首页 期刊 论文 学科刊群 资讯 加盟 关于
EN
image
Article(id=1322927012863672750, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322924415817757501, articleNumber=null, orderNo=null, doi=10.12102/j.issn.1009-6493.2026.17.009, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1778083200000, receivedDateStr=2026-05-07, revisedDate=1785513600000, revisedDateStr=2026-08-01, acceptedDate=null, acceptedDateStr=null, onlineDate=1793339978661, onlineDateStr=2026-10-30, pubDate=1788969600000, pubDateStr=2026-09-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793339978661, onlineIssueDateStr=2026-10-30, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793339978661, creator=13701087609, updateTime=1793339978661, updator=13701087609, issue=Issue{id=1322924415817757501, tenantId=1146029695717560320, journalId=1220038315760373764, year='2026', volume='40', issue='17', pageStart='2961', pageEnd='3152', issueExtLink='null', onlineDate='null', pubDate='1788969600000', pubDateStr='2026-09-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793339359478, creator='13701087609', updateTime=1793343089343, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322940060072542250, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322924415817757501, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322940060072542251, tenantId=1146029695717560320, journalId=1220038315760373764, issueId=1322924415817757501, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=3023, endPage=3029, ext={EN=ArticleExt(id=1322927015325729199, articleId=1322927012863672750, tenantId=1146029695717560320, journalId=1220038315760373764, language=EN, title=Influence of power structures and educational factors on the cognition-practice gap in physician-nurse collaboration among interns, columnId=1220689484526572183, journalTitle=Chinese Nursing Research, columnName=Original Articles, runingTitle=null, highlight=null, articleAbstract=
Objective

To assess the collaboration willingness and practices of clinical and nursing students during their internships and to analyze key influencing factors.

Methods

A total of 135 clinical medicine students and 143 nursing students interning at three tertiary first-class hospitals in Shanxi Province were recruited.Surveys were conducted using a demographic questionnaire,the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration,and a Physician-Nurse Collaboration Behavior Scale.

Results

The total score of collaboration attitude among clinical medicine students was(50.97±5.47),while that of nursing students was(50.08±6.98),with no statistically significant difference between the two groups(P>0.05).The total score of physician-nurse collaboration behavior among clinical medicine students was (104.58±18.31),while that of nursing students was (95.53±22.00),There was a statistically significant difference between the two groups(P<0.05).Regression analysis revealed that professional identity and prior completion of interprofessional collaboration courses positively influenced collaboration attitude.Key factors affecting collaboration practices included joint case discussions with supervisors,internship stress,and professional identity.

Conclusions

Interns in medicine and nursing generally exhibit positive and convergent collaboration willingness,yet significant disparities in power perception and divergence in collaborative behaviors are evident.A dual-drive strategy combining "educational empowerment" and "structural empowerment" is recommended to enhance physician‑nurse collaboration competencies.

, authors=Suxia YAO1, Jinliang NIU1, 2, authorsList=Suxia YAO, Jinliang NIU, authorCompany=null, correspAuthors=Jinliang NIU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322927019092214193, articleId=1322927012863672750, tenantId=1146029695717560320, journalId=1220038315760373764, language=CN, title=权力结构及教育因素对医护实习生协作意愿与行为认知-实践差距的影响, columnId=1220689484681761433, journalTitle=护理研究, columnName=科研论著, runingTitle=null, highlight=null, articleAbstract=
目的

评估临床及护理专业学生在实习阶段医护协作意愿及行为，并分析关键影响因素。

方法

选取山西省3所三级甲等医院实习的135名临床医学专业学生与143名护理学专业学生，运用人口学问卷、Jefferson医护协作态度量表及医护协作量表进行调研。

结果

临床医学专业学生医护协作态度总分为（50.97±5.47）分，护理学专业学生总分为（50.08±6.98）分，两组比较差异无统计学意义（P>0.05）；临床医学专业学生医护协作行为总分为（104.58±18.31）分，护理学专业学生总分为（95.53±22.00）分，两组比较差异有统计学意义（P<0.05）。回归分析显示，专业认同度、学习过医护合作教育相关课程影响协作态度；带教老师支持医护学生共同参与病例讨论、实习压力、专业认同度影响协作行为。

结论

医护实习生协作意愿总体积极且趋同，但存在显著的权力认知差异与协作行为分化。建议采取“教育赋能+结构赋权”双驱动策略，以提升医护协作能力。

, authors=姚苏霞1, 牛金亮1, 2, *, *, authorsList=姚苏霞, 牛金亮, authorCompany=null, correspAuthors=牛金亮, authorNote=

姚苏霞，讲师，硕士研究生

, correspAuthorsNote=
牛金亮，E-mail:
NIU Jinliang, E-mail:
, copyrightStatement=除非特别声明，本刊刊出的所有文章不代表本刊编委会的观点。, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=49nGfTb87RN52uswmV9DpQ==, magXml=EjhuCkkssQA2liYd0Wzx6Q==, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=IGKeT30r3cIxKK1vX0ZLcA==, mapNumber=null, fund=null)}, authors=[Author(id=1322927022883865017, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322927023370404283, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, authorId=1322927022883865017, language=EN, stringName=Suxia YAO, firstName=Suxia, middleName=null, lastName=YAO, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322927024146350525, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, authorId=1322927022883865017, language=CN, stringName=姚苏霞, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1山西医科大学医学影像学院，山西 030001, bio={"content":"

