicate a more positive attitude toward IPC. Four domains (shared education and teamwork, caring vs. curing, nurses' autonomy, and physicians' dominance) represent the intricate factors that influence IPC in a hospital setting. A total of 374 healthcare professionals responded. Nurses had significantly better opinions about IPC compared to physicians (mean: 50.81 vs. 47.48, <.01). Nurses also outscored physicians in all four domains of the JSAPNC (education and collaboration 24.87 vs. 23.72 <.001, caring vs. curing 10.88 vs. 9.42 <.001, nurse's autonomy 10.89 vs. 10.51 =.004, and physician's authority 4.17 vs. 3.82 =.044). The results show that nurses in Pakistan value IPC more than their physician colleagues. Inculcating the importance of IPC through educational methods might help improve these attitudes.

摘要

跨专业协作(IPC)对于现代医疗保健环境中高效的患者管理至关重要。我们试图确定在巴基斯坦伊斯兰堡-拉瓦尔品第地区工作的医生和护士的态度。我们采用了杰斐逊医师-护士协作态度量表(JSAPNC),这是一个 15 项的问卷,以有意义的方式量化这些态度。较高的分数表示对 IPC 的态度更为积极。四个领域(共享教育和团队合作、关怀与治疗、护士自主权和医生主导权)代表了影响医院环境中 IPC 的复杂因素。共有 374 名医疗保健专业人员做出了回应。与医生相比,护士对 IPC 的看法明显更好(平均:50.81 对 47.48,<.01)。在 JSAPNC 的所有四个领域中,护士的得分也高于医生(教育和协作 24.87 对 23.72 <.001,关怀与治疗 10.88 对 9.42 <.001,护士自主权 10.89 对 10.51 =.004,医生权威 4.17 对 3.82 =.044)。结果表明,巴基斯坦的护士比他们的医生同事更重视 IPC。通过教育方法灌输 IPC 的重要性可能有助于改善这些态度。

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