Cooperation between nurses and doctors
an evaluation of the attitudes of nursing and medical students
DOI:
https://doi.org/10.14528/snr.2018.52.2.170Keywords:
teamwork, healthcare professionals, studentsAbstract
Introduction: Good cooperation between doctors and nurses enables a higher quality of patient treatment. The purpose of the study was to determine how students of medicine and students of nursing evaluate the relationships between nurses and doctors.
Methods: In a non-experimental quantitative study, a Jefferson scale was used to evaluate co-operation between doctors and nurses. 428 students were included in a convenience sample of whom 235 (54.9 %) were nursing students and 193 (45.1 %) were medical students. The data were analysed with bivariate statistics and the t-test.
Results: The findings have shown statistically significant differences regarding the gender of the respondents and with some claims also with respect to the students' study programme. The female respondents in general agreed more with the claims than the male respondents. The biggest difference regarding gender was with respect to the claim that students of medicine and nursing students should participate in teamwork during their studies, so that they could understand their roles better (t = 2.59, p = 0.010). In general, the nursing students agreed with the claims more than the medical students. Comparing the two study programmes, the greatest difference was found with respect to the claim that "The nurse should be seen as a doctor's co-worker and colleague, and not as a doctor's assistant" (t = 15.24, p < 0.001).
Discussion and conclusion: The findings have shown statistically significant differences in the evaluation of the relationship between nurses and doctors according to gender and study programme. The differences in the views of the students from the two faculties provide an opportunity for future curriculum design of these two study programmes.
Downloads
Metrics
References
American Nurses Association (ANCC), 2007. Forces for magnetism. Available at: http://www.nursecredentialing.org/megnet/ forces.html [15. 03. 2017].
Bankston, D., 2005. Collective self-esteeme and attitudes toward collaboration as predictors to coollaborative practice behaviors used by registered nurses and physicians in acute care hospitals: dissertation. Cincinnati: University of Cincinnati, College of nursing.
Bezenšek, J., & Barle, A., 2007. Poglavja iz sociologije medicine. Maribor: Medicinska fakulteta.
Boev, C. & Xia, Y., 2015. Nurse-physician collaboration and hospital-acquired infections in critical care. Critical Care Nurse, 35, pp. 266–272. https://doi.org/10.4037/ccn2015809 PMid:25834009
Boyle, D. & Kochinda, C., 2004. Enhancing collaborative communication of nurse and physician leadership in two intenzive care units. Journal of Nursing Administration, 34(2), pp. 60–70. https://doi.org/10.1097/00005110-200402000-00003 PMid:14770064
Delunas, L., & Rouse, S., 2014. Nursing and medical student attitudes about communication and collaboration before and after ran interprofessional education experience. Nursing Education Perspectives, 35(2) pp. 100–105. https://doi.org/10.5480/11-716.1 PMid:24783725
DeVellis, R. F., 2003. Scale development: Theory and applications. Thousand Oaks: Sage Publications.
Dougherty, M. & Larson, E., 2005. A review of intruments measuring nurse-physician collaboration. Journal of Nursing Administration, 35(5), pp. 244–253. https://doi.org/10.1097/00005110-200505000-00008 PMid:15891488
Garber, J., Madigan, E., Click, E. & Fitzpatrick, J., 2009. Attitudes towards collaboration and servant leadership among nurses physician and residents. Journal of Interprofessional Care, 23(4), pp. 331–340.
Goriup J., 2015. Kaj (še sploh) motivira medicinske sestre za kakovostno delo v Sloveniji. In: J. Starc, I. Konda, V. Marjanović, D. Ristić & C. Smilevski, eds. Izzivi globalizacije in družbenoekonomsko okolje EU: zbornik prispevkov, mednarodna znanstvena konferenca, Novo mesto 16. in 17. april 2015. Novo mesto: Fakulteta za poslovne in upravne vede, Visoka šola za upravljanje in poslovanje, pp. 188–195.
Hansson, A., Foldevi, M., & Mattsson, B., 2010. Medical students' attitudes toward collaboration between doctors and nurse-a comparison between two Swedish universities. Journal of Interprofessionals Care, 24(3), pp. 242–250.
Hojat, M. & Herman, M., 1985. Developing an instrument to measure attitudes toward nurses: preliminary psychometric findings. Psychological Reports, 56, pp. 571–579. https://doi.org/10.2466/pr0.1985.56.2.571 PMid:4001262
Hughes, B. & Fitzpatrick, J., 2010. Nurse-physician collaboration in an acute care community hospital. Journal of Interprofessional Care, 24, pp. 625–632. https://doi.org/10.3109/13561820903550804 PMid:20807034
Jones, T. & Fitzpatrick, J., 2009. CRNA-Physician Collaboration in Anesthesia. AANA Journal, 77, pp. 431–436. PMid:20108729
Kodeks etike v zdravstveni negi in oskrbi Slovenije, 2014. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic inzdravstvenih tehnikov Slovenije.
