Working together — primary care doctors’ and nurses’ attitudes to collaboration

Hansson, Anders; Arvemo, Tobias; Marklund, Bertil; Gedda, Birgitta; Mattsson, Bengt

doi:10.1177/1403494809347405

Cited by 68 publications

(63 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A study among Swedish general practitioners and district nurses also showed similar findings (Hansson, Arvemo, Marklund, Gedda, & Mattsson, 2010). The second hypothesis was based on the postulation that physicians and nurses with higher education levels would be better able to appreciate that holistic management of patients is best achieved by a professional healthcare team that could deal with the bio-psychosocial aspects of patients.…”

Section: Hypothesesmentioning

confidence: 87%

Attitudes towards interprofessional collaboration among primary care physicians and nurses in Singapore

Zheng

Sim

Koh

2016

Journal of Interprofessional Care

View full text Add to dashboard Cite

Interprofessional collaboration (IPC) has been shown to improve patient outcomes, cost efficiency, and health professional satisfaction, and enhance healthy workplaces. We determined the attitudes of primary care physicians and nurses towards IPC and factors facilitating IPC using a cross-sectional study design in Singapore. A self-administered anonymous questionnaire, based on the Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (JSAPNC), was distributed to primary healthcare physicians and nurses working in National Healthcare Group Polyclinics (N = 455). We found that the mean JSAPNC score for physicians was poorer than that for nurses (50.39 [SD = 4.67] vs. 51.61 [SD = 4.19], respectively, mean difference, MD = 1.22, CI = 0.35-2.09, p = .006). Nurses with advanced education had better mean JSAPNC score than nurses with basic education (52.28 [SD = 4.22] vs. 51.12 [SD = 4.11], respectively, MD = 1.16, CI = 0.12-2.20, p = .029). Male participants had poorer mean JSAPNC score compared to females (50.27 [SD = 5.02] vs. 51.38 [SD = 4.22], respectively MD = 1.11, CI = 0.07-2.14, p = .036). With regression analysis, only educational qualification among nurses was independently and positively associated with JSAPNC scores (p = .018). In conclusion, primary care nurses in Singapore had more positive attitudes towards IPC than physicians. Among nurses, those with advanced education had more positive attitudes than those with basic education. Greater emphasis on IPC education in training of physicians and nurses could help improve attitudes further.

show abstract

Section: Hypothesesmentioning

confidence: 87%

Attitudes towards interprofessional collaboration among primary care physicians and nurses in Singapore

Zheng

Sim

Koh

2016

Journal of Interprofessional Care

View full text Add to dashboard Cite

show abstract

“…21 Similar results have been reported by Garber and colleagues, 22 Strechi, 23 Jones and colleagues (comparing anesthesiologist and nurse anesthetists) , 24,25 and by Hansson and colleagues (in a study with Swedish general practitioners and nurses). 26 However, 1 study in Turkey reported more positive attitudes toward collaboration among medical students than among nursing students. 27 It will be interesting to learn whether medical and pharmacy students' attitudes toward collaboration converge as their training proceeds.…”

Section: Discussionmentioning

confidence: 98%

Validation of an Instrument to Measure Pharmacy and Medical Students’ Attitudes Toward Physician-Pharmacist Collaboration

