本科毕业护士与医生合作态度的调查分析

Investigation of cooperative attitude between undergraduate nurses and physicians

目的 调查某三甲医院住院部本科毕业护士与医生的合作态度,分析二者差异,为营造良好的医护合作氛围提供参考依据.方法 采用Jefferson医护合作态度量表对某三甲医院住院部96名护理本科毕业护士及52名医生进行现场调查.结果 本科毕业护士与住院医生的医护合作态度得分均较高,医护合作态度积极.本科毕业护士在条目“医护之间有很多重叠的职责”得分低于医生,差异有统计学意义;在“医生的权利”维度,护士得分较高,差异有统计学意义;2组在“医疗与护理工作内容”及“护士的自主权”总分上表现出较高一致性.结论 护士和医生之间的医护合作态度总体是积极的,多数护士认为医护工作中有很多的职责是共同的,但是彼此在工作中的沟通还不够理想.可通过医护整体查房、病案讨论等方式增加医护间沟通,加强医护人员团队合作精神,营造良好的医护合作氛围.

Objective To investigate the differences in the attitudes toward physician-nurse collaboration among undergraduate nurses and physicians,and provide evidence for creating good physiciannurse atmosphere of cooperation.Methods The Jefferson Scale of Attitudes toward Physician-Nurse Collaboration （JSAPNC） was administered to 96 undergraduate nurses and 52 physicians in admitting department.Results The participants＇ score of JSAPNC were relatively high,especially on the items ＂Caring as opposed to curing＂ and ＂Nurse autonomy＂.The score of undergraduate nurses was lower than physicians on the item ＂there are a lot of overlap responsibilities between nurses and physicians＂ ;the score of undergraduate nurses was higher than physicians on the item ＂physician authority＂.Conclusions Undergraduate nurses and physicians have a positive attitude toward physician-nurse collaboration.Nurses believe that some of their duties are common during their work,but the communication was not ideal.The overall health care rounds should include physicians and nurses,which can increase the communication,strengthen the spirit of collaboration and create good physician-nurse atmosphere.