姚苏霞，讲师，硕士研究生

"}, bioImg=null, bioContent=

姚苏霞，讲师，硕士研究生

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322927021155811762, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, xref=1, ext=[AuthorCompanyExt(id=1322927021176783283, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China), AuthorCompanyExt(id=1322927021189366196, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学医学影像学院，山西 030001)])]), Author(id=1322927024607723967, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=sxlscjy@163.com, emailSecond=null, emailThird=null, correspondingAuthor=1, authorType=1, ext={EN=AuthorExt(id=1322927025366892994, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, authorId=1322927024607723967, language=EN, stringName=Jinliang NIU, firstName=Jinliang, middleName=null, lastName=NIU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, 2, address=1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China
2Second Hospital of Shanxi Medical University, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322927025446584771, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, authorId=1322927024607723967, language=CN, stringName=牛金亮, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, 2, *, *, address=1山西医科大学医学影像学院，山西 030001
2山西医科大学第二医院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322927021155811762, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, xref=1, ext=[AuthorCompanyExt(id=1322927021176783283, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China), AuthorCompanyExt(id=1322927021189366196, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学医学影像学院，山西 030001)]), AuthorCompany(id=1322927022015644085, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, xref=2, ext=[AuthorCompanyExt(id=1322927022221164982, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927022015644085, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2Second Hospital of Shanxi Medical University), AuthorCompanyExt(id=1322927022409908663, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927022015644085, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2山西医科大学第二医院)])])], keywords=[Keyword(id=1322927025836655044, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, orderNo=1, keyword=physician-nurse collaboration), Keyword(id=1322927026620989893, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, orderNo=2, keyword=cognitive-practice gap), Keyword(id=1322927026738430406, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, orderNo=3, keyword=influencing factors), Keyword(id=1322927027120112071, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, orderNo=4, keyword=professional identity), Keyword(id=1322927027908641225, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, orderNo=5, keyword=internship), Keyword(id=1322927028743307722, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, orderNo=6, keyword=survey research), Keyword(id=1322927029217264076, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, orderNo=1, keyword=医护协作), Keyword(id=1322927030383280591, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, orderNo=2, keyword=认知-实践差距), Keyword(id=1322927030479749584, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, orderNo=3, keyword=影响因素), Keyword(id=1322927031272473041, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, orderNo=4, keyword=专业认同), Keyword(id=1322927031733846482, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, orderNo=5, keyword=实习), Keyword(id=1322927032077779411, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, orderNo=6, keyword=调查研究)], refs=[Reference(id=1322927035131232738, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2019, volume=8, issue=10, pageStart=3263, pageEnd=3267, url=null, language=null, rfNumber=1, rfOrder=0, authorNames=Mahboube L, Talebi E, Porouhan P, journalName=J Family Med Prim Care, refType=null, unstructuredReference=Mahboube L,Talebi E,Porouhan P,et al.Comparing the attitude of doctors and nurses toward factor of collaborative relationships[J].J Family Med Prim Care,2019,8(10):3263-3267., articleTitle=Comparing the attitude of doctors and nurses toward factor of collaborative relationships, refAbstract=null), Reference(id=1322927035491942883, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2025, volume=47, issue=10, pageStart=1694, pageEnd=null, url=null, language=null, rfNumber=2, rfOrder=1, authorNames=Zhu H, Sun Z, journalName=Medical Teacher, refType=null, unstructuredReference=Zhu H,Sun Z.Optimizing interprofessional collaboration:enhancing nurse-physician trainee dynamics[J].Medical Teacher,2025,47(10):1694, articleTitle=Optimizing interprofessional collaboration:enhancing nurse-physician trainee dynamics, refAbstract=null), Reference(id=1322927035844264420, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2025, volume=39, issue=1, pageStart=5, pageEnd=13, url=null, language=null, rfNumber=3, rfOrder=2, authorNames=Guan P, Han X, Li D, journalName=Journal of Interprofessional Care, refType=null, unstructuredReference=Guan P,Han X,Li D,et al.Effect of nurse-physician collaboration on the incidence of complications,negative emotions and quality of life in cervical cancer patients:a randomized controlled study[J].Journal of Interprofessional Care,2025,39(1):5-13., articleTitle=Effect of nurse-physician collaboration on the incidence of complications,negative emotions and quality of life in cervical cancer patients:a randomized controlled study, refAbstract=null), Reference(id=1322927035944927718, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2019, volume=19, issue=10, pageStart=1477, pageEnd=1481, url=null, language=null, rfNumber=4, rfOrder=3, authorNames=董旭, 王亚亚, 王丽敏, journalName=中国护理管理, refType=null, unstructuredReference=董旭,王亚亚,王丽敏,等.护士感知的三级医院科室医护合作现状和影响因素分析[J].中国护理管理,2019,19(10):1477-1481., articleTitle=护士感知的三级医院科室医护合作现状和影响因素分析, refAbstract=null), Reference(id=1322927036280472040, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2024, volume=null, issue=11, pageStart=184, pageEnd=186, url=null, language=null, rfNumber=5, rfOrder=4, authorNames=万改红, 姚岗, journalName=就业与保障, refType=null, unstructuredReference=万改红,姚岗.新医科建设背景下临床医学专业学生实践能力培养的探究[J].就业与保障,2024(11):184-186., articleTitle=新医科建设背景下临床医学专业学生实践能力培养的探究, refAbstract=null), Reference(id=1322927036376941033, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2024, volume=30, issue=5, pageStart=52, pageEnd=55, url=null, language=null, rfNumber=6, rfOrder=5, authorNames=周朵菊, 田艳玲, 徐成阳, journalName=齐鲁护理杂志, refType=null, unstructuredReference=周朵菊,田艳玲,徐成阳,等.心血管护理团队跨学科协作模式对冠心病患者的影响[J].齐鲁护理杂志,2024,30(5):52-55., articleTitle=心血管护理团队跨学科协作模式对冠心病患者的影响, refAbstract=null), Reference(id=1322927036695708138, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2025, volume=20, issue=9, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=7, rfOrder=6, authorNames=De Barros T G, Dos Santos E R, De Souza Menezes J D, journalName=PLoS One, refType=null, unstructuredReference=De Barros T G,Dos Santos E R,De Souza Menezes J D,et al.Interprofessional education:a recognized necessity,a persistent challenge perspectives from a longitudinal study[J].PLoS One,2025,20(9):e0319633., articleTitle=Interprofessional education:a recognized necessity,a persistent challenge perspectives from a longitudinal study, refAbstract=null), Reference(id=1322927036762817003, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2020, volume=null, issue=7, pageStart=326, pageEnd=327, url=null, language=null, rfNumber=8, rfOrder=7, authorNames=袁思越, 占静, 黄早早, journalName=教育教学论坛, refType=null, unstructuredReference=袁思越,占静,黄早早,等.浅析临床医学生从理论到实践中角色转换与对策[J].教育教学论坛,2020(7):326-327., articleTitle=浅析临床医学生从理论到实践中角色转换与对策, refAbstract=null), Reference(id=1322927037115138540, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2020, volume=20, issue=1, pageStart=254, pageEnd=null, url=null, language=null, rfNumber=9, rfOrder=8, authorNames=Berger-Estilita J, Fuchs A, Hahn M, journalName=BMC Med Educ, refType=null, unstructuredReference=Berger-Estilita J,Fuchs A,Hahn M,et al.Attitudes towards interprofessional education in the medical curriculum: a systematic review of the literature[J].BMC Med Educ,2020,20(1):254., articleTitle=Attitudes towards interprofessional education in the medical curriculum: a systematic review of the literature, refAbstract=null), Reference(id=1322927037211607533, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2026, volume=40, issue=7, pageStart=1081, pageEnd=1089, url=null, language=null, rfNumber=10, rfOrder=9, authorNames=徐雪茹, 吴萍, 张梦超, journalName=护理研究, refType=null, unstructuredReference=徐雪茹,吴萍,张梦超,等.基于社会生态系统理论的护士社会幸 福感潜在剖面分析及影响因素[J].护理研究,2026,40(7):1081-1089., articleTitle=基于社会生态系统理论的护士社会幸 福感潜在剖面分析及影响因素, refAbstract=null), Reference(id=1322927037580706288, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2008, volume=22, issue=4, pageStart=375, pageEnd=386, url=null, language=null, rfNumber=11, rfOrder=10, authorNames=Ward J, Schaal M, Sullivan J, journalName=J Interprof Care, refType=null, unstructuredReference=Ward J,Schaal M,Sullivan J,et al.The Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration:a study with undergraduate nursing students[J].J Interprof Care,2008,22(4):375-386., articleTitle=The Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration:a study with undergraduate nursing students, refAbstract=null), Reference(id=1322927037991748081, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2005, volume=19, issue=13, pageStart=1136, pageEnd=1138, url=null, language=null, rfNumber=12, rfOrder=11, authorNames=杨晓莉, 苏小茵, 张俊娥, journalName=护理研究, refType=null, unstructuredReference=杨晓莉,苏小茵,张俊娥.医护合作的研究进展[J].护理研究,2005,19(13):1136-1138., articleTitle=医护合作的研究进展, refAbstract=null), Reference(id=1322927038448927218, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2009, volume=65, issue=7, pageStart=1497, pageEnd=1508, url=null, language=null, rfNumber=13, rfOrder=12, authorNames=Ushiro R, journalName=J Adv Nurs, refType=null, unstructuredReference=Ushiro R.Nurse-Physician Collaboration Scale:development and psychometric testing[J].J Adv Nurs,2009,65(7):1497-1508., articleTitle=Nurse-Physician Collaboration Scale:development and psychometric testing, refAbstract=null), Reference(id=1322927040118260211, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2022, volume=36, issue=21, pageStart=3897, pageEnd=3901, url=null, language=null, rfNumber=14, rfOrder=13, authorNames=乔祎, 奚蓓华, 张寅, journalName=护理研究, refType=null, unstructuredReference=乔祎,奚蓓华,张寅.三级医院医生与造口治疗师合作态度及合作现状的调查分析[J].护理研究,2022,36(21):3897-3901., articleTitle=三级医院医生与造口治疗师合作态度及合作现状的调查分析, refAbstract=null), Reference(id=1322927040487358964, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2017, volume=17, issue=9, pageStart=1186, pageEnd=1189, url=null, language=null, rfNumber=15, rfOrder=14, authorNames=王明雪, 孙运波, 邢金燕, journalName=中国护理管理, refType=null, unstructuredReference=王明雪,孙运波,邢金燕,等.ICU护士医护合作水平、职业获益感与工作投入的相关性研究[J].中国护理管理,2017,17(9):1186-1189., articleTitle=ICU护士医护合作水平、职业获益感与工作投入的相关性研究, refAbstract=null), Reference(id=1322927040906789365, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2023, volume=43, issue=2, pageStart=120, pageEnd=126, url=null, language=null, rfNumber=16, rfOrder=15, authorNames=李天娇, 潘启亮, journalName=科技管理研究, refType=null, unstructuredReference=李天娇,潘启亮.学术生态视域下高校科研诚信行为的影响因素分析[J].科技管理研究,2023,43(2):120-126., articleTitle=学术生态视域下高校科研诚信行为的影响因素分析, refAbstract=null), Reference(id=1322927041309442550, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2011, volume=8, issue=2, pageStart=140, pageEnd=146, url=null, language=null, rfNumber=17, rfOrder=16, authorNames=Karima A, Sayed E L, Wafaa F, journalName=Life Science Journal, refType=null, unstructuredReference=Karima A,Sayed E L,Wafaa F,et al.Nurse-physician collaboration:a comparative study of the attitudes of nurses and physicians at Mansoura University Hospital[J].Life Science Journal,2011,8(2):140-146., articleTitle=Nurse-physician collaboration:a comparative study of the attitudes of nurses and physicians at Mansoura University Hospital, refAbstract=null), Reference(id=1322927041447854583, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2013, volume=48, issue=8, pageStart=701, pageEnd=703, url=null, language=null, rfNumber=18, rfOrder=17, authorNames=刘晓黎, 倪晓丽, 陈静, journalName=中华护理杂志, refType=null, unstructuredReference=刘晓黎,倪晓丽,陈静.临床医学和护理学专业实习学生医护合作态度的调查研究[J].