Curtis K A
University of Miami, School of Medicine, Coral Gables 33146.
Soc Sci Med. 1994 Jul;39(2):255-63. doi: 10.1016/0277-9536(94)90334-4.
Interprofessional role conflict is often a source of job dissatisfaction for health professionals. Attributional analysis provides a methodology to better understand the health care provider's perceptions of the causes of interprofessional conflict and the influence of these causal perceptions on future behavior. This paper reports a study in which 86 physical therapists reported the attributions (perceived causes) they held for situations in which they had compromised (failure) and other instances in which they had supported (success) their best professional judgment following incidents of interprofessional conflict with physicians. Comparison of reported incidents showed that there were significant differences in subject perceptions of the nature of the causes and their future expectations following success and following failure. Therapists tended to ascribe their successes to internal, stable and controllable causes, such as their personality, effort, assertiveness or the strategies they used and held high expectations for future success. Following failure, therapists ascribed the causes of their failures to more external and uncontrollable causes such as influence of the supervisor or the receptivity of the physician. Therapist causal ascriptions for failure to external and uncontrollable sources strongly correlated with high future expectations of failure. Patterns of causal thinking following incidents of interprofessional conflict clearly influence one's future expectations to avoid, withdraw or to seek a productive resolution to role conflict.
跨专业角色冲突往往是卫生专业人员工作不满的一个根源。归因分析提供了一种方法，能更好地理解医疗服务提供者对跨专业冲突原因的看法，以及这些因果认知对未来行为的影响。本文报告了一项研究，86名物理治疗师报告了他们在与医生发生跨专业冲突事件后，对自己做出妥协（失败）的情况以及其他支持（成功）其最佳专业判断的情况的归因（感知到的原因）。对所报告事件的比较表明，受试者对成功和失败后原因的性质及其未来期望的认知存在显著差异。治疗师倾向于将他们的成功归因于内在、稳定且可控的原因，比如他们的个性、努力、坚定自信或他们所采用的策略，并对未来的成功抱有很高期望。在失败后，治疗师将失败原因归因于更多外部且不可控的原因，如上级的影响或医生的接受程度。治疗师将失败归因于外部和不可控因素与对未来高失败期望密切相关。跨专业冲突事件后的因果思维模式显然会影响一个人对避免、回避或寻求有效解决角色冲突的未来期望。
