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

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.

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.

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.