中华护理杂志,2013,48(8):701-703., articleTitle=临床医学和护理学专业实习学生医护合作态度的调查研究, refAbstract=null), Reference(id=1322927041884062200, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2020, volume=24, issue=7, pageStart=83, pageEnd=85, url=null, language=null, rfNumber=19, rfOrder=18, authorNames=刘聪, 沈莲君, 赵琦, journalName=护理学报, refType=null, unstructuredReference=刘聪,沈莲君,赵琦.实习医生与护生合作意愿及沟通现状调查研究[J].护理学报,2020,24(7):83-85., articleTitle=实习医生与护生合作意愿及沟通现状调查研究, refAbstract=null), Reference(id=1322927042198635001, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2024, volume=38, issue=6, pageStart=1047, pageEnd=1052, url=null, language=null, rfNumber=20, rfOrder=19, authorNames=白井双, 袁媛, 蔡立柏, journalName=护理研究, refType=null, unstructuredReference=白井双,袁媛,蔡立柏,等.本科护生跨专业教学模式的应用效果[J].护理研究,2024,38(6):1047-1052., articleTitle=本科护生跨专业教学模式的应用效果, refAbstract=null), Reference(id=1322927042588705274, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2025, volume=39, issue=1, pageStart=92, pageEnd=102, url=null, language=null, rfNumber=21, rfOrder=20, authorNames=Guinat M, Greppin-Bécherraz C, Staffoni L, journalName=J Interprof Care, refType=null, unstructuredReference=Guinat M,Greppin-Bécherraz C,Staffoni L,et al.Impact of an interprofessional training on students' attitudes toward interprofessional education[J].J Interprof Care,2025,39(1):92-102., articleTitle=Impact of an interprofessional training on students' attitudes toward interprofessional education, refAbstract=null), Reference(id=1322927043003941372, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2020, volume=10, issue=1, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=22, rfOrder=21, authorNames=Thompson S, Metcalfe K, Boncey K, journalName=BMJ Open, refType=null, unstructuredReference=Thompson S,Metcalfe K,Boncey K,et al.Interprofessional education in geriatric medicine: towards best practice.a controlled before-after study of medical and nursing students[J].BMJ Open,2020,10(1):e018041., articleTitle=Interprofessional education in geriatric medicine: towards best practice.a controlled before-after study of medical and nursing students, refAbstract=null), Reference(id=1322927044685857277, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2024, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=23, rfOrder=22, authorNames=徐瑶, journalName=null, refType=null, unstructuredReference=徐瑶.新医科背景下护理硕士研究生跨学科能力指标体系构建与应用研究[D].南昌:南昌大学,2024., articleTitle=新医科背景下护理硕士研究生跨学科能力指标体系构建与应用研究, refAbstract=null), Reference(id=1322927045096899070, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2007, volume=null, issue=2, pageStart=87, pageEnd=91,104, url=null, language=null, rfNumber=24, rfOrder=23, authorNames=Thomson S, journalName=Medsurg Nurs, refType=null, unstructuredReference=Thomson S.Nurse‑physician collaboration:a comparison of the attitudes of nurses and physicians in the medical‑surgical patient care setting[J].Medsurg Nurs,2007(2):87-91,104., articleTitle=Nurse‑physician collaboration:a comparison of the attitudes of nurses and physicians in the medical‑surgical patient care setting, refAbstract=null), Reference(id=1322927045168202239, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2007, volume=86, issue=1, pageStart=45, pageEnd=57, url=null, language=null, rfNumber=25, rfOrder=24, authorNames=Sterchi L S, journalName=AORN J, refType=null, unstructuredReference=Sterchi L S.Perceptions that affect physician‑nurse collaboration in the perioperative setting[J].AORN J,2007,86(1):45-57., articleTitle=Perceptions that affect physician‑nurse collaboration in the perioperative setting, refAbstract=null), Reference(id=1322927045499552257, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2022, volume=37, issue=3, pageStart=62, pageEnd=64, url=null, language=null, rfNumber=26, rfOrder=25, authorNames=孙建, 宋瑰琦, 朱艳, journalName=护理学杂志, refType=null, unstructuredReference=孙建,宋瑰琦,朱艳,等.护士团队内部竞争感知及权力距离与知识隐藏的相关性研究[J].护理学杂志,2022,37(3):62-64., articleTitle=护士团队内部竞争感知及权力距离与知识隐藏的相关性研究, refAbstract=null), Reference(id=1322927045612798468, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2021, volume=30, issue=12, pageStart=926, pageEnd=929, url=null, language=null, rfNumber=27, rfOrder=26, authorNames=乔彩虹, 曹慧丽, 王巧红, journalName=临床医药实践, refType=null, unstructuredReference=乔彩虹,曹慧丽,王巧红,等.医护合作的相关模式及其影响因素研究现状[J].临床医药实践,2021,30(12):926-929., articleTitle=医护合作的相关模式及其影响因素研究现状, refAbstract=null), Reference(id=1322927045914788357, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2023, volume=9, issue=7, pageStart=16, pageEnd=20, url=null, language=null, rfNumber=28, rfOrder=27, authorNames=肖思莹, 江长青, journalName=中国医学人文, refType=null, unstructuredReference=肖思莹,江长青.医护的和合与沟通[J].中国医学人文,2023,9(7):16-20., articleTitle=医护的和合与沟通, refAbstract=null), Reference(id=1322927046015451654, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2025, volume=50, issue=4, pageStart=539, pageEnd=543, url=null, language=null, rfNumber=29, rfOrder=28, authorNames=方园, 孙建, 秦巧云, journalName=蚌埠医科大学学报, refType=null, unstructuredReference=方园,孙建,秦巧云,等.竞争感知、权力距离及领导成员交换对护士长知识隐藏的影响[J].蚌埠医科大学学报,2025,50(4):539-543., articleTitle=竞争感知、权力距离及领导成员交换对护士长知识隐藏的影响, refAbstract=null), Reference(id=1322927046808175112, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2025, volume=null, issue=null, pageStart=1, pageEnd=3, url=null, language=null, rfNumber=30, rfOrder=29, authorNames=刘盼, 廖晶苍, 张克萍, journalName=null, refType=null, unstructuredReference=刘盼,廖晶苍,张克萍.对比不同带教模式(一对一带教、排班制带教)应用于护理实习生中的教学效果[C].北京:2025课程教学与校园文化建设经验交流会论文集,2025:1-3., articleTitle=对比不同带教模式(一对一带教、排班制带教)应用于护理实习生中的教学效果, refAbstract=null), Reference(id=1322927047202439689, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2023, volume=11, issue=14, pageStart=2063, pageEnd=null, url=null, language=null, rfNumber=31, rfOrder=30, authorNames=Ko S H, Hsieh M C, Huang R F, journalName=Healthcare, refType=null, unstructuredReference=Ko S H,Hsieh M C,Huang R F.Human error analysis and modeling of medication-related adverse events in Taiwan using the human factors analysis and classification system and logistic regression[J].Healthcare,2023,11(14):2063., articleTitle=Human error analysis and modeling of medication-related adverse events in Taiwan using the human factors analysis and classification system and logistic regression, refAbstract=null), Reference(id=1322927047638647306, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2018, volume=26, issue=1, pageStart=11, pageEnd=18, url=null, language=null, rfNumber=32, rfOrder=31, authorNames=Tang C J, Zhou W T, Chan S W, journalName=Nurs Manag, refType=null, unstructuredReference=Tang C J,Zhou W T,Chan S W,et al.Interprofessional collaboration between junior doctors and nurses in the general ward setting:a qualitative exploratory study[J].Nurs Manag,2018,26(1):11-18., articleTitle=Interprofessional collaboration between junior doctors and nurses in the general ward setting:a qualitative exploratory study, refAbstract=null), Reference(id=1322927049358311948, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2025, volume=38, issue=3, pageStart=339, pageEnd=355, url=null, language=null, rfNumber=33, rfOrder=32, authorNames=Anastasia A, Bochoridou A, Gkorezis P, journalName=Leadersh Health Serv, refType=null, unstructuredReference=Anastasia A,Bochoridou A,Gkorezis P,et al.Breaking the silence in the health-care sector:the relationship between empowering leadership and nurses' silence toward patient safety via psychological empowerment[J].Leadersh Health Serv,2025,38(3):339-355., articleTitle=Breaking the silence in the health-care sector:the relationship between empowering leadership and nurses' silence toward patient safety via psychological empowerment, refAbstract=null), Reference(id=1322927050121675277, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2024, volume=6, issue=10, pageStart=39, pageEnd=41, url=null, language=null, rfNumber=34, rfOrder=33, authorNames=黎小慧, 王静, 雷勇, journalName=医学论坛, refType=null, unstructuredReference=黎小慧,王静,雷勇.门诊护理管理中的团队协作与领导力发展研究[J].医学论坛,2024,6(10):39-41., articleTitle=门诊护理管理中的团队协作与领导力发展研究, refAbstract=null), Reference(id=1322927050541105678, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2023, volume=8, issue=1, pageStart=193, pageEnd=209, url=null, language=null, rfNumber=35, rfOrder=34, authorNames=Aref M, Kamel F, journalName=Menoufia Nursing Journal, refType=null, unstructuredReference=Aref M,Kamel F.Power distance orientation and empowering leadership:its relation to staff nurses promotive and prohibitive voice[J].Menoufia Nursing Journal,2023,8(1):193-209., articleTitle=Power distance orientation and empowering leadership:its relation to staff nurses promotive and prohibitive voice, refAbstract=null), Reference(id=1322927051396743696, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2024, volume=19, issue=null, pageStart=6564570, pageEnd=null, url=null, language=null, rfNumber=36, rfOrder=35, authorNames=Lee S E, Lee J W, journalName=J Nurs Manag, refType=null, unstructuredReference=Lee S E,Lee J W.Effects of hierarchical unit culture and power distance orientation on nurses' silence behavior:the roles of perceived futility and hospital management support for patient safety[J].J Nurs Manag,2024,19:6564570., articleTitle=Effects of hierarchical unit culture and power distance orientation on nurses' silence behavior:the roles of perceived futility and hospital management support for patient safety, refAbstract=null), Reference(id=1322927052290130449, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2023, volume=23, issue=1, pageStart=286, pageEnd=null, url=null, language=null, rfNumber=37, rfOrder=36, authorNames=Degu T, Amsalu E, Kebede A, journalName=BMC Health Serv Res, refType=null, unstructuredReference=Degu T,Amsalu E,Kebede A,et al.Inter-professional collaboration and associated factors among nurses and physicians in specialized public hospitals,the northwest,Ethiopia:mixed method multi-centered cross-sectional study[J].BMC Health Serv Res,2023,23(1):286., articleTitle=Inter-professional collaboration and associated factors among nurses and physicians in specialized public hospitals,the northwest,Ethiopia:mixed method multi-centered cross-sectional study, refAbstract=null), Reference(id=1322927053946880530, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2025, volume=39, issue=1, pageStart=22, pageEnd=29, url=null, language=null, rfNumber=38, rfOrder=37, authorNames=Fujita J, Fukui S, Ikezaki S, journalName=J Interprof Care, refType=null, unstructuredReference=Fujita J,Fukui S,Ikezaki S,et al.Evaluation of the elements of interprofessional education for end-of-life care among homecare nurses,care managers,and head care workers:a cluster-randomized controlled trial[J].J Interprof Care,2025,39(1):22-29., articleTitle=Evaluation of the elements of interprofessional education for end-of-life care among homecare nurses,care managers,and head care workers:a cluster-randomized controlled trial, refAbstract=null), Reference(id=1322927055146451475, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, doi=null, pmid=null, pmcid=null, year=2025, volume=null, issue=10, pageStart=113, pageEnd=115, url=null, language=null, rfNumber=39, rfOrder=38, authorNames=侯雅竹, 张天旺, 刘颖, journalName=中国高等医学教育, refType=null, unstructuredReference=侯雅竹,张天旺,刘颖,等.医护合作式带教模式在规培医师临床教学中的作用研究[J].中国高等医学教育,2025(10):113-115., articleTitle=医护合作式带教模式在规培医师临床教学中的作用研究, refAbstract=null)], funds=null, companyList=[AuthorCompany(id=1322927021155811762, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, xref=1, ext=[AuthorCompanyExt(id=1322927021176783283, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China), AuthorCompanyExt(id=1322927021189366196, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学医学影像学院，山西 030001)]), AuthorCompany(id=1322927022015644085, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, xref=2, ext=[AuthorCompanyExt(id=1322927022221164982, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927022015644085, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2Second Hospital of Shanxi Medical University), AuthorCompanyExt(id=1322927022409908663, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927022015644085, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2山西医科大学第二医院)])], figs=[ArticleFig(id=1322927032216191445, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, label=Table 1, caption=

