专科护士团队合作认知及态度在工作环境与跨专业协作能力间的中介效应研究

丁莉; 殷钰; 冯洁惠; 徐静; 徐建宁

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

您当前的位置：

首页 >

文章列表页 >

专科护士团队合作认知及态度在工作环境与跨专业协作能力间的中介效应研究

更新时间：2026-04-27

- 专科护士团队合作认知及态度在工作环境与跨专业协作能力间的中介效应研究
- Mediating effects of specialist nurse teamwork perceptions and attitudes on the relationship between practice environment and interprofessional collaboration ability
- 中华医学教育探索杂志 2026年页码：1-7
- 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：
  
  徐建宁，Email：xjn5183@163.com
- 基金信息：
  
  浙江省医药卫生科技计划项目(2024KY1191;2025KY782);浙江省卫生健康行业科技计划项目(2025HY0341)
- DOI：10.3760/cma.j.cn116021-20251229-02250
  中图分类号： R-05
- 收稿：2025-12-29，
  
  网络首发：2026-04-27，
- 稿件说明：
移动端阅览
丁莉, 殷钰, 冯洁惠, 等. 专科护士团队合作认知及态度在工作环境与跨专业协作能力间的中介效应研究[J/OL]. 中华医学教育探索杂志, 2026,1-7.

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.
丁莉, 殷钰, 冯洁惠, 等. 专科护士团队合作认知及态度在工作环境与跨专业协作能力间的中介效应研究[J/OL]. 中华医学教育探索杂志, 2026,1-7. DOI： 10.3760/cma.j.cn116021-20251229-02250.

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

丁炎明，吴欣娟，田君叶，等 . 我国31个省份三级医院专科护士培养及管理的现状调查 [J ] . 中华护理杂志， 2021 ， 56 （ 9 ）： 1357 - 1362 . DOI: 10.3761/j.issn.0254-1769.2021.09.013 http://dx.doi.org/10.3761/j.issn.0254-1769.2021.09.013 .

黄玺，李小寒 . 护理人员跨专业协作能力理论研究现状及进展 [J ] . 解放军护理杂志， 2019 ， 36 （ 8 ）： 69 - 72 . DOI: 10.3969/j.issn.1008-9993.2019.08.018 http://dx.doi.org/10.3969/j.issn.1008-9993.2019.08.018 .

李爱群，蔡益民，沈周敏，等 . 临床护士跨专业协作能力现状及影响因素分析 [J ] . 上海护理， 2023 ， 23 （ 5 ）： 30 - 34 . DOI: 10.3969/j.issn.1009-8399.2023.05.007 http://dx.doi.org/10.3969/j.issn.1009-8399.2023.05.007 .

吴一女，冯洁惠，徐建宁，等 . 基于ORTCC精细化管理理论的三级医院专科护士队伍培养和使用实践 [J ] . 中华医学教育探索杂志， 2025 ， 24 （ 10 ）： 1386 - 1392 . DOI: 10.3760/cma.j.cn116021-20240611-02119 http://dx.doi.org/10.3760/cma.j.cn116021-20240611-02119 .

Stievano A , Caruso R , Friganović A . The specialist nurse in European healthcare 2030: ESNO congress 2024 highlights [J ] . Healthcare , 2024 , 12 ( 16 ): 1623 . DOI: 10.3390/healthcare12161623 http://dx.doi.org/10.3390/healthcare12161623 .

邵静，叶志弘，汤磊雯 . 护理工作环境量表的研制及信效度研究 [J ] . 中华护理杂志， 2016 ， 51 （ 2 ）： 142 - 147 . DOI: 10.3761/j.issn.0254-1769.2016.02.002 http://dx.doi.org/10.3761/j.issn.0254-1769.2016.02.002 .

叶雪晨，朱亚鑫，赖雁妮，等 . 团队合作态度问卷和团队合作认知问卷的跨文化调适研究 [J ] . 中华医学教育杂志， 2018 ， 38 （ 6 ）： 801 - 805 . DOI: 10.3760/cma.j.issn.1673-677X.2018.06.001 http://dx.doi.org/10.3760/cma.j.issn.1673-677X.2018.06.001 .

