Turkish version of the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration: A preliminary study

Abstract

The overall findings of this study indicate that the Turkish version of the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration is a psychometrically sound tool with satisfactory measurement characteristics including construct validity and internal consistency reliability. This instrument may be useful in assessing the effectiveness of educational programs designed to enhance collaboration between physicians and nurses, whether these programs are aimed at residents and graduate nursing students or practicing physicians and nurses.

“What is Found There”1: Qualitative Analysis of Physician–Nurse Collaboration Stories

“…The differences in worldview that one might have expected from these discrepancies in age, experience, gender, ethnicity and profession [16][17][18][19] make this study's discovery of overlapping affective themes surprising, as many qualities of the affective experience were actually shared across the professions. What might account for this finding?…”

“…More recent studies suggest that differences between physicians and nurses outweigh shared experience. [16][17][18] It is not surprising, then, that much of the existing literature supports the notion that physicians and nurses have irreconcilable differences in attitudes towards collaboration and that these attitudinal and behavioral differences are reinforced across gender and nationality. [16][17][18][19] Various models of the nurse-physician relationship have appeared in the literature.…”

“…[16][17][18] It is not surprising, then, that much of the existing literature supports the notion that physicians and nurses have irreconcilable differences in attitudes towards collaboration and that these attitudinal and behavioral differences are reinforced across gender and nationality. [16][17][18][19] Various models of the nurse-physician relationship have appeared in the literature. For example, one writer referred to the nurse-physician relationship as a "game," 20 wherein the nurse must take care to understand and "work around" the doctor in order to get the orders that she or he feels necessary for patient care, the dominance-deference model of "collaboration."…”

“…[16][17][18][19][37][38][39][40] By contrast, this study focused on successful physician-nurse interactions, illuminating the synergistic, positive, affective dimensions of successful collaboration.…”

Reliability and Validity of the Jefferson Scale of Empathy in Undergraduate Nursing Students

“…This 15-item scale measures attitudes of physicians and nurses toward interprofessional collaboration (Hojat et al, 1997(Hojat et al, , 1999. Evidence in support of the psychometrics of this scale has also been reported among physicians and nurses in the United States and Mexico , as well as Italian and Israeli nurses and physicians , and in Turkish samples (Yildirim et al, 2005(Yildirim et al, , 2006. Consistent with the conceptual framework of interprofessional collaboration, three factors emerged from factor analysis of the JSAPNC that were entitled "Shared Education and Collaboration,‰ "NurseÊs Authority,‰ "and "PhysicianÊs Autonomy‰ (Hojat et al, 1999;Ward et al, 2008).…”