Comparison of general demographic data between clinical medicine and nursing students

, figureFileSmall=null, figureFileBig=null, tableContent=
项目分类临床学生(n=135)护理学生(n=143)χ²值P
性别男63(46.7)32(22.4)18.210<0.001
女72(53.3)111(77.6)
学历专科0(0.0)17(11.9)18.990<0.001
本科70(51.9)76(53.1)
硕士研究生65(48.1)50(35.0)
实习时长半年至1年42(31.1)56(39.2)2.6700.263
>1~2年53(39.3)49(34.3)
>2年40(29.6)38(26.6)
实习科室内科55(40.7)58(40.6)0.0440.978
外科42(31.1)46(32.2)
其他38(28.1)39(27.3)
实习压力比较轻松62(45.9)68(47.6)0.0740.785
任务重压力大73(54.1)75(52.4)
专业认同认同83(61.5)89(62.2)0.0170.896
一般52(38.5)52(36.4)
不认同0(0.0)2(1.4)
职业兴趣有兴趣68(50.4)73(51.0)0.0130.910
一般65(48.1)62(43.4)
没有兴趣2(1.5)8(5.6)
带教老师支持医护学生共同参与病例讨论是103(76.3)110(76.9)0.0180.894
否32(23.7)33(23.1)
学习过医护合作教育相关课程是108(80.0)105(73.4)1.4500.228
否27(20.0)38(26.6)
), ArticleFig(id=1322927032606261719, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, label=表1, caption=

临床医学和护理学专业学生一般资料比较

, figureFileSmall=null, figureFileBig=null, tableContent=
项目分类临床学生(n=135)护理学生(n=143)χ²值P
性别男63(46.7)32(22.4)18.210<0.001
女72(53.3)111(77.6)
学历专科0(0.0)17(11.9)18.990<0.001
本科70(51.9)76(53.1)
硕士研究生65(48.1)50(35.0)
实习时长半年至1年42(31.1)56(39.2)2.6700.263
>1~2年53(39.3)49(34.3)
>2年40(29.6)38(26.6)
实习科室内科55(40.7)58(40.6)0.0440.978
外科42(31.1)46(32.2)
其他38(28.1)39(27.3)
实习压力比较轻松62(45.9)68(47.6)0.0740.785
任务重压力大73(54.1)75(52.4)
专业认同认同83(61.5)89(62.2)0.0170.896
一般52(38.5)52(36.4)
不认同0(0.0)2(1.4)
职业兴趣有兴趣68(50.4)73(51.0)0.0130.910
一般65(48.1)62(43.4)
没有兴趣2(1.5)8(5.6)
带教老师支持医护学生共同参与病例讨论是103(76.3)110(76.9)0.0180.894
否32(23.7)33(23.1)
学习过医护合作教育相关课程是108(80.0)105(73.4)1.4500.228
否27(20.0)38(26.6)
), ArticleFig(id=1322927032966971864, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, label=Table 2, caption=

Comparison of scores on JSAPNC between clinical medicine and nursing students

, figureFileSmall=null, figureFileBig=null, tableContent=
组别人数共同的教育和团队合作护理和治疗的对策护士的工作自主性医生的支配总分
临床学生13525.16±2.8211.01±1.6710.87±1.723.87±1.5050.97±5.47
护理学生14324.39±3.9510.64±2.0210.34±1.864.70±1.6650.08±6.98
t值1.2961.1601.666-3.0370.762
P0.1970.2480.0980.0030.448
), ArticleFig(id=1322927033340264921, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, label=表2, caption=

临床医学和护理学专业学生JSAPNC得分比较

, figureFileSmall=null, figureFileBig=null, tableContent=
组别人数共同的教育和团队合作护理和治疗的对策护士的工作自主性医生的支配总分
临床学生13525.16±2.8211.01±1.6710.87±1.723.87±1.5050.97±5.47
护理学生14324.39±3.9510.64±2.0210.34±1.864.70±1.6650.08±6.98
t值1.2961.1601.666-3.0370.762
P0.1970.2480.0980.0030.448
), ArticleFig(id=1322927033755501018, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, label=Table 3, caption=

Comparison of scores on NPCS between clinical medicine and nursing students

, figureFileSmall=null, figureFileBig=null, tableContent=
组别人数病人信息的交流医生和护士的关系共同参与治疗或护理的决策过程总分
临床学生13550.04±8.8137.28±6.7217.25±3.27104.58±18.31
护理学生14345.97±10.6433.94±8.2315.63±3.7095.53±22.00
t值2.4172.5542.6732.564
P0.0170.0120.0080.012
), ArticleFig(id=1322927034162348507, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, label=表3, caption=

临床医学和护理学专业学生NPCS得分比较

, figureFileSmall=null, figureFileBig=null, tableContent=
组别人数病人信息的交流医生和护士的关系共同参与治疗或护理的决策过程总分
临床学生13550.04±8.8137.28±6.7217.25±3.27104.58±18.31
护理学生14345.97±10.6433.94±8.2315.63±3.7095.53±22.00
t值2.4172.5542.6732.564
P0.0170.0120.0080.012
), ArticleFig(id=1322927034237845980, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, label=Table 4, caption=

Multiple regression analysis of factors associated with students' attitudes towards physician-nurse collaboration

, figureFileSmall=null, figureFileBig=null, tableContent=
对象项目回归系数标准误t值P
护理学生常数43.3111.98320.833<0.001
学习过医护合作教育相关课程5.1981.6743.1120.003
专业认同度3.5741.2212.9310.005
临床学生常数42.6922.12320.114<0.001
学习过医护合作教育相关课程4.1511.4022.9610.004
专业认同度3.1771.2522.5410.014
), ArticleFig(id=1322927034581778910, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, label=表4, caption=

学生医护协作态度的影响因素分析

, figureFileSmall=null, figureFileBig=null, tableContent=
对象项目回归系数标准误t值P
护理学生常数43.3111.98320.833<0.001
学习过医护合作教育相关课程5.1981.6743.1120.003
专业认同度3.5741.2212.9310.005
临床学生常数42.6922.12320.114<0.001
学习过医护合作教育相关课程4.1511.4022.9610.004
专业认同度3.1771.2522.5410.014
), ArticleFig(id=1322927034653082080, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=EN, label=Table 5, caption=

Multiple regression analysis of factors associated with students' physician-nurse collaboration behavior

, figureFileSmall=null, figureFileBig=null, tableContent=
对象项目回归系数标准误t值P
护理学生常数57.3965.66810.126<0.001
实习压力15.1434.7403.1950.002
带教老师支持医护学生共同参与病例讨论13.5186.4932.0820.041
专业认同度10.7964.5192.3890.020
临床学生常数70.9707.6809.241<0.001
实习压力8.6714.0802.1250.037
带教老师支持医护学生共同参与病例讨论12.1954.9492.4640.017
专业认同度11.9583.9663.0150.003
), ArticleFig(id=1322927035034763745, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, language=CN, label=表5, caption=