Winkle

Fjortoft

Hojat

2011

American Journal of Pharmaceutical Education

View full text Add to dashboard Cite

Objectives. To assess the validity and reliability of an instrument to measure pharmacy students' attitudes toward physician-pharmacist collaboration, and compare those attitudes to the attitudes of medical students. Methods. One hundred sixty-six first-year pharmacy students and 77 first-year medical students at Midwestern University completed the Scale of Attitudes Toward Physician-Pharmacist Collaboration.Results. Findings confirmed the validity and reliability of the Scale of Attitudes Toward Physician-Pharmacist Collaboration in pharmacy students, as observed previously for medical students. Pharmacy students' mean score was significantly higher (56.6 6 7.2) than that of medical students (52.0 6 6.1). Maximum likelihood factoring confirmed the 3-factor solution of responsibility and accountability, shared authority, and interdisciplinary education for pharmacy students. Conclusions. The Scale of Attitudes Toward Physician-Pharmacist Collaboration can be used for the assessment of interdisciplinary educational programs, for patient outcome assessment of interprofessional collaboration, and for group comparisons. Findings that pharmacy students expressed more positive attitudes toward collaboration than medical students have implications for interdisciplinary education.Keywords: interprofessional collaboration, interprofessional education, health professions students, reliability, validity, psychometrics, attitudes INTRODUCTIONInterprofessional collaboration in patient care among US health care professionals began in World War II when medical, surgical, and nursing teams worked together to treat injured soldiers. 1 Health care providers now consider collaboration and teamwork to be an important component of professionalism 2 leading to greater patient safety 1 and better patient outcomes. 3-9 Physician-pharmacist collaboration results in improved patient self-care skills, fewer drug interactions 10,11 and medication errors, 12 and more cost-effective use of medication, 13 all of which lead to more effective drug therapy and better patient outcomes.Interdisciplinary education in medical and pharmacy colleges and schools is designed to enhance the skills that physicians and pharmacists will need to function in interprofessional health care teams. 14 These educational efforts are to ensure that all health care practitioners effectively use their specialized training and expertise to optimize patient care and improve therapeutic outcomes. For example, medical and pharmacy students at Midwestern University are taught together in several basic science and communications courses and in an introductory course entitled Health Care Issues. A collaborative relationship between pharmacists and physicians is needed more than ever because of the rapid advancements in medical and pharmaceutical sciences, occurrence of complex drug interactions, increased costs of drug-related morbidity, greater possibility of medical errors, and rapidly rising health care costs. Schellens and colleagues stated: "In view of its increasing co...

show abstract

“…17 The principle was likely in operation in several studies of interactions between nurses and physicians. [28][29][30][31][32][33] In the case of students, pharmacy and social work students expressed more positive attitudes toward interprofessional collaboration than did medical students. 34 In one study, however, Turkish medical students demonstrated a more positive attitude toward collaboration than did nursing students.…”

Section: Discussionmentioning

confidence: 99%

Critical Thinking and Reflection Exercises in a Biochemistry Course to Improve Prospective Health Professions Students’ Attitudes Toward Physician-Pharmacist Collaboration

Winkle

Cornell

Fjortoft

et al. 2013

American Journal of Pharmaceutical Education

View full text Add to dashboard Cite

Objective. To determine the impact of performing critical-thinking and reflection assignments within interdisciplinary learning teams in a biochemistry course on pharmacy students' and prospective health professions students' collaboration scores. Design. Pharmacy students and prospective medical, dental, and other health professions students enrolled in a sequence of 2 required biochemistry courses. They were randomly assigned to interdisciplinary learning teams in which they were required to complete case assignments, thinking and reflection exercises, and a team service-learning project. Assessment. Students were asked to complete the Scale of Attitudes Toward Physician-Pharmacist Collaboration prior to the first course, following the first course, and following the second course. The physician-pharmacist collaboration scores of prospective health professions students increased significantly ( p,0.001). Conclusions. Having prospective health professions students work in teams with pharmacy students to think and reflect in and outside the classroom improves their attitudes toward physician-pharmacist collaboration.

show abstract

Working together — primary care doctors’ and nurses’ attitudes to collaboration

Cited by 68 publications

References 24 publications

Attitudes towards interprofessional collaboration among primary care physicians and nurses in Singapore

Attitudes towards interprofessional collaboration among primary care physicians and nurses in Singapore

Validation of an Instrument to Measure Pharmacy and Medical Students’ Attitudes Toward Physician-Pharmacist Collaboration

Critical Thinking and Reflection Exercises in a Biochemistry Course to Improve Prospective Health Professions Students’ Attitudes Toward Physician-Pharmacist Collaboration

Contact Info

Product

Resources

About