Comparisons of American, Israeli, Italian and Mexican physicians and nurses on the total and factor scores of the Jefferson scale of attitudes toward physician–nurse collaborative relationships

Hojat, Mohammadreza; Gonnella, Joseph S.; Nasca, Thomas J.; Fields, Sylvia K.; Cicchetti, Americo; Scalzo, Alessandra Lo; Taroni, Francesco; Amicosante, Anna Maria Vincenza; Macinati, Manuela Samantha; Tangucci, M.; Liva, Carlo; Ricciardi, Walter; Eidelman, Schmuel; Admi, Hanna; Geva, Hana; Mashiach, Tanya; Alroy, G; Alcorta-Gonzalez, Adelina; Ibarra, David; Torres-Ruiz, Antonio

doi:10.1016/s0020-7489(02)00108-6

Cited by 140 publications

(187 citation statements)

References 47 publications

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“…For example, in a multi-national study, physicians in 4 countries (Israel, Italy, Mexico, and the United States) scored lower than nurses on a scale of attitudes toward physician-nurse collaboration. 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.…”

Section: Discussionsupporting

confidence: 81%

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

Winkle

Fjortoft

Hojat

2011

American Journal of Pharmaceutical Education

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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...

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Section: Discussionsupporting

confidence: 81%

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

Winkle

Fjortoft

Hojat

2011

American Journal of Pharmaceutical Education

Self Cite

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“…Also, the core components of effective teamwork are based on effective communication, good interpersonal relationship, understanding the roles or expertise and limitations of individual team members, and appreciating the need for flexibility and adaptation. The effective integration of these components is believed to help the team achieve its goals, such as effective POP management (Hojat et al, 2003;Middleton, 2004;Taylor & Stanbury, 2009). In this study, the dominance of surgeons on issues of POP management was apparent, and it is envisaged that future collaborations between doctors and nurses and enhanced education of nurses on POP management would improve the gap identified as reported by previous authors such as Abdalrahim, Majali, and Bergbom, (2009).…”

Section: Discussionmentioning

confidence: 57%

The Ghanaian Surgical Nurse and Postoperative Pain Management: A Clinical Ethnographic Insight

Aziato

Adejumo

2014

Pain Management Nursing

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“…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

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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.

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Comparisons of American, Israeli, Italian and Mexican physicians and nurses on the total and factor scores of the Jefferson scale of attitudes toward physician–nurse collaborative relationships

Cited by 140 publications

References 47 publications

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

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

The Ghanaian Surgical Nurse and Postoperative Pain Management: A Clinical Ethnographic Insight

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

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