Factors that Contribute to Nursing and Medical Students’ Perceptions of the Nurse-Physician Relationship

Kathryn G. Conover, Michaela E. Behrens, Emily N. Usenick, S. Abraham, Deborah R. Gillum
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引用次数: 1

Abstract

Background: Biases and preconceptions regarding future working relationships have the potential to impact professional interactions. Purpose: The purpose of this qualitative study was to investigate the factors that contribute to nursing and medical students’ perceptions of the nurse-physician relationship. Method: This was a qualitative, phenomenological, explorative study with a descriptive design. Eight nursing students and eight medical students were interviewed for this study and themes were carefully extracted from their responses. A series of open-ended questions were asked that were intended to elicit honest, thoughtful responses regarding how they view the other profession, their relationship, and thoughts on the quality of future professional collaboration. Social identity theory was used as the conceptual framework to guide this study. Themes were then extracted from the interviews. Results: The main themes found were in the areas of attitudes and behaviors. Nursing students had more positive than negative comments about interdisciplinary attitudes, but they had slightly more negative comments regarding interdisciplinary behaviors. Medical students commented far more on interdisciplinary behaviors than on attitudes, with both categories turning out more positive than negative. Specific subthemes included medical students’ concern with sexism against female physicians and their high degree of concern over how interdisciplinary relationships affect the patient. Nursing students believed the relationship would be respectful depending on the unit. However, most of them expressed concern with how negative behaviors impact the patient. Conclusion: Learning standout themes from nursing and medical students’ perceptions of their future working relationships can aid in finding barriers that can be addressed. Future research would be beneficial to discover themes on a larger scale.
影响护理及医学生对护医关系认知的因素
背景:对未来工作关系的偏见和先入之见有可能影响职业互动。目的:本定性研究的目的是探讨影响护理和医学生对护医关系认知的因素。方法:采用描述设计的定性、现象学、探索性研究。本研究采访了8名护生和8名医学生,并从他们的回答中仔细提取了主题。我们问了一系列开放式的问题,旨在引出诚实、深思熟虑的回答,包括他们如何看待其他职业、他们之间的关系,以及对未来专业合作质量的看法。本研究以社会认同理论为概念框架。然后从访谈中提取主题。结果:发现的主题主要集中在态度和行为方面。护生对跨学科态度的正面评价高于负面评价,但对跨学科行为的负面评价略高于负面评价。医学生对跨学科行为的评价远远高于对态度的评价,这两方面的评价都是积极的而不是消极的。具体的次级主题包括医学生对女医生性别歧视的关注,以及他们对跨学科关系如何影响患者的高度关注。护理专业的学生认为,根据单位的不同,这种关系会受到尊重。然而,他们中的大多数人都对负面行为对患者的影响表示担忧。结论:从护理和医学生对未来工作关系的看法中学习突出的主题可以帮助找到可以解决的障碍。未来的研究将有助于在更大范围内发现主题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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