影响学生医护协作行为的多元线性回归分析

, figureFileSmall=null, figureFileBig=null, tableContent=
对象项目回归系数标准误t值P
护理学生常数57.3965.66810.126<0.001
实习压力15.1434.7403.1950.002
带教老师支持医护学生共同参与病例讨论13.5186.4932.0820.041
专业认同度10.7964.5192.3890.020
临床学生常数70.9707.6809.241<0.001
实习压力8.6714.0802.1250.037
带教老师支持医护学生共同参与病例讨论12.1954.9492.4640.017
专业认同度11.9583.9663.0150.003
)], attaches=null, journal=Journal(id=1220037649855897604, delFlag=0, nameCn=护理研究, nameEn=Chinese Nursing Research, nameHistory1=null, nameHistory2=null, issn=1009-6493, eissn=null, cn=14-1272/R, coden=null, periodic=3, language=CN, oaType=null, ccby=null, superviseOffice=null, ownerOffice=null, pubOffice=null, editorOffice=null, officeType=null, aims=null, clcCode=null, officeProv=null, officeCity=null, officeAddr=null, officeZip=null, officeEmail=null, officePhone=null, editDirector=null, officeDirector=null, officeDirectorPhone=null, officeStaffNum=null, officeEmpNum=null, coverPicUrl=5ND/w5RQYz//x8ucn+e6Vw==, journalPrice=null, startedYear=null, abbrevIsoEn=Chinese Nursing Research, journalRemark=null, publicationField=null, createdTime=1768809242933, updatedTime=1789628561524, createdBy=18614031015, updatedBy=13041195026, firstLetterCn=H, firstLetterEn=H, subjectCode=Medical and Pharmaceutical Sciences, subjectName=null, subjectCodeEn=Medical and Pharmaceutical Sciences, subjectNameEn=null, picCn=5ND/w5RQYz//x8ucn+e6Vw==, picEn=vXneBBf6WfTz/ls4yy3nnA==, jcr=null, cjcr=null, exts=[JournalExt(id=1307360202571928186, language=CN, name=护理研究, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1789628561871, updatedTime=1789628561871, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=1de4c13f-4807-4ea4-8d8a-5, submissionEditorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=321a724c-d51d-4f08-a85e-2, submissionReviewUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=dadec7f2-d93c-4f73-8f97-e, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""}), JournalExt(id=1307360202618065531, language=EN, name=Chinese Nursing Research, nameHistory1=null, nameHistory2=null, managedBy=, sponsoredBy=, publishedBy=, editorOffice=, officeProv=null, officeCity=null, officeAddr=, officeZip=, editDirector=, officeDirector=null, officePhone=null, coverPicUrl=null, journalRemark=, submitArticleUrl=null, websiteUrl=, createdTime=1789628561882, updatedTime=1789628561882, createdBy=13041195026, updatedBy=13041195026, submissionGuidelinesUrl=, submissionAuthorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=1de4c13f-4807-4ea4-8d8a-5, submissionEditorUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=321a724c-d51d-4f08-a85e-2, submissionReviewUrl=https://journal.ids.fzyun.cn/auth/realms/journal/protocol/openid-connect/auth?client_id=journal-sxyxqks-author&redirect_uri=https%3A%2F%2Fgj.sxyxqks.com%2Foauth%2Fcallback&response_type=code&scope=phone+openid+email+profile&state=dadec7f2-d93c-4f73-8f97-e, submissionCeEditorUrl=, submissionAeEditorUrl=, option={"copyright":""})], databaseList=null, tenantJournalId=1220038315760373764, websiteList=[Website(id=1220043903038837076, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1220038315760373764, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/hlyj/CN, language=CN, createTime=1768810733804, createBy=18614031015, updateTime=1768811130580, updateBy=18614031015, name=护理研究-中文, tplId=1146099689490845704, title=护理研究, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1228001613021904925, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=articleTextType, value=kx, createTime=1770707999711, updateTime=1770707999711, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613005127706, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=banner, value=null, createTime=1770707999707, updateTime=1770707999707, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613038682144, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=grayFlag, value=0, createTime=1770707999715, updateTime=1770707999715, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613000933401, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=logo, value=https://castjournals.cast.org.cn/joweb/hlyj/CN/file/pic?fileId=pB29yYO+7WdTp0HLQ4KSzg==, createTime=1770707999706, updateTime=1770707999706, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613047070754, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=minRunFlag, value=0, createTime=1770707999717, updateTime=1770707999717, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613017710620, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/hlyj/CN/file/pic, createTime=1770707999710, updateTime=1770707999710, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613042876449, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=silenceFlag, value=0, createTime=1770707999716, updateTime=1770707999716, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613013516315, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_cn_619/, createTime=1770707999709, updateTime=1770707999709, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613026099230, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=themeColor, value=null, createTime=1770707999712, updateTime=1770707999712, creator=18614031015, updator=18614031015), WebsiteProps(id=1228001613034487839, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903038837076, code=themeStyle, value=null, createTime=1770707999714, updateTime=1770707999714, creator=18614031015, updator=18614031015)]), Website(id=1220043903097557352, webName=null, webTitle=null, webDomain=null, webCopyrigh=null, webIpcNo=null, seoTitle=null, seoKeywords=null, seoDescription=null, tenantJournalId=null, journalId=1220038315760373764, journalNameCn=null, journalNameEn=null, grayFlag=null, tenantId=1146029695717560320, platformId=null, journalGroupId=null, journalGroupNameCn=null, journalGroupNameEn=null, type=1, domain=https://castjournals.cast.org.cn/joweb/hlyj/EN, language=EN, createTime=1768810733819, createBy=18614031015, updateTime=1768811154181, updateBy=18614031015, name=护理研究-英文, tplId=1146101810881728533, title=Chinese Nursing Research, delFlag=0, indexPage=/home, props=[WebsiteProps(id=1220045841042166147, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=articleTextType, value=kx, createTime=1768811195860, updateTime=1768811195860, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841017000320, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=banner, value=null, createTime=1768811195854, updateTime=1768811195854, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841063137670, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=grayFlag, value=0, createTime=1768811195865, updateTime=1768811195865, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841008611711, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=logo, value=https://castjournals.cast.org.cn/joweb/hlyj/EN/file/pic?fileId=pB29yYO+7WdTp0HLQ4KSzg==, createTime=1768811195852, updateTime=1768811195852, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841075720584, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=minRunFlag, value=0, createTime=1768811195868, updateTime=1768811195868, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841033777538, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=picServerUrl, value=https://castjournals.cast.org.cn/joweb/hlyj/EN/file/pic, createTime=1768811195858, updateTime=1768811195858, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841071526279, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=silenceFlag, value=0, createTime=1768811195867, updateTime=1768811195867, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841025388929, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=staticResourcePath, value=https://castjournals.cast.org.cn/joweb/cast_kjdb_en_623/, createTime=1768811195857, updateTime=1768811195857, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841046360452, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=themeColor, value=null, createTime=1768811195861, updateTime=1768811195861, creator=18614031015, updator=18614031015), WebsiteProps(id=1220045841054749061, tenantId=1146029695717560320, journalId=null, journalGroupId=null, siteId=1220043903097557352, code=themeStyle, value=null, createTime=1768811195863, updateTime=1768811195863, creator=18614031015, updator=18614031015)])], journalTitle=护理研究, weixinUrl=null, journalUrl=https://www.hlyjzz.com/, iacademicId=null, status=1, seqNo=null, journalTitleEn=Chinese Nursing Research, journalPhotoCn=5ND/w5RQYz//x8ucn+e6Vw==, journalPhotoEn=vXneBBf6WfTz/ls4yy3nnA==, journalFirstLetter=H, journalRecommend=null, journalNew=null, journalCollection=null, jcrJf=null, cjcrJf=null, jcrJfStr=null, cjcrJfStr=null, submissionFirstDecision=null, sciSubjectClassification=null, casSubjectClassification=null, citeScore=null, totalCitationFrequency=null, icpCode=null, psCode=null, advertisingLicenseCode=null, copyrightInformation=null, country=null, option=, provinceCode=null, provinceName=null, collectFlag=false, interPubPlatform=, interPubPlatformUrl=null), detailUrlCn=https://castjournals.cast.org.cn/joweb/hlyj/CN/10.12102/j.issn.1009-6493.2026.17.009, detailUrlEn=https://castjournals.cast.org.cn/joweb/hlyj/EN/10.12102/j.issn.1009-6493.2026.17.009, pdfUrlCn=https://castjournals.cast.org.cn/joweb/hlyj/CN/PDF/10.12102/j.issn.1009-6493.2026.17.009, pdfUrlEn=https://castjournals.cast.org.cn/joweb/hlyj/EN/PDF/10.12102/j.issn.1009-6493.2026.17.009, aliStartDate=0, aliEndDate=0, collectionFlag=false, citedCount=null, citedUrl=null, previewStatus=0, delFlag=0, hasFullText=1, orderTime=1788969600000, fullTextJson=null, articleText=null, reference=null)
收藏切换
权力结构及教育因素对医护实习生协作意愿与行为认知-实践差距的影响
收藏切换
姚苏霞 1 , 牛金亮 1, 2, *, *
护理研究 | 科研论著 2026,40(17): 3023-3029
收起
收藏切换
护理研究 |科研论著 2026 , 40 (17) : 3023 -3029
权力结构及教育因素对医护实习生协作意愿与行为认知-实践差距的影响
全屏
[Author(id=1322927022883865017, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322927023370404283, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, authorId=1322927022883865017, language=EN, stringName=Suxia YAO, firstName=Suxia, middleName=null, lastName=YAO, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322927024146350525, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, authorId=1322927022883865017, language=CN, stringName=姚苏霞, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, address=1山西医科大学医学影像学院，山西 030001, bio={"content":"

