摘要目的 调查三级综合性医院的医护合作状况并分析其影响因素,为进一步提高医护合作水平,改善医疗护理服务质量提供参考依据.方法 采用医生和护士合作量表、Jefferson医护合作态度量表、公立医院组织文化量表对三级综合性医院的280名护士、186名医生进行调查,并对结果进行分析.结果 三级综合性医院医护合作状况总体水平良好,医生得分为(82.98±12.97)分,护士得分为(76.71±14.25)分,医生评价的医护合作状况明显优于护士,差异有统计学意义.影响医生评价的因素是:组织文化、合作态度、年龄、合同类型;影响护士评价的因素是:组织文化、科室、婚姻状况.结论 三级综合性医院的医护合作状况有待进一步提高.应分别从医院管理者和医护人员的角度改善临床医护合作水平,构建和谐医护关系,为患者提供高质量的医疗护理服务.

abstractsObjective We aimed to study the status of nurse-physician collaboration in tertiary general hospitals and analyze the influencing factors,and provide references for improving the status and the service of medical-nursing quality.Methods Totally 280 nurses and 186 doctors working in medicine,surgery,emergency room,operating room and ICU in tertiary general hospitals were recruited in the study.The participants were investigated with the questionnaire of Nurse-Physician Collaboration Scale,Jefferson Scale of Attitudes towards Physician-Nurse Collaboration and the Tool for Organizational Culture.Results The status of nurse-physician collaboration was in a good condition,doctors scored (82.98±12.97),which was significantly higher than those of nurses (76.71±14.25),and there was sighificant difference.For doctors,the influencing factors included organizational culture,cooperative attitudes,gender,the type of contract; for nurses,the influencing factors included organizational culture,the department and marital status.Conclusions It is suggested to improve the condition of nurse-physician collaboration from the hospital managers and medical staff's point of view in tertiary general hospitals and construct the harmonious relationship between health care to provide high quality service for patients.