Burkett G L, Parken-Harris M, Kuhn J C, Escovitz G H
Am J Public Health. 1978 Nov;68(11):1090-6. doi: 10.2105/ajph.68.11.1090.
Attempts to define the role of the nurse practitioner as a new health care provider raise questions about the traditional health care division of labor. In order to determine nurses' and physicians' conceptions of the NP's role, parallel surveys were conducted among registered nurses and primary care physicians in southeastern Pennsylvania (including Philadelphia). Respondents (679 nurses and 597 physicians) indicated their opinions on the issue of autonomy for NPs and on the issue of specific tasks appropriate to the NP's role. There were significant differences between nurses and physicians with respect to both of the issues under consideration, but there were also important differences within each of these groups. Nurses were more likely to assert that an NP might practice independently, and also had a higher conception of the NP's capabilities. Physicians who were interested in employing a nurse practitioner had opinions which were closest to those of nurses. These findings suggest that conflict between nurses and physicians might be minimal as long as the nurse practitioner movement remains relatively small, but that there may be latent conflict inherent in any large scale attempt to change the health care division of labor at the present time.
将执业护士定义为新型医疗服务提供者的尝试引发了有关传统医疗分工的问题。为了确定护士和医生对执业护士角色的看法，在宾夕法尼亚州东南部（包括费城）的注册护士和初级保健医生中进行了平行调查。受访者（679名护士和597名医生）表明了他们对执业护士自主权问题以及适合执业护士角色的具体任务问题的看法。在所考虑的两个问题上，护士和医生之间存在显著差异，但在这些群体内部也存在重要差异。护士更有可能断言执业护士可以独立执业，并且对执业护士的能力也有更高的认知。有兴趣雇佣执业护士的医生的看法与护士最为接近。这些发现表明，只要执业护士群体规模相对较小，护士和医生之间的冲突可能最小，但目前任何大规模改变医疗分工的尝试可能都存在潜在冲突。
