Relationship between Differentiation of Self and Attitude Towards Physician–Nurse Relationship in Hospitals (Isfahan/Iran)

SeyedMeysam Jafary, Mousa Alavi, Alireza Irajpour, Tayebeh Mehrabi

Abstract


Abstract
Background: Attitude towards physician–nurse relationship is fundamental to achieve health care quality. Such attitude maybe determined by some personality traits such as differentiation of self. Hence, the present study aimed to investigate the relationship between differentiation of self and attitude to professional physician–nurse  relationship.

Materials and Methods: This cross‑sectional study was done in three hospitals in Isfahan in 2015. The study included all nurses and physicians. In total, 400 participants were recruited through convenience‑sampling method. Data gathering instruments included a three‑part questionnaire [demographic data sheet, Jefferson Scale of Attitudes toward Physician–Nurse Collaboration (JSAPNC) and differentiation of self‑inventory (DSI)]. The data were analyzed through descriptive and inferential statistics [t‑test, analysis of variance (ANOVA), and multiple linear regression) by the Statistical Package for the Social Sciences (SPSS) version 16 software.

 Results: The mean [standard deviation (SD)] of the scores of differentiation of self in physicians and nurses were 86.43 (9.62) and 159.28 (9.53), respectively. The results showed that the predicting model of attitudes towards physician–nurse relationship based on dimensions of differentiation of self both in nurses and physicians were significant. Moreover, the findings from linear regression analyses showed that predictor variables explained 0.18 and 0.14 of the variance of attitudes towards physician–nurse relationships in nurses and physicians, respectively.

Conclusions: Considering the significant role of differentiation of self to predict attitudes towards physician–nurse relationship, it is worthwhile to suggest provision of training programs particularly in the nursing and medical students to enhance differentiation of self both in physicians and nurses to improve culture of interprofessional relationships and to achieve optimum professional relationships between doctors and nurses.

 


Keywords


Attitude; communication; Iran; physicians; nurses

Full Text:

PDF

References


Irajpour, A. Alavi, M. Health professionals’ experiences and perceptions of challenges of interprofessional collaboration: Socio‑cultural influences of IPC. Iran J Nurs Midwifery Res 2015;20:99‑104.

Barrere C, Ellis P. Changing attitudes among nurses and physicians: A step toward collaboration. J Healthcare Qual 002;24:9‑16.

Alavi M, Irajpour A, Abdoli S, Saberizafarghandi MB. Clients as mediators of interprofessional collaboration in mental health services in Iran. J Interprof Care 2012;26:36‑42.

Hellquist K, Bradley R, Grambart S, Kapustin J, Loch J. Collaborative practice benefits patients: An examination of interprofessional approaches to diabetes care. Health Interprofessional Pract 2012;1:3.

Azza T, Elithy AT, Harmina MK, Elbialy GG. Nurses and Physicians Perceptions of Their Interprofessional Relationships at Alexandria Main University Hospital. J Am Sci 2011;7:750‑7.

Rostami H, Rahmani A, Ghahramanian A. The Viewpoint of Nurses about Professional Relationship between Nurses and Physicians. J Res Develop Nurs Midwifery 2010;7:63‑72.

Irajpour A, Alavi M, Abdoli S, Saberizafarghandi MB. Challenges of interprofessional collaboration in Iranian mental health services: A qualitative investigation. Iran J Nurs Midwifery Res 2012;17:171‑7.

Lak Dizji S, Mirsaeedi G, Foujazadeh M, Zamanzadeh V. Nurses participation in clinical decision‑making process. Tabriz J Nurs Midwifery. 2009;5:19‑25.

Mary P, Jani F. The doctor‑nurse game in the age of inter professional care a view from Canada. Nurs inquiry 2008;15:1‑2.

Ghafari F. Rafei H, Sanaei B. The effectiveness of Bowen’s distinguished family with dependent child. J Subst Abuse Addict Res 2010;3:55‑62.

Brown SS, Lindell DF, Dolansky MA, Garber JS. Nurses’ professional values and attitudes toward collaboration with physicians. Nurs Ethics 2015;22:205‑16.

Wang Y, Liu Yf, Li H, Li T. Attitudes toward Physician‑Nurse Collaboration in Pediatric Workers and Undergraduate Medical/ Nursing Students. Behav Neurol 2015;2015:846498.

Amsalu E, Boru B, Getahun F, Tulu B. Attitudes of nurses and physicians towards nurse‑physician collaboration in northwest Ethiopia: A hospital based cross‑sectional study. BMC Nurs 2014;13:1‑6.

Koushaki SH, Heydarali H, Zahedi S. The relationship between personality and job satisfaction of teachers. J Psychol Res 2010;1:8‑26.

Sohrabi R, Asadi M, Habibollahzade H, PanaAli A. Relationship between self‑differentiation in bowen's family therapy and psychological health. Procedia‑Social and Behavioral Sciences 2013;84:1773‑5.

Beebe R, Frisch N. Development of the Differentiation of Self and Role Inventory for Nurses (DSRI‑RN): A tool to measure internal dimensions of workplace stress. Nurs Outlook 2009;57:240‑5.

Yousefi N, Etemadi O, Bahrami F, Al‑Sadat Fatehezade M, Ahmadi SA, Beshlideh K. Structural relationships between self‑differentiation and subjective wellbeing, mental health and marital quality: Fitting bowen's theory. Iranian J Psychiatry and Behavioral Sci 2009;3:4‑14.

Jasemi M. Rahmani A. Aghakhani N. Hosseini FS. Eghtedar S. Nurses and Physicians’ Viewpoint toward Interprofessional Collaboration. Iran J Nurs 2013;26:15‑26.

Zakerimoghadam M, Ghiyasvandian S, Leili AK. Nurse– physician collaboration: The attitudes of baccalaureate nursing students at Tehran University of Medical Sciences. Iran Red Crescent Med J 2015;17:e23247.

Farmahini M, Kashaninia Z. Hosiani MA. Biglarian A. Impact of Training Communication Skills to Nurses on Patients Satisfaction with Nurse‑Patient Relationship. Iran J Nurs Res 2006;1:47‑54.

Park EK, Song M. Communication Barriers Perceived By Older Patients and Nurses. Int J Nurs Stud 2005;42:159‑66.

Trinidad DR, Unger JB, Chou CP, Johnson CA. The protective association of emotional intelligence with psychosocial smoking risk factors for adolescents. Personal Indiv Diff 2004;36:945‑54.

Parker JD, Taylor RN, Eastabrook JM, Schell SL, Wood LM. Problem gambling in adolescence: Relationships with internet misuse, gaming abuse and emotional intelligence. Personal Indiv

Diff 2008;45:174‑80.

Shapiro J. The feeling physician: Educating the emotions in medical training. Eur J Person Center Healthcare 2013;1:310‑6.

Lin YW, Chang WP. Physician Emotional Labour and Job Performance The Mediating Effects of Emotional Exhaustion. J Health Manage 2015;17:446‑57


Refbacks

  • There are currently no refbacks.