姚苏霞，讲师，硕士研究生

"}, bioImg=null, bioContent=

姚苏霞，讲师，硕士研究生

, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322927021155811762, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, xref=1, ext=[AuthorCompanyExt(id=1322927021176783283, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China), AuthorCompanyExt(id=1322927021189366196, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学医学影像学院，山西 030001)])]), Author(id=1322927024607723967, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, orderNo=1, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=sxlscjy@163.com, emailSecond=null, emailThird=null, correspondingAuthor=1, authorType=1, ext={EN=AuthorExt(id=1322927025366892994, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, authorId=1322927024607723967, language=EN, stringName=Jinliang NIU, firstName=Jinliang, middleName=null, lastName=NIU, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, 2, address=1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China
2Second Hospital of Shanxi Medical University, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null), CN=AuthorExt(id=1322927025446584771, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, authorId=1322927024607723967, language=CN, stringName=牛金亮, firstName=null, middleName=null, lastName=null, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=1, 2, *, *, address=1山西医科大学医学影像学院，山西 030001
2山西医科大学第二医院, bio=null, bioImg=null, bioContent=null, aboutCorrespAuthor=null)}, companyList=[AuthorCompany(id=1322927021155811762, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, xref=1, ext=[AuthorCompanyExt(id=1322927021176783283, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China), AuthorCompanyExt(id=1322927021189366196, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927021155811762, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=1山西医科大学医学影像学院，山西 030001)]), AuthorCompany(id=1322927022015644085, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, xref=2, ext=[AuthorCompanyExt(id=1322927022221164982, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927022015644085, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2Second Hospital of Shanxi Medical University), AuthorCompanyExt(id=1322927022409908663, tenantId=1146029695717560320, journalId=1220038315760373764, articleId=1322927012863672750, companyId=1322927022015644085, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=2山西医科大学第二医院)])])]
姚苏霞1, 牛金亮1, 2, *, *
作者信息
  • 1山西医科大学医学影像学院，山西 030001
  • 2山西医科大学第二医院
通讯作者:
牛金亮，E-mail:
NIU Jinliang, E-mail:
作者简介:

姚苏霞，讲师，硕士研究生

Influence of power structures and educational factors on the cognition-practice gap in physician-nurse collaboration among interns
Suxia YAO1, Jinliang NIU1, 2
Affiliations
  • 1School of Medical Imaging, Shanxi Medical University, Shanxi 030001 China
  • 2Second Hospital of Shanxi Medical University
出版时间: 2026-09-10 doi: 10.12102/j.issn.1009-6493.2026.17.009
文章导航
收藏切换
摘要
收起
目的

评估临床及护理专业学生在实习阶段医护协作意愿及行为，并分析关键影响因素。

方法

选取山西省3所三级甲等医院实习的135名临床医学专业学生与143名护理学专业学生，运用人口学问卷、Jefferson医护协作态度量表及医护协作量表进行调研。

结果

临床医学专业学生医护协作态度总分为（50.97±5.47）分，护理学专业学生总分为（50.08±6.98）分，两组比较差异无统计学意义（P>0.05）；临床医学专业学生医护协作行为总分为（104.58±18.31）分，护理学专业学生总分为（95.53±22.00）分，两组比较差异有统计学意义（P<0.05）。回归分析显示，专业认同度、学习过医护合作教育相关课程影响协作态度；带教老师支持医护学生共同参与病例讨论、实习压力、专业认同度影响协作行为。

结论

医护实习生协作意愿总体积极且趋同，但存在显著的权力认知差异与协作行为分化。建议采取“教育赋能+结构赋权”双驱动策略，以提升医护协作能力。

医护协作  /  认知-实践差距  /  影响因素  /  专业认同  /  实习  /  调查研究
Objective

To assess the collaboration willingness and practices of clinical and nursing students during their internships and to analyze key influencing factors.

Methods

A total of 135 clinical medicine students and 143 nursing students interning at three tertiary first-class hospitals in Shanxi Province were recruited.Surveys were conducted using a demographic questionnaire,the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration,and a Physician-Nurse Collaboration Behavior Scale.

Results

The total score of collaboration attitude among clinical medicine students was(50.97±5.47),while that of nursing students was(50.08±6.98),with no statistically significant difference between the two groups(P>0.05).The total score of physician-nurse collaboration behavior among clinical medicine students was (104.58±18.31),while that of nursing students was (95.53±22.00),There was a statistically significant difference between the two groups(P<0.05).Regression analysis revealed that professional identity and prior completion of interprofessional collaboration courses positively influenced collaboration attitude.Key factors affecting collaboration practices included joint case discussions with supervisors,internship stress,and professional identity.

Conclusions

Interns in medicine and nursing generally exhibit positive and convergent collaboration willingness,yet significant disparities in power perception and divergence in collaborative behaviors are evident.A dual-drive strategy combining "educational empowerment" and "structural empowerment" is recommended to enhance physician‑nurse collaboration competencies.

