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Turkish Version of the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration: A preliminary study
Aysegul Yildirim
Health Education Faculty, Marmara University, Kartal, Cevizli, Istanbul, Turkey
Fevzi Akinci
Department of Health Policy & Administration; Center for International Health Services & Policy, Washington State University, Spokane WA, United States of America
Metin Ates
Health Education Faculty, Marmara University, Kartal, Cevizli, Istanbul, Turkey
Thomas Ross
School of Allied Health Sciences, East Carolina University, Greenville NC, United States of America
Halim Issever
Department of Public Health, Medical Faculty, Istanbul University, Capa-Istanbul, Turkey
Emre Isci
Health Education Faculty, Marmara University, Kartal, Cevizli, Istanbul, Turkey
Deniz Selimen
Nursing School, Marmara University, Haydarpasa, Kadikoy-Istanbul, Turkey
Abstract
Background
The Jefferson Scale of Attitudes Toward
Physician-Nurse Collaboration is an established instrument to measure
the perceived work relationship between physicians and nurses. The
survey addresses areas of autonomy and decisionmaking,
interprofessional education and relations, psychosocial care, teamwork,
and shared responsibility. The aim of this prelimiary study was to
adapt the Jefferson Scale of Attitudes Toward Physician-Nurse
Collaboration for use in Turkey and test its psychometric properties
and utility in clinical and research practice.
Methods
The process of cross-cultural adaptation and
validation followed the guidelines provided in the existing literature.
First, three bilingual health professionals independently translated
the original questionnaire into Turkish and a consensus version was
generated. Then, three other translators, blind to the original
questionnaire, performed a back translation into English to confirm the
accuracy of the translation. This version was then compared with the
original English questionnaire. Discrepancies were discussed and solved
by a panel of two nurses and two physicians. The field-testing for face
validity was done in a group of ten monolingual physicians and nurses.
Reliability was assessed with test-retest reliability and construct
validity was confirmed with factor analysis.
Results
The mean time of questionnaire administration was 3
minutes and 45 seconds. The test-retest reliability was 0.75, and
Cronbach's coefficient alpha was 0.71 for the entire
sample. The findings of the factor analysis indicated that the Turkish
version of Jefferson Scale of Attitudes Toward Physician-Nurse
Collaboration was comprised of the following four factors:
'physician-nurse relationships', 'shared education', 'nursing role in
patient care', and 'accountability and responsibility of nurses.'
Conclusion
The overall findings of this study indicate that
the Turkish version of the Jefferson Scale of Attitudes Toward
Physician-Nurse Collaboration is a psychometrically sound tool with
satisfactory measurement characteristics including construct validity
and internal consistency reliability. This instrument may be useful in
assessing the effectiveness of educational programs designed to enhance
collaboration between physicians and nurses, whether these programs are
aimed at residents and graduate nursing students or practicing
physicians and nurses.
Keywords
attitudes, physician-nurse collaboration, social roles, cultural norms, Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration
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