李青锋，吴萍，谢丽思，等 . ICU护士跨专业协作能力现状及其影响因素研究 [J ] . 中华护理教育， 2023 ， 20 （ 5 ）： 534 - 539 . DOI: 10.3761/j.issn.1672-9234.2023.05.004 http://dx.doi.org/10.3761/j.issn.1672-9234.2023.05.004 .

谢丹，陈洁，魏永婷，等 . 护士职业认同在执业环境及安全行为间的中介效应研究 [J ] . 中华护理杂志， 2023 ， 58 （ 21 ）： 2630 - 2636 . DOI: 10.3761/j.issn.0254-1769.2023.21.010 http://dx.doi.org/10.3761/j.issn.0254-1769.2023.21.010 .

Labrague LJ , Al Sabei S , Al Rawajfah O , et al . Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses [J ] . J Nurs Manag , 2022 , 30 ( 1 ): 268 - 278 . DOI: 10.1111/jonm.13491 http://dx.doi.org/10.1111/jonm.13491 .

冯洁惠，朱含，王阳秭，等 . 心脏移植围手术期护理质量评价指标的构建 [J ] . 中华护理杂志， 2024 ， 59 （ 4 ）： 425 - 431 . DOI: 10.3761/j.issn.0254-1769.2024.04.006 http://dx.doi.org/10.3761/j.issn.0254-1769.2024.04.006 .

方积乾，陆盈 . 现代医学统计学 [M ] . 北京：人民卫生出版社， 2002 .

Battles JKH . Teamstepps teamwork perceptions questionnaire(T-TPO) manual [EB/OL ] . ( 2018-01-10 )[ 2025-01-17 ] . https://www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamperceptionsmanual.pdf https://www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/reference/teamperceptionsmanual.pdf .

Baker DP , Amodeo AM , Krokos KJ , et al . Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire [J ] . Qual Saf Health Care , 2010 , 19 ( 6 ): e49 . DOI: 10.1136/qshc.2009.036129 http://dx.doi.org/10.1136/qshc.2009.036129 .

黄颉，俞海萍，张梅英，等 . 中文版医疗团队合作认知和态度量表的信效度分析 [J ] . 中华现代护理杂志， 2020 ， 26 （ 21 ）： 2817 - 2823 . DOI: 10.3760/cma.j.cn115682-20190812-02878 http://dx.doi.org/10.3760/cma.j.cn115682-20190812-02878 .

Sakai I , Yamamoto T , Takahashi Y , et al . Development of a new measurement scale for interprofessional collaborative competency: the Chiba interprofessional competency scale (CICS29) [J ] . J Interprof Care , 2017 , 31 ( 1 ): 59 - 65 . DOI: 10.1080/13561820.2016.1233943 http://dx.doi.org/10.1080/13561820.2016.1233943 .

黄玺 . 千叶跨专业协作能力量表的汉化及应用研究 [D ] . 沈阳：中国医科大学， 2020 .

Jia W , Chen X , Fang J , et al . Association of teamwork, moral sensitivity and missed nursing care in ICU nurses: a cross-sectional study [J ] . J Clin Nurs , 2025 , 34 ( 5 ): 1801 - 1807 . DOI: 10.1111/jocn.17439 http://dx.doi.org/10.1111/jocn.17439 .

Celik GK , Taylan S , Guven SD , et al . The relationship between teamwork attitudes and caring behaviors among nurses working in surgical clinics: a correlational descriptive study [J ] . Niger J Clin Pract , 2019 , 22 ( 6 ): 849 - 854 . DOI: 10.4103/njcp.njcp_623_18 http://dx.doi.org/10.4103/njcp.njcp_623_18 .

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

基于核心能力构建营养支持实训基地培训方案及其效果评价的质性研究

小儿外科手术室专科护士核心能力评价指标体系的构建

基于CBL的TeamSTEPPS管理课程提升麻醉医师危机事件中临床胜任力的探索研究

胸外科专科护士核心能力研究的范围综述

职业倦怠在儿科住院医师规范化培训学员心理韧性与离职意愿间的中介作用