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口腔专科医院医护合作行为现状的研究

On nurse-physician collaborative behavior in stomatological hospitals

摘要目的:调查和比较口腔专科医院医护合作行为以及影响医护合作的因素。方法通过医护合作量表( NPCS)调查,对各因素进行方差分析,筛选出影响医护合作水平的因素。结果医生与护士医护合作行为总分,差异无统计学意义( P>0.05);在“患者信息交流”“共同参与治疗或护理的决策过程”“护士和医生关系”3个维度21个条目中,有7个条目得分差异有统计学意义( P<0.05);性格外向、情绪稳定的医生,情绪稳定、工作3~5年及职称为护士的护理人员医护合作行为较好。结论口腔专科医院医生与护士医护合作行为总分无差异,但在护士和医生关系、处理复杂情况等方面的合作行为仍需加强教育与培训;医院管理者应努力营造一种积极的合作环境,促进医生与护士之间的团队协作。

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abstractsObjective To investigate and compare collaborative behavior between physicians and nurses in stomatological hospitals, and factors influencing nurse-physician collaboration. Methods Physicians and nurses were surveyed by Nurse-Physician Collaboration Scale ( NPSC) . Factors influencing nurse-physician collaborative level were screened out by analyzing various factors with ANOVA.Results The difference of total collaborative behavior scores between physicians and nurses was not significant ( P>0.05);among the 21 items in 3 dimensions of “information exchange among patients”,“joint participation in decision-making of treatment and nursing” and “relationship between nurses and physicians”, 7 items showed differences between the two groups ( P<0. 05 ); better nurse-physician collaborative behavior appeared between physicians with extrovert character and emotional stability, and nurses with emotional stability, 3-5 years of working and professional title as registered nurse.Conclusions The difference of nurse-physician collaborative behavior in stomatological hospitals was not significant;however, education and training of collaborative behaviors, such as nurse-physician relationship, dealing with complicated situation, etc. still need to be improved; hospital managers should build a positive collaborative environment, so as to promote team cooperation between nurses and physicians.

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