Mediating effects of specialist nurse teamwork perceptions and attitudes on the relationship between practice environment and interprofessional collaboration ability

Ding Li; Yin Yu; Feng Jiehui; Xu Jing; Xu Jianning

doi:10.3760/cma.j.cn116021-20251229-02250

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Mediating effects of specialist nurse teamwork perceptions and attitudes on the relationship between practice environment and interprofessional collaboration ability

更新时间：2026-04-27

- Mediating effects of specialist nurse teamwork perceptions and attitudes on the relationship between practice environment and interprofessional collaboration ability
- Chinese Journal of Medical Education Research Pages: 1-7(2026)
- 作者机构：
  
  1.浙江大学医学院附属第一医院护理部，杭州 311100
  2.浙江大学医学院附属第一医院结直肠外科，杭州 311100
  3.浙江中医药大学护理学院，杭州 310053
- 作者简介：
  
  Xu Jianning, Email: xjn5183@163.com
- 基金信息：
  
  Medicine and Health Science and Technology Project of Zhejiang Province(2024KY1191;2025KY782);Medical and Health Science Program of Zhejiang Province(2025HY0341)
- DOI：10.3760/cma.j.cn116021-20251229-02250
  CLC： R-05
- Received：29 December 2025，
  
  Online First：27 April 2026，
- 稿件说明：
移动端阅览
Ding Li, Yin Yu, Feng Jiehui, et al. Mediating effects of specialist nurse teamwork perceptions and attitudes on the relationship between practice environment and interprofessional collaboration ability[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-7.
DOI：

Ding Li, Yin Yu, Feng Jiehui, et al. Mediating effects of specialist nurse teamwork perceptions and attitudes on the relationship between practice environment and interprofessional collaboration ability[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-7. DOI： 10.3760/cma.j.cn116021-20251229-02250.

摘要

目的

探讨专科护士的团队认知和态度在其工作环境与跨专业协作能力之间的中介效应，为管理者制定提升专科护士跨专业协作能力的科学、有效措施提供依据。

方法

2025年10月，采用便利抽样法选取浙江省某三级医院的317名专科护士作为研究对象，基于“结构—过程—结果”框架开展调研。其中，结构层面使用护理工作环境量表；过程层面采用团队合作认知问卷和团队合作态度问卷；结果层面采用千叶跨专业协作能力量表。运用SPSS宏程序PROCESS进行中介效应分析。

结果

共回收317名专科护士的有效问卷。护理工作环境量表、团队合作认知量表、团队合作态度量表、跨专业协作能力量表的总分分别为139.15±14.59、158.70±16.20、131.36±10.30、133.00±12.29。护理工作环境、团队合作认知、团队合作态度的得分均与跨专业协作能力总分呈显著正相关（

=0.703、0.719、0.596，

0.01）。团队合作认知和态度在工作环境与跨专业协作能力之间起部分中介作用，其中认知的中介效应（37.84%）显著大于态度的中介效应（16.55%）。

结论

团队合作认知和态度是工作环境与跨专业协作能力的中介变量。护理管理者可通过优化工作环境、加强团队合作培训、建立激励机制等途径，提升专科护士的跨专业协作能力，进而提升三级医院专科护士的团队合作质量与护理照护水平。

Abstract

Objective

To explore the mediating effects of specialist nurse teamwork perceptions and attitudes on the relationship between practice environment and interprofessional collaboration ability

and provide a basis for managers to develop scientific and effective strategies for enhancing the interprofessional collaboration ability of specialist nurses.

Methods

In October 2025

a convenience sampling method was used to select 317 specialist nurses from a tertiary hospital in Zhejiang Province. A survey was conducted based on the "structure

process

and outcome" framework. In the structure dimension

the practice environment was measured using the Nursing Work Environment Scale. In the process dimension

teamwork perceptions and attitudes were measured using the Teamwork Perceptions Questionnaire and the Teamwork Attitudes Questionnaire. In the outcome dimension

interprofessional collaboration ability was assessed using the Chiba Interprofessional Competency Scale. The SPSS macro program PROCESS was used for mediating effect analysis.

Results

Valid questionnaires were collected from all 317 specialist nurses. The total scores for the Nursing Work Environment Scale

Teamwork Perceptions Questionnaire

Teamwork Attitudes Questionnaire

and Chiba Interprofessional Competency Scale were 139.15±14.59

158.70±16.20

131.36±10.30

and 133.00

±12.29

respectively. The total scores of the practice environment

teamwork perceptions

and teamwork attitudes were all significantly and positively correlated with the total score of interprofessional collaboration ability (

=0.703

0.719

and 0.596

respectively;

0.01). Teamwork perceptions and attitudes partially mediated the relationship between the practice environment and interprofessional collaboration ability. The mediating effect of perceptions (37.84%) was significantly greater than that of attitudes (16.55%).

Conclusions

Teamwork perceptions and attitudes are mediating variables between the practice environment and interprofessional collaboration ability. Nursing managers can enhance the interprofessional collaboration ability of specialist nurses by optimizing the practice environment

strengthening teamwork training

and establishing incentive mechanisms

thereby improving the quality of teamwork and nursing care provided by specialist nurses in tertiary hospitals.

关键词

Keywords

references

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