Nguyen Bianca, Mai Dylan, Venegas Manuel G, Omo-Sowho Pearl, Han Lauren, Natarajan Aishwarya, Chima-Melton Chidinma, Dermenchyan Anna
Department of Medicine THINQ Collaborative, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Medicine, Burrell College of Osteopathic Medicine, Las Cruces, USA.
Cureus. 2025 May 7;17(5):e83685. doi: 10.7759/cureus.83685. eCollection 2025 May.
This scoping review examines how intersectional variables shape physician-nurse relations, addressing a gap in research on how social identities influence collaboration and communication. Using the PROGRESS-Plus framework, we analyzed 21 US-based inpatient studies published between 2000 and 2020, focusing on factors such as age, sex/gender, race/ethnicity, and specialty. Findings revealed that sex/gender and specialty were the most frequently examined variables, while race/ethnicity was notably underrepresented. Although some studies considered multiple variables, most did not intentionally apply an intersectional framework, limiting a comprehensive understanding of how these factors interact. Additional variables, including years of experience, spoken language, and workplace culture, also shaped physician-nurse dynamics. To improve interdisciplinary collaboration, future research should intentionally integrate intersectionality into study designs, medical education, and clinical practice. Addressing these complexities through targeted interventions can foster equitable teamwork and enhance patient outcomes.
本范围综述探讨了交叉变量如何塑造医患关系，填补了关于社会身份如何影响协作与沟通的研究空白。我们使用PROGRESS-Plus框架，分析了2000年至2020年间发表的21项美国住院患者研究，重点关注年龄、性别、种族/民族和专业等因素。研究结果显示，性别和专业是最常被研究的变量，而种族/民族的代表性明显不足。尽管一些研究考虑了多个变量，但大多数研究并未有意应用交叉框架，限制了对这些因素如何相互作用的全面理解。其他变量，包括工作年限、语言和工作场所文化，也塑造了医患动态关系。为了改善跨学科协作，未来的研究应将交叉性有意地纳入研究设计、医学教育和临床实践中。通过有针对性的干预来解决这些复杂性问题，可以促进公平的团队合作并改善患者治疗效果。