physician-nurse collaboration  /  cognitive-practice gap  /  influencing factors  /  professional identity  /  internship  /  survey research
姚苏霞, 牛金亮. 权力结构及教育因素对医护实习生协作意愿与行为认知-实践差距的影响. 护理研究, 2026 , 40 (17) : 3023 -3029 . DOI: 10.12102/j.issn.1009-6493.2026.17.009
Suxia YAO, Jinliang NIU. Influence of power structures and educational factors on the cognition-practice gap in physician-nurse collaboration among interns[J]. Chinese Nursing Research, 2026 , 40 (17) : 3023 -3029 . DOI: 10.12102/j.issn.1009-6493.2026.17.009
正文
收起
随着医疗技术的飞速发展和医疗服务需求的持续攀升，医护协作在提升医疗质量、保障病人安全中的作用日益凸显[1]。已有研究表明，医护协作是实现积极医疗效果的主要因素，有效的医护协作可降低并发症发生率、缩短住院时间，并减少医疗差错，增强病人满意度与信任感[2-3]。虽然我国目前关于医护协作的课题已有不少探讨，然而，在临床工作中医护协作仍面临意愿不高、行为淡化等问题和挑战[4]，因此，学生阶段培养良好的医护协作观念显得尤为重要。目前，医护协作能力的培养仍以理论教育模式为主，多集中于校内课程体系改革而缺乏在临床实践中的培养，存在理论与实践的割裂[5-7]。医学专业实习生作为从理论学习向临床实践过渡的“早期塑造者”，其可塑性、学习意愿与空白认知为系统培养协作能力提供了窗口[8-9]。本研究以医护实习生理论与实践教育衔接为需求，旨在通过对医学实习生在实习阶段临床协作现状的全面描绘，以及对其早期影响因素的系统探讨，为改善临床实践教学体系、促进医护双向理解协作提供理论依据和参考建议。
1　对象与方法
收起
1.1　研究对象
采用便利抽样法，选取山西省3所三级甲等医院实习的临床医学专业学生（四年级及以上）135名与护理学专业学生（三年级及以上）143名。纳入标准：1）全日制在校生；2）临床实践时长≥6个月；3）实习期间未中断；4）自愿参与本研究。排除标准：1）实习期间请假超过2周者；2）拒绝参与或问卷填写不完整者。根据样本量一般是自变量的5~10倍[10]，本研究共纳入9个自变量，最终纳入有效样本278人，符合样本量要求。本研究经山西医科大学伦理委员会批准（编号：2025035），所有参与者签署书面知情同意书，问卷进行匿名化处理，相关数据仅用于科学研究。
1.2　研究工具
1）人口学问卷：涵盖性别、学历、实习时长及科室等基础信息。2）医护协作态度评估：采用Jefferson医护协作态度量表（Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration，JSAPNC）中文版。该量表由Ward等[11]于1999年研制，是国际上评估医护协作态度的常用工具。后经杨晓莉等[12]跨文化调适引入我国，多中心研究显示其信效度良好（Cronbach's α系数为0.87）。该工具包含4个维度（15个条目），采用Likert 4级评分（1=非常不同意，4=非常同意），含2个反向计分题。总分15~60分，≥45.01分为积极态度，30.01~45.00分为中立态度，≤30.00分为消极态度。在本研究中，Jefferson医护协作态度总量表的Cronbach's α系数为0.89，各维度的Cronbach's α系数为0.81~0.87，表明量表具有良好的内部一致性。3）医护协作行为状况：选用医护协作量表（Nurse-Physician Collaboration Scale，NPCS）。量表最初由Ushiro[13]编制，后经乔祎等[14]跨文化调适并应用于临床研究。该量表包含病人信息的交流（9个条目）、共同参与治疗或护理的决策过程（12个条目）、医生和护士的关系（4个条目）3个维度，共25个条目。采用Likert 5级评分，总分25~125分，得分越高表示协作行为效能越好。既往研究显示，该量表信效度良好，Cronbach's α系数为0.927[15]。在本研究中，医护协作量表的Cronbach's α系数为0.83，各维度Cronbach's α系数为0.72~0.86，表明量表具有良好的内部一致性。
1.3　数据采集
通过问卷星平台与纸质问卷双渠道向符合标准的研究对象发放问卷，匿名填写前由调查员说明研究目的与保密原则，现场指导填答。问卷星平台采用以下质量控制措施：1）设置统一的指导语和纳入标准说明；2）同一IP地址仅允许作答1次；3）所有题目均设置为必答项；4）全程匿名填写。回收后逐份审核，剔除填写不完整、规律作答或逻辑矛盾的问卷，并由双人独立录入核对。本次调查共发放问卷280份，回收有效问卷278份，有效回收率为99.3%。
1.4　统计学方法
采用SPSS 26.0软件进行数据处理与分析，定性资料以频数、百分比（%）表示，比较采用χ2检验；定量资料经Shapiro-Wilk检验符合正态分布，经Levene's检验方差齐，以均数±标准差（x±s）描述，比较采用独立样本t检验。协作态度与行为的影响因素筛选采用逐步线性回归模型（Stepwise法，α入=0.05，α出=0.10）。在进行回归分析前，采用方差膨胀因子（VIF）对自变量进行共线性诊断，以VIF<10作为不存在严重共线性的判断标准[16]。检验水准α=0.05。
2　结果
收起
2.1　临床医学和护理学专业学生一般资料（见表1）
2.2　临床医学和护理学专业学生医护协作态度量表得分情况（见表2）
2.3　临床医学和护理学专业学生医护协作行为得分比较（见表3）
2.4　影响临床医学与护理学专业学生医护协作态度的影响因素
先检验自变量间的多重共线性，结果显示，各自变量的VIF值均<10，表明不存在严重的共线性问题，适合进行回归分析。以JSAPNC总分为因变量，采用逐步回归分析，将性别、学历、实习时长、实习科室等一般资料作为自变量纳入模型。结果显示，专业认同度和是否学习过医护合作教育相关课程进入回归方程，在护理专业中F=12.45，P<0.05，R2=0.289，调整后R2=0.267；在临床医学专业中F=9.98，P<0.05，R2=0.237，调整后R2=0.213，见表4。
2.5　临床医学与护理学专业学生医护协作行为的影响因素
先检验自变量间的多重共线性，结果显示，各自变量的VIF值均<10，表明各自变量之间不存在严重的共线性问题，适合进行回归分析。以NPCS总分为因变量，以性别、学历、实习时长等一般资料为自变量进行逐步回归分析，结果显示，专业认同度、实习任务压力和带教老师支持医护专业学生共同参与病例讨论进入回归方程，见表5。
3　讨论
收起
3.1　医护协作态度的学科差异​​
结果显示，临床医学与护理学专业学生的医护协作态度总分比较差异无统计学意义（P>0.05），均呈积极态度。这一结果与既往针对实习生的协作态度研究结论[17]一致，但与早期文献中护理学专业学生态度优于临床医学专业学生的发现[18-19]存在差异。这种转变可能源于新医科环境下教育体系的改革。近年来，临床医学细化课程体系改革，跨学科协作平台的建立，有效提升了临床医学专业学生对医疗团队协作的认知水平[20-23]。回归分析结果显示，专业认同度、是否学习过医护合作教育相关课程与合作态度相关，这一结果有力证实了教育赋能在塑造协作态度中的作用，即通过强化专业身份归属与跨学科知识储备，为实习生提供协作意愿的内在驱动力，这也进一步解释了近年来医学教育改革在提升协作认知层面的显著成效。
值得注意的是，两组学生医生的支配维度得分差异有统计学意义（P<0.05）。这与Thomson[24]基于欧美样本的研究结论、Sterchi[25]的跨国调查数据形成跨文化呼应。近年来，随着国内护理教育体系的深化改革，护士的专业自主性不断增强，护士的权力距离感知显著降低，逐渐形成了“去权威化”的认知倾向[26]。本研究中，护理学生对医生支配维度认同度低，进一步印证了专业认同与跨学科教育因素对实习生权威认知的重塑作用，使其从传统的“医主护辅”被动接受者转向更具平等意识的协作参与者。然而，这种认知转向与当前临床权力结构的约束之间存在潜在的适应性冲突。
3.2　医护协作行为的实践差距​​
临床专业学生合作行为总分为（104.58±18.31）分，高于护理学生[（95.53±22.00）分]，差异有统计学意义（P<0.05）；在病人信息的交流、医生和护士的关系、共同参与治疗或护理的决策过程3个维度上，临床医学专业学生得分均高于护理学专业学生（P<0.05）。这种护理专业实习生协作行为分化可能提示存在更深层次的结构性制约。多因素回归分析显示，专业认同度、带教老师支持医护学生共同参与病例讨论、实习压力是影响合作行为的关键变量[27-28]。这表明除教育因素（专业认同度）共同影响态度与行为外，协作行为也受制于临床权力结构（带教老师支持参与病例讨论、实习压力）。这一发现与方园等[29]的研究契合：权力距离与护士知识隐藏行为呈正相关，当组织层级森严且缺乏心理安全感时，低年资护士更倾向于隐藏观点以避免冲突。具体而言，在医护层级文化中，医生可能多处于权力上位而护士处于权力下位，低权力地位者往往因担心负面评价而抑制建言行为。而对于处于权力结构较低层的护理实习生而言，这一行为抑制效应可能更为突出。同时，国内干预研究证实，带教老师在临床中对实习生主体的赋权与支持可提升其沟通能力和临床决策参与度[30]，这与本研究回归分析结果中带教老师支持参与病例讨论是协作行为的影响因素结论一致。从病人安全视角看，协作行为的落差具有明确的临床意义。既往研究显示，此类协作行为的抑制与用药错误、并发症发生率等不良事件呈正相关，这提示护理学生在协作中的行为抑制可能削弱一线警示功能，从而增加潜在的病人安全风险[31]。此外，这也暴露出教育因素在促进医护协作中的局限性，教育虽能有效塑造协作意愿，却无法突破难协作的结构性环境。
3.3　协作态度-行为的转化差异
研究显示，临床医学生与护理学生在协作意愿上高度趋同，但在协作行为上明显分化。这一“态度趋同、行为分化”的现象可能是教育因素与权力结构相互作用的结果。教育因素（专业认同、课程学习）塑造了医护实习生高度趋同的协作意愿，同时提升了护理实习生的“去权威化”认知。但从协作态度转向实际行为时，专业认同的影响力明显减弱，而实习压力、带教支持参与病例讨论等受临床权力结构影响的因素成为主要影响变量。由此可见，教育赋予的内在动力并不能直接转化为协作行为，个体的行为选择必然受权力结构的重塑。
从权力结构的视角出发，行为转化受阻主要体现在3个方面：首先，护理专业地位处境尴尬，护理专业长期处于医疗决策的边缘位置，同时又被赋予“独立照护者”的专业角色期待[32]，这种角色张力使其在临床协作中面临“双重合法性危机”，既需适应医疗决策的层级秩序，又需争取护理专业的发声空间，这种对专业自主性的追求与医疗机构内层级化的从属要求形成冲突，从根源上限制了协作行为的发挥。其次，临床带教老师的支持至关重要，Anastasia等[33]指出带教老师的支持行为是构成实习生能否跨越“行为门槛”的关键条件，赋予实习生参与决策的机会可提升其协作主动性；而临床中普遍存在的决策权限受限、带教支持不足等问题，直接阻碍了护理实习生协作意愿的落地。最后，团队文化也是不可忽视的影响因素；国内研究指出，积极的团队氛围、温和的领导方式对协作行为具有促进作用[34]；Aref等[35-36]指出，在高权力距离的团队文化中，低权力地位者的行为会受到不同程度的抑制。这几种因素的叠加使护理学生难以将协作意愿落实为实际行动。在本研究看来，教育赋能是必要但不充分条件，但权力结构的支持在态度-行为转化中起着更为关键的作用[37-38]。因此，要想缩小护理专业学生与临床专业学生在协作行为上的差距，更需要借助制度性手段干预重构临床权力结构，为护理学生创造敢于协作、能够协作的客观条件。
4　对策与建议​​
收起
针对上述结果，本研究尝试从“教育赋能与结构重构”两方面入手，提出改进实习生跨专业协作的具体思路。首先，开展针对性的跨专业教育干预。考虑到两个专业学生对权力认知存在的差异，可分别设计培训重点：针对护理专业实习生开展临床决策参与、情景模拟训练，帮助他们在医生主导环境下更自信地表达。针对临床专业实习生，则可通过“护理角色体验”增进其对护理专业的独立性与专业性的理解，逐步打破“医生主导、护士执行”的刻板印象。其次，在制度层面推动临床权利结构的调整。针对护理专业实习生“高意愿、低行为”的现状，可通过制度安排降低其参与协作的门槛。如推行“一医+一护”双导师制，由医护导师共同制定计划、指导实践并评估表现[39]。同时，建立常态化的联合查房与病例讨论机制。并在规则上确保护理专业实习生有平等的发言机会。再次，应优化临床实习的考核评价体系。将主动参与病例讨论、沟通有效性等行为指标纳入临床考核。同时，将带教老师是否主动邀请实习生参与讨论纳入临床教学质量评估，以此引导带教老师重视跨专业协作教学。最后，关注护理专业实习生的赋权与意见表达。可在护理教学中加强结构性赋权相关训练，在临床管理中推动医护共同决策，并建立实习生意见反馈的渠道，使护理专业实习生的专业观点与实践诉求能够及时传递，促进其协作意愿真正转化为实际行动。
5　研究局限性与未来方向
收起
本研究存在以下局限性：其一，样本来源与代表性存在局限。样本来自山西省3所三级甲等医院，来源较为单一，且受限于样本量，未能开展多中心、跨区域的大样本调查，可能导致研究结果的适用性受限。其二，研究对象为实习生，该群体处于临床权力结构中的弱势地位。尽管研究采取了匿名问卷、自愿参与说明等保护措施，但仍难以完全消除权力因素对数据真实性的潜在影响。同时，未直接测量病人安全指标，态度与行为转化机制的解释主要基于回归分析与理论推断。其三，变量选取和模型拟合存在不足。尽管两组在性别、学历分布上存在差异，但逐步回归显示其独立影响不明显；更重要的是，协作态度回归模型调整后的决定系数偏低，且行为回归模型中未纳入科室协作氛围、带教风格、实习生沟通能力等可能影响行为的潜在变量，加之常量与标准误偏大，也反映出模型拟合的局限，可能存在遗漏变量。
未来研究可在扩大样本量的基础上，开展多中心、跨区域研究，同时引入结构方程模型（SEM），并纳入科室协作氛围、带教风格及沟通能力等潜在变量，对本研究提出的“意愿-行为”转化路径进行深度验证，并结合病人安全终点指标（如不良事件报告率）全面评估干预效果。

