Comparisons of American, Israeli, Italian and Mexican physicians and nurses on the total and factor scores of the Jefferson scale of attitudes toward physician-nurse collaborative relationships

Int J Nurs Stud. 2003 May;40(4):427-35. doi: 10.1016/s0020-7489(02)00108-6.


This cross-cultural study was designed to compare the attitudes of physicians and nurses toward physician-nurse collaboration in the United States, Israel, Italy and Mexico. Total participants were 2522 physicians and nurses who completed the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration (15 Likert-type items, (Hojat et al., Evaluation and the Health Professions 22 (1999a) 208; Nursing Research 50 (2001) 123). They were compared on the total scores and four factors of the Jefferson Scale (shared education and team work, caring as opposed to curing, nurses, autonomy, physicians' dominance). Results showed inter- and intra-cultural similarities and differences among the study groups providing support for the social role theory (Hardy and Conway, Role Theory: Perspectives for Health Professionals, Appelton-Century-Crofts, New York, 1978) and the principle of least interest (Waller and Hill, The Family: A Dynamic Interpretation, Dryden, New York, 1951) in inter-professional relationships. Implications for promoting physician-nurse education and inter-professional collaboration are discussed.

Publication types

  • Comparative Study

MeSH terms

  • Analysis of Variance
  • Attitude of Health Personnel* / ethnology*
  • Cooperative Behavior*
  • Cross-Cultural Comparison
  • Female
  • Humans
  • Israel
  • Italy
  • Male
  • Mexico
  • Nurse's Role
  • Nurses / psychology*
  • Nursing Methodology Research
  • Physician's Role
  • Physician-Nurse Relations*
  • Physicians / psychology*
  • Power, Psychological
  • Professional Autonomy
  • Psychological Theory
  • Surveys and Questionnaires
  • United States