The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
권호 표지
DOI QR코드

DOI QR Code

The Impacts of Assertiveness on Attitudes toward Nurse-Physician Collaboration in Nursing Students

간호대학생의 자기주장이 간호사와 의사의 협업에 대한 태도에 미치는 영향

  • 이상민 (서라벌대학교 간호학과) ;
  • 류영호 (서라벌대학교 간호학과) ;
  • 김주현 (서라벌대학교 간호학과)
  • Received : 2018.07.10
  • Accepted : 2018.09.20
  • Published : 2018.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was conducted to identify the factors affecting nursing students' attitudes toward nurse-physician collaboration. Methods: The subjects were 200 nursing students from a college in K city, and the participants were recruited by posting a recruitment announcement. Data were collected from June 26 to 29, 2018 and analyzed using SPSS 22.0 and descriptive statistics, t-test, ANOVA, Sheff? test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: Attitudes toward nurse-physician collaboration showed a statistically significant difference according to grade, the reflection of opinion within the family, and the number of the counselor in general characteristics. Assertiveness and attitudes toward nurse-physician collaboration showed weak positive correlation (r=.18, p=.011). In hierarchical multiple regression analysis, the most affecting factor was junior grade (${\beta}=.25$), followed by positive assertiveness (${\beta}=.18$) and the number of the counselor (${\beta}=.14$). These variables explained 12.0% of the total variance in attitudes towards nurse-physician collaboration. Conclusion: To create positive attitudes toward collaboration between nurses and physicians in nursing students, various educational programs related to assertiveness on communication skills need to be provided from the lower grades. Also, a multidisciplinary simulation program should be developed and applied to be able to experience the situation of nurses and physicians.

