Shields Helen M, Pelletier Stephen R, Zambrotta Marina E
Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Office of Educational Quality Improvement, Harvard Medical School, Boston, MA, USA.
Adv Med Educ Pract. 2022 Aug 19;13:905-912. doi: 10.2147/AMEP.S370912. eCollection 2022.
Collaboration between physicians and nurses has been shown to lead to better patient outcomes. However, studies have shown differing physicians' and nurses' responses to survey questions about physician-nurse collaboration. We surveyed physicians and nurses during the Covid-19 pandemic for their attitudes toward collaboration.
In August 2021, during the Covid-19 pandemic, we surveyed physicians and nurses throughout an urban, academic teaching hospital over a consecutive twenty-day period using the validated Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. Anonymous surveys were obtained from nurses and physicians on duty at the hospital. Demographic data from each survey included gender, age, profession of nurse or physician, degree, and specialization.
Four hundred and fifteen (415) unique paper surveys were collected from 308 nurses and 107 physicians over the twenty-day period. Five nurses and two physicians declined to complete the survey (1.6%). Using the Independent -test of Means, total score and sub-scores were analyzed. Physicians and nurses scored the paper surveys in a similar manner. No statistically significant differences between the scores of physicians and nurses were found for any of the fifteen Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration questions, except for the youngest age group (20-29-year-old) having a significantly more positive response to doctors being the dominant authority on all health matters (p-value=0.011). Gender and nursing degree did not make a significant difference. Surgical Specialties (167), Medical Specialties (196), Intensive Care Unit (21), and the Emergency Department (43) survey responses did not differ significantly from each other.
One and a half years into the Covid-19 pandemic, physicians and nurses at an urban, academic teaching hospital were in agreement with their responses on the validated Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. Our data may reflect a catalytic and positive effect of the Covid-19 pandemic on physician and nurse attitudes toward collaboration.
医生与护士之间的协作已被证明能带来更好的患者治疗效果。然而，研究表明医生和护士对有关医护协作的调查问卷问题的回答存在差异。我们在新冠疫情期间对医生和护士进行了调查，以了解他们对协作的态度。
2021年8月，在新冠疫情期间，我们使用经过验证的杰斐逊医护协作态度量表，在一家城市学术教学医院连续二十天对医生和护士进行了调查。从医院值班的护士和医生那里获得了匿名调查问卷。每份调查问卷的人口统计学数据包括性别、年龄、护士或医生职业、学位和专业。
在二十天内，从308名护士和107名医生那里收集到了415份独特的纸质调查问卷。五名护士和两名医生拒绝完成调查（1.6%）。使用独立样本均值检验对总分和子分数进行了分析。医生和护士对纸质调查问卷的评分方式相似。在杰斐逊医护协作态度量表的十五个问题中，除了最年轻的年龄组（20 - 29岁）对医生在所有健康问题上占主导地位的回答明显更积极（p值 = 0.011）外，医生和护士的得分在任何问题上均未发现统计学上的显著差异。性别和护理学位没有显著差异。外科专业（167份）、医学专业（196份）、重症监护病房（21份）和急诊科（43份）的调查回复彼此之间没有显著差异。
在新冠疫情爆发一年半后，一家城市学术教学医院的医生和护士对经过验证的杰斐逊医护协作态度量表的回答一致。我们的数据可能反映了新冠疫情对医生和护士协作态度的催化和积极影响。