文献
收起
参考文献 引证文献
排序方式：
1
Mahboube L,Talebi E,Porouhan P,et al.Comparing the attitude of doctors and nurses toward factor of collaborative relationships[J].J Family Med Prim Care,2019,8(10):3263-3267.
2
Zhu H,Sun Z.Optimizing interprofessional collaboration:enhancing nurse-physician trainee dynamics[J].Medical Teacher,2025,47(10):1694
3
Guan P,Han X,Li D,et al.Effect of nurse-physician collaboration on the incidence of complications,negative emotions and quality of life in cervical cancer patients:a randomized controlled study[J].Journal of Interprofessional Care,2025,39(1):5-13.
4
董旭,王亚亚,王丽敏,等.护士感知的三级医院科室医护合作现状和影响因素分析[J].中国护理管理,2019,19(10):1477-1481.
5
万改红,姚岗.新医科建设背景下临床医学专业学生实践能力培养的探究[J].就业与保障,2024(11):184-186.
6
周朵菊,田艳玲,徐成阳,等.心血管护理团队跨学科协作模式对冠心病患者的影响[J].齐鲁护理杂志,2024,30(5):52-55.
7
De Barros T G,Dos Santos E R,De Souza Menezes J D,et al.Interprofessional education:a recognized necessity,a persistent challenge perspectives from a longitudinal study[J].PLoS One,2025,20(9):e0319633.
8
袁思越,占静,黄早早,等.浅析临床医学生从理论到实践中角色转换与对策[J].教育教学论坛,2020(7):326-327.
9
Berger-Estilita J,Fuchs A,Hahn M,et al.Attitudes towards interprofessional education in the medical curriculum: a systematic review of the literature[J].BMC Med Educ,2020,20(1):254.
10
徐雪茹,吴萍,张梦超,等.基于社会生态系统理论的护士社会幸 福感潜在剖面分析及影响因素[J].护理研究,2026,40(7):1081-1089.
11
Ward J,Schaal M,Sullivan J,et al.The Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration:a study with undergraduate nursing students[J].J Interprof Care,2008,22(4):375-386.
12
杨晓莉,苏小茵,张俊娥.医护合作的研究进展[J].护理研究,2005,19(13):1136-1138.
13
Ushiro R.Nurse-Physician Collaboration Scale:development and psychometric testing[J].J Adv Nurs,2009,65(7):1497-1508.
14
乔祎,奚蓓华,张寅.三级医院医生与造口治疗师合作态度及合作现状的调查分析[J].护理研究,2022,36(21):3897-3901.
15
王明雪,孙运波,邢金燕,等.ICU护士医护合作水平、职业获益感与工作投入的相关性研究[J].中国护理管理,2017,17(9):1186-1189.
16
李天娇,潘启亮.学术生态视域下高校科研诚信行为的影响因素分析[J].科技管理研究,2023,43(2):120-126.
17
Karima A,Sayed E L,Wafaa F,et al.Nurse-physician collaboration:a comparative study of the attitudes of nurses and physicians at Mansoura University Hospital[J].Life Science Journal,2011,8(2):140-146.
18
刘晓黎,倪晓丽,陈静.临床医学和护理学专业实习学生医护合作态度的调查研究[J].中华护理杂志,2013,48(8):701-703.
19
刘聪,沈莲君,赵琦.实习医生与护生合作意愿及沟通现状调查研究[J].护理学报,2020,24(7):83-85.
20
白井双,袁媛,蔡立柏,等.本科护生跨专业教学模式的应用效果[J].护理研究,2024,38(6):1047-1052.
21
Guinat M,Greppin-Bécherraz C,Staffoni L,et al.Impact of an interprofessional training on students' attitudes toward interprofessional education[J].J Interprof Care,2025,39(1):92-102.
22
Thompson S,Metcalfe K,Boncey K,et al.Interprofessional education in geriatric medicine: towards best practice.a controlled before-after study of medical and nursing students[J].BMJ Open,2020,10(1):e018041.
23
徐瑶.新医科背景下护理硕士研究生跨学科能力指标体系构建与应用研究[D].南昌:南昌大学,2024.
24
Thomson S.Nurse‑physician collaboration:a comparison of the attitudes of nurses and physicians in the medical‑surgical patient care setting[J].Medsurg Nurs,2007(2):87-91,104.
25
Sterchi L S.Perceptions that affect physician‑nurse collaboration in the perioperative setting[J].AORN J,2007,86(1):45-57.
26
孙建,宋瑰琦,朱艳,等.护士团队内部竞争感知及权力距离与知识隐藏的相关性研究[J].护理学杂志,2022,37(3):62-64.
27
乔彩虹,曹慧丽,王巧红,等.医护合作的相关模式及其影响因素研究现状[J].临床医药实践,2021,30(12):926-929.
28
肖思莹,江长青.医护的和合与沟通[J].中国医学人文,2023,9(7):16-20.
29
方园,孙建,秦巧云,等.竞争感知、权力距离及领导成员交换对护士长知识隐藏的影响[J].蚌埠医科大学学报,2025,50(4):539-543.
30
刘盼,廖晶苍,张克萍.对比不同带教模式(一对一带教、排班制带教)应用于护理实习生中的教学效果[C].北京:2025课程教学与校园文化建设经验交流会论文集,2025:1-3.
31
Ko S H,Hsieh M C,Huang R F.Human error analysis and modeling of medication-related adverse events in Taiwan using the human factors analysis and classification system and logistic regression[J].Healthcare,2023,11(14):2063.
32
Tang C J,Zhou W T,Chan S W,et al.Interprofessional collaboration between junior doctors and nurses in the general ward setting:a qualitative exploratory study[J].Nurs Manag,2018,26(1):11-18.
33
Anastasia A,Bochoridou A,Gkorezis P,et al.Breaking the silence in the health-care sector:the relationship between empowering leadership and nurses' silence toward patient safety via psychological empowerment[J].Leadersh Health Serv,2025,38(3):339-355.
34
黎小慧,王静,雷勇.门诊护理管理中的团队协作与领导力发展研究[J].医学论坛,2024,6(10):39-41.
35
Aref M,Kamel F.Power distance orientation and empowering leadership:its relation to staff nurses promotive and prohibitive voice[J].Menoufia Nursing Journal,2023,8(1):193-209.
36
Lee S E,Lee J W.Effects of hierarchical unit culture and power distance orientation on nurses' silence behavior:the roles of perceived futility and hospital management support for patient safety[J].J Nurs Manag,2024,19:6564570.
37
Degu T,Amsalu E,Kebede A,et al.Inter-professional collaboration and associated factors among nurses and physicians in specialized public hospitals,the northwest,Ethiopia:mixed method multi-centered cross-sectional study[J].BMC Health Serv Res,2023,23(1):286.
38
Fujita J,Fukui S,Ikezaki S,et al.Evaluation of the elements of interprofessional education for end-of-life care among homecare nurses,care managers,and head care workers:a cluster-randomized controlled trial[J].J Interprof Care,2025,39(1):22-29.
39
侯雅竹,张天旺,刘颖,等.医护合作式带教模式在规培医师临床教学中的作用研究[J].中国高等医学教育,2025(10):113-115.
2026年第40卷第17期
23
10
引用本文
BibTeX
文章信息
doi: 10.12102/j.issn.1009-6493.2026.17.009
  • 接收时间：2026-05-07
  • 首发时间：2026-10-30
  • 出版时间：2026-09-10
补充材料
相关文章
文章信息
作者
出版历史
  • 收稿日期：2026-05-07
  • 修回日期：2026-08-01
基金
作者信息
    1山西医科大学医学影像学院，山西 030001
    2山西医科大学第二医院

通讯作者:

牛金亮，E-mail:
NIU Jinliang, E-mail:
参考文献
分享链接
https://castjournals.cast.org.cn/joweb/hlyj/CN/10.12102/j.issn.1009-6493.2026.17.009
分享至
全文二维码

扫描看全文

引用本文
BibTeX
本文的引用情况
2种不同金属材料的力学参数
科
Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
Genus		 种数
Number of
species		 占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
关闭全屏
相关链接
论文
最新文章
热读文章
热点专题
内参
蓝皮书
产业发展报告
传播力报告
期刊分级目录
资讯
学术新闻
行业新闻
学术会议
行业会议
关于
关于我们
联系我们
北京市海淀区学院南路86号
100081
010-62662699（运营及技术支持）
qkjq@cast.org.cn

中国科学技术协会版权所有 京ICP 备10216604号-4 海淀分局备案 1101084647
科技导报社主办 中国科协信息中心技术支持