Keywords

References

  1. Amicone, K. F., & Miller, R. (2015). Assertiveness in nursing students (Unpublished master's thesis). The University of Akron, Ohio, United States.
  2. Baggs, J. G., & Ryan, S. A. (1990). Intensive care unit nurse-physician collaboration and nursing satisfaction. Nursing Economics, 8(6), 386-392.
  3. Bang, K. S., & Park, H. J. (2008). Correlation of assertiveness and depression in clinical nurses. Journal of Korean Clinical Nursing Research, 14(2), 93-102.
  4. Boschma, G., Einboden, R., Groening, M., Jackson, C., MacPhee, M., Marshall, H., et al. (2010). Strengthening communication education in an undergraduate nursing curriculum. International Journal of Nursing Education Scholarship, 7(1), 1-14. http://dx.doi.org/10.2202/1548-923X.2043
  5. Cockerham, W. C. (2014). Medical sociology. Retrieved from Yale Institution for Social and Policy Studies website: http://dx.doi.org/10.1002/9781118410868.wbehibs548
  6. Cho, H. K., Lee, T. Y., & Kim, C. W. (2015). Hospital nurse turnover rate and structural characteristics of hospital. Journal of the Korea Academia-Industrial Cooperation Society, 16(1), 453-461. http://dx.doi.org/10.5762/KAIS.2015.16.1.453
  7. Gilbert, J. H. V., Yan, J., & Hoffman, S. J. (2010). A WHO report: Framework for action on interprofessional education and collaborative practice. Journal of Allied Health, 39(3), 196-197. Retrieved from http://www.researchgate.net/publication/233588528
  8. Hansen, M. T. (2009). Collaboration. New York: Harvard Business Press.
  9. Ha, Y. S., Kim, S. H., Moon, C. S., Suk, S. H., Yoon, J. R., & Lee, M. J. (1983). The assertiveness training program for aggressive or passive undergraduates. Research of Student Guidance, 16(1), 1-50.
  10. Hojat, M., Fields, S. K., Rattner, S. L., Griffiths, M., Cohen, M. J. M., & Plumb, J. D. (1997). Attitudes toward physician-nurse alliance: Comparisons of medical and nursing students. Academic Medicine, 72(10), S1-S3.
  11. Hojat, M., Fields, S. k., Veloski, J. J., Griffiths, M., Cohen, M. J. M., & Plumb, J. D. (1999). Psychometric properties of an attitude scale measuring physician nurse collaboration. Evaluation & Health Professions, 22(2), 208-220. http://dx.doi.org/10.1177/01632789922034275
  12. Jang, I. S., & Kim, J. N. (2002). Effects of assertiveness training on assertiveness behavior problem solving ability, and interpersonal relationships of nursing college students. Journal of Korean Academy of Community Health Nursing, 13(2), 239-248.
  13. Kim, M. S. (2016). Development and effects of assertiveness training applying Dongsasub training for nursing students in clinical practice. Journal of Korean Academy of Nursing, 46(4), 490-500. http://dx.doi.org/10.4040/jkan.2016.46.4.490
  14. Kim, H. J., Lee, D. H., Kim, C. W., & Kim, S. H. (2013). The difference of perception about nurse-physician collaboration between medical and nursing students: Nurse-physician collaboration. Korean Academy on Communication in Healthcare, 8(2), 143-149. http://dx.doi.org/10.15715/kjhcom.2013.8.2.143
  15. Korean Accreditation Board of Nursing Education. (2017, January 26). Evaluation criteria of nursing education certification (bachelor degree/associate degree in nursing). Retrieved from http://kabone.or.kr/kabon02/index04.php
  16. Larijani, T. T., Aghajani, M., Zamani, N., & Ghadirian, F. (2017). Assertiveness and the factors affecting it among nursing students of Tehran university of medical sciences. International Journal of New Technology and Research, 3(5), 34-38.
  17. Lee, E. K., & Kim, O. H. (2009). Collaboration between nurse-doctor and interpersonal communication competence of nurse. Korean Academy on Communication in Healthcare, 4(1), 49-57.
  18. Lee, E. K., & Ji, E. J. (2016). Factors influencing nursing professionalism in nursing students: Clinical learning environment and attitude toward nurse-physician collaboration. Journal of Korean Academy of Fundamentals of Nursing, 23(2), 126-135. http://dx.doi.org/10.7739/jkafn.2016.23.2.126
  19. Lee, K. E., Ha, N. S., & Kil, S. Y. (2000). The relationship between self-disclosure and clinical competency in nursing students. Journal of Korean Academy of Nursing, 30(3), 571-583. https://doi.org/10.4040/jkan.2000.30.3.571
  20. Lee, S. M. (2015). Relationship between assertiveness and attitudes toward nurse-physician collaboration in general hospital nurses (Unpublished master's thesis). Kosin University, Busan.
  21. Lee, S. M., & Sohn, S. K. (2015). Relationship between assertiveness and attitudes toward nurse-physician collaboration in general hospital nurses. Journal of East-West Nursing Research, 21(2), 156-164. http://dx.doi.org/10.14370/jewnr.2015.21.2.156
  22. Nasrabadi, A. N., Lipson, J. G., & Emami, A. (2004). Professional nursing in Iranian overview of its historical and sociocultural framework. Journal of Professional Nursing, 20(6), 396-402. http://dx.doi.org/10.1016/j.profnurs.2004.08.004
  23. Oh, K., Ahn, Y. H., Lee, H. Y., Lee, S. J., Kim, I. J., Choi, K. S., et al. (2011). A study on Korean nursing students' educational outcomes. Journal of Educational Evaluation for Health Professions, 8(3), 1-8. http://dx.doi.org/10.3352/jeehp. 2011.8.3
  24. Park, S. Y., & Kim, M. S. (1995). The reality of assertion training for nurses. Seoul: Jung Dam.
  25. Rathus, S. A. (1973). A 30-item schedule for assessing assertive behavior. Behavior Therapy, 4(3), 398-406. https://doi.org/10.1016/S0005-7894(73)80120-0
  26. Rosenstein, A. H., & O'Daniel, M. (2005). Disruptive behavior & clinical outcomes: Perceptions of nurses & physicians. American Journal of Nursing, 105(1), 54-64. https://doi.org/10.1097/00000446-200501000-00025
  27. Vazirani, S., Hays, R. D., Shapiro, M. F., & Cowan, M. (2005). Effect of a multidisciplinary intervention on communication and collaboration among physicians and nurses. American Journal of Critical Care, 14(1), 71-77.
  28. Ward, J., Schaal, M., Sullivan, J., Bowen, M. E., Erdmann, J. B., & Hojat, M. (2008). The Jefferson scale of attitudes toward physician-nurse collaboration: A study with undergraduate nursing students. Journal of Interprofessional Care, 22(4), 375-386. https://doi.org/10.1080/13561820802190533
  29. World Health Organization. (2010). Framework for action on interprofessional education & collaborative practice. Retrieved from http://www.who.int/hrh/resources/framework_action/en/
  30. Zakerimoghadam, M., Ghiyasvandian, S., & Leili, A. K. (2015). Nurse-physician collaboration: The attitudes of baccalaureate nursing students at Tehran university of medical sciences. Iranian Red Crescent Medical Journal, 17(4), 1-8. http://dx.doi.org/10.5812/ircmj.17(4)2015.23247

Cited by

  1. 간호대학생의 셀프리더십에 미치는 영향요인 vol.11, pp.3, 2018, https://doi.org/10.15207/jkcs.2020.11.3.369