中文版醫護協同合作態度量表的翻譯與驗證

Translation and Validation of the Chinese Attitudes Toward Physician-Nurse Collaboration Scale

背景：隨著醫療體系的演變，醫護人員之間的合作日益緊密。然而，在亞洲的護理環境中，角色意識與專業認知的差異仍為合作的主要障礙。跨領域團隊合作照護（interprofessional collaborative practice）已被視為臺灣實現以病人為中心、高品質全人照護的重要策略。研究顯示護理師－醫師協作態度（attitude of physician-nurse collaboration）對護理師－醫師協作與跨領域團隊合作照護的關係，在整體照護過程中具有關鍵影響。
目的：本研究旨在翻譯與驗證醫護協同合作態度量表（Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration, JSAPNC）的中文版，編製完成具有信效度的量表為工具，提供醫療場域醫護協作態度的衡量與應用。
方法：採用JSAPNC量表進行中文翻譯，量表依翻譯程序完成中文量表並進行專家內容效度驗證，邀請某醫學中心臨床護理人員填寫問卷以驗證問卷的信效度，共收集150份有效問卷。
結果：完成轉譯JSAPNC為中文量表，經驗證此中文JSAPNC量表具良好內部一致性（Cronbach’sα= .79），並經探索性因素分析顯示其具有良好的建構效度（factor loading≥.05）。
結論：本研究完成轉譯JSAPNC中文量表，驗證其具有良好之信效度，為醫療機構建構跨領域協作文化提供研究基礎，建議未來醫療領域可持續深入探討醫護協作態度在臺灣的影響，以提供醫療決策與管理層級促進醫護協作態度之良性發展。

Background: Promoting interprofessional collaboration has become increasingly important in the work of healthcare professionals. However, in Asia, differences in role awareness and professional perceptions remain significant barriers to effective collaboration among these professionals. Interprofessional collaborative practice is recognized as a crucial strategy for achieving patient-centered and high-quality holistic care in Taiwan, with research indicating attitudes toward physician-nurse collaboration significantly shape this relationship and interprofessional collaborative practice, emphasizing the important influence of attitudes toward physician-nurse collaboration on the overall care process.
Purpose: The Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (JSAPNC) was translated into Traditional Chinese and validated in this study. After confirming its reliability and validity, this scale was used to measure and assess the attitudes toward collaboration of medical doctors and nurses.
Methods: The JSAPNC scale was transformed into Chinese using a standardized translation procedure, and the expert content validity of the translated scale was verified. Next, a pre-test questionnaire was distributed to verify its reliability and validity. The participants in this study were all clinical nurses working in a medical center, and 150 valid questionnaires were collected.
Results: The Traditional Chinese version of the JSAPNC was assessed as having good internal consistency (Cronbach’sα= .79), with exploratory factor analysis showing good construct validity (factor loading≥.05).
Conclusion: In this study, a Traditional Chinese version of the JSAPNC Chinese scale was produced and verified for reliability and validity. This scale may be used by medical institutions to promote cross-field collaboration cultures. It is recommended that, in the future, researchers in the medical field continue to conduct in-depth explorations of the impact of medical and nursing collaboration attitudes in Taiwan and provide guidance for medical decision-making. Developmental trends in promoting collaborative attitudes among physicians and managers with management levels.