Agreement of Nurses’ and Physicians’ Attitudes on Collaboration During the Covid-19 Pandemic Using the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration

Abstract

Helen M Shields,1 Stephen R Pelletier,2 Marina E Zambrotta1 1Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA; 2Office of Educational Quality Improvement, Harvard Medical School, Boston, MA, USACorrespondence: Helen M Shields, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA, Tel [phone], Email [email protected]: Collaboration between physicians and nurses has been shown to lead to better patient outcomes. However, studies have shown differing physicians’ and nurses’ responses to survey questions about physician-nurse collaboration. We surveyed physicians and nurses during the Covid-19 pandemic for their attitudes toward collaboration.Methods: In August 2021, during the Covid-19 pandemic, we surveyed physicians and nurses throughout an urban, academic teaching hospital over a consecutive twenty-day period using the validated Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. Anonymous surveys were obtained from nurses and physicians on duty at the hospital. Demographic data from each survey included gender, age, profession of nurse or physician, degree, and specialization.Results: Four hundred and fifteen (415) unique paper surveys were collected from 308 nurses and 107 physicians over the twenty-day period. Five nurses and two physicians declined to complete the survey (1.6%). Using the Independent t-test of Means, total score and sub-scores were analyzed. Physicians and nurses scored the paper surveys in a similar manner. No statistically significant differences between the scores of physicians and nurses were found for any of the fifteen Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration questions, except for the youngest age group (20– 29-year-old) having a significantly more positive response to doctors being the dominant authority on all health matters (p-value=0.011). Gender and nursing degree did not make a significant difference. Surgical Specialties (167), Medical Specialties (196), Intensive Care Unit (21), and the Emergency Department (43) survey responses did not differ significantly from each other.Conclusion: One and a half years into the Covid-19 pandemic, physicians and nurses at an urban, academic teaching hospital were in agreement with their responses on the validated Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration. Our data may reflect a catalytic and positive effect of the Covid-19 pandemic on physician and nurse attitudes toward collaboration.Keywords: physician-nurse collaboration, Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration, interprofessional education, Covid-19 pandemic

Keywords

• physician-nurse collaboration jefferson scale of attitudes toward physician-nurse collaboration interprofessional education covid-19 pandemic