Cheng Qinqin, Duan Yinglong, Wang Ying, Zhang Qinghui, Chen Yongyi
Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, People's Republic of China.
The Third Xiangya Hospital, Central South University, Changsha, People's Republic of China.
BMC Nurs. 2021 Mar 6;20(1):38. doi: 10.1186/s12912-021-00557-8.
Collaboration between physicians and nurses is critical. However, a limited number of studies have provided insights into the status of physician-nurse collaboration in truth disclosure.
A cross-sectional survey was conducted using an electronic questionnaire among Chinese nurses who attended a provincial conference. The Nurse-Physician Collaboration Scale was administered to nurses to assess the collaboration in truth disclosure from their perspective. A multiple-choice question was asked to assess the perceived difficulties in truth disclosure. Descriptive statistics, univariate, and multiple stepwise regression analyses were performed to evaluate physician-nurse collaboration in truth disclosure.
A total of 287 nurses completed the survey, and 279 of them reported that they had carried out truth disclosures among patients. The average score for physician-nurse collaboration in truth disclosure was 3.98 ± 0.72. The majority of nurses (73.1-81%) responded positively to different dimensions of collaboration in truth disclosure. The results of multiple stepwise regression analysis showed that seniority (B = - 0.111, 95% confidence interval [CI] = - 0.167-- 0.055, p < 0.001) and frequency of truth disclosure (B = 0.162, 95%CI = 0.076-0.249, p < 0.001) were the only two factors associated with collaboration in truth disclosure between physicians and nurses. The most common barrier perceived by nurses was fear of patients' negative emotions or their suicide attempts after truth telling.
Most nurses responded positively to physician-nurse collaboration in truth disclosure. Various difficulties existed in the practice of truth-telling collaboration. Further studies are required to test the potential interventions to promote cooperation between nurses and physicians in truth disclosure.
医生与护士之间的协作至关重要。然而，仅有少数研究深入探讨了医患协作在真实信息披露方面的现状。
采用电子问卷对参加省级会议的中国护士进行横断面调查。使用医护协作量表从护士的角度评估真实信息披露方面的协作情况。通过一道多项选择题评估真实信息披露中感知到的困难。进行描述性统计、单变量分析和多元逐步回归分析，以评估医患在真实信息披露方面的协作情况。
共有287名护士完成了调查，其中279人报告称他们已在患者中进行了真实信息披露。医患在真实信息披露方面的协作平均得分为3.98±0.72。大多数护士（73.1 - 81%）对真实信息披露协作的不同维度给予了积极回应。多元逐步回归分析结果显示，资历（B = -0.111，95%置信区间[CI] = -0.167 - -0.055，p < 0.001）和真实信息披露频率（B = 0.162，95%CI = 0.076 - 0.249，p < 0.001）是与医患在真实信息披露方面协作相关的仅有的两个因素。护士认为最常见的障碍是担心告知真相后患者产生负面情绪或企图自杀。
大多数护士对医患在真实信息披露方面的协作给予了积极回应。在真实信息披露协作实践中存在各种困难。需要进一步研究以测试促进护士与医生在真实信息披露方面合作的潜在干预措施。