Nair, D.M., Fitzpatrick, J.J, McNulty, R., Click, E.R. & Glembocki, M.M., 2012. Frequency of nurse – physician collaborative behaviors in an acute care hospital. Journal of Interprofessional Care, 26(2), pp.115–120. https://doi.org/10.3109/13561820.2011.637647 PMid:22145999
Ovijač, D., 2007. Medpoklicno sodelovanje medicinskih sester, zdravstvenih tehnikov in zdravnikov: magistrsko delo. Maribor: Univerza v Mariboru, Fakulteta za organizacijske vede.
Pahor, M., 2006. Medicinske sestre in univerza. Domžale: Izolit.
Pahor, M., 2007. Sodelovanje med medicinskimi sestrami in zdravniki kot družbeni pojav. Zdravstveni vestnik, 76, pp. 43–47.
Park, J., Hawkins, W., Hawkins, M. & Hamlin, E., 2013. Attitudes toward interprofessional collaboration among students in the health care professions. Advances in Social Work, 14(2), pp. 556–572.
Reeves, S., Nelson, S. & Zwarenstein, M., 2008. The doctor-nurse game in the age of interprofessional care: a view from Canada. Nursing Inquiry, 15(1), pp. 1–2. https://doi.org/10.1111/j.1440-1800.2008.00396.x PMid:18271784
Skela-Savič, B., Pagon, M. & Lobnikar, B, 2006. Organizacijska kultura v slovenskih bolnišnicah. In: V. Rajkovič, P. Doucek, T. Kern, M. Kljajić, J. von Knop, et al., eds. Management sprememb: zbornik povzetkov referatov 25. mednarodne konference o razvoju organizacijskih znanosti, Portorož, 15-17 marec 2006. Kranj: Moderna organizacija, pp. 143–144.
Taylor, C., 2009. Attitudes toward physicians – nurses collaboration in anesthesia. AANA Journal, 77(5), pp. 343–347. PMid:19911643
Tourangeau, A., Cranley, L. & Jeffs, L., 2006. Impact of nursing on hospital patient mortality: a focused review and related policy implications. Quality and Safety in Health Care, 15, pp. 4–8.
Vrbovšek, S., 2006. Strukturne značilnosti razmerij med medicinskimi sestrami in zdravniki diplomsko delo. Ljubljana: Univerza v Ljubljani, Fakulteta za družbene vede.
Zaletel-Kragelj, L., 2010. Zdravniki in medpoklicno sodelovanje. Katedra za javno zdravje; Medicinska fakulteta; Univerza v Ljubljani. Available at: http://www.mf.uni-lj.si/dokumenti/e708266180d7e902d94c84efb1422b64.pdf [15. 03. 2017].
Ward, J., Schall, M., Sullivan, J., Bowen, M., Erdmann, J. & Hojat, M., 2008. The Jefferson scale of attitudes toward physician – nurse collaboration: a study with undergraduate nursing students. Journal of Interprofessional Care, 22(4), pp. 375–386. https://doi.org/10.1080/13561820802190533 PMid:18800279
World Medical Association, 2013. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), pp. 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714
Yildrim, A., Ates, M., Akinci, F., Ross, T., Selimen, D., Issever, H, et al., 2005. Physician – nurse attitudes toward collaboration in Istanbul's public hospitals. International Journal of Nursing Studies, 42, pp. 429–437. https://doi.org/10.1016/j.ijnurstu.2004.07.007 PMid:15847905
Downloads
Published
How to Cite
Issue
Section
License
As the author undersigned hereby, I transfer, assign, or otherwise convey the following authorship rights as comprised in the Copyright and Related Rights Act (CRRA) to the Slovenian Nursing Review, Ob železnici 30A, 1000 Ljubljana: the right of reproduction - the exclusive right to fix the work in a material medium or in another copy directly or indirectly, temporarily or permanently, by any means and in any digital form, in whole or in part (CRRA, Article 23); the right of distribution (CRRA, Article 24); the right of making a work available and accessible through the internet (CRRA, Article 32a); the right of transformation, especially the exclusive right to translate a pre-existing work (CRRA, Article 33). The transfer of author rights applies to the article in its entirety, including pictorial and/or graphic works and possible supplements. The transfer of rights is exclusive and unlimited in duration or territory.