Original Publication
Open Access

Critical Synthesis Package: Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration

Published: December 2, 2013 | 10.15766/mep_2374-8265.9631

Included in this publication:

  • Critical Analysis of the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration.pdf
  • Jefferson Scale of Attitudes Toward Physcian-Nurse Collaboration Instrument.doc
  • Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration Scoring Guide.docx

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications. It is also part of a discontinued collection that focused on the presentation of health sciences education assessment tools and their reported validity data.


This Critical Synthesis Package contains: (1) a Critical Analysis of the psychometric properties and application to health sciences education for the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration (JSAPNC), and (2) a copy of the JSAPNC and the Scoring Guide developed by Mohammadreza Hojat, PhD.

The JSAPNC measures both nurse and physician attitudes toward physician-nurse professional collaboration. Fifteen items are distributed across four domains: Shared Education and Collaborative Relationships, Caring as Opposed to Curing, Nurse’s Autonomy, and Physician’s Authority. All domains are self-assessed by the participant along a four-point Likert-type scale. Reliability and validity evidence of the JSAPNC, applied extensively in both nursing and medical education, and practice, indicate moderate to high internal consistency and suggest sensitivity of the measure to differences in attitudes between nurses and physicians. Further investigations on the use of the JSAPNC in longitudinal and repeated measure designs is recommended to better understand its utility as a program evaluation outcome measure and its relationship to objective patient care outcomes. Although some methodological limitations exist, investigators consistently report moderate-to high- total-scale reliability, and validity is further supported by clear connections between items and the literature. Finally, several investigators mentioned a potential ceiling effect for the JSAPNC as many physicians, nurses, and students in training reported high initial attitudes, limiting the potential to demonstrate practically significant improvements over time. It may be necessary to revise the questionnaire to include a greater range of response for this instrument to be effectively applied in longitudinal or repeated measure research designs.

Educational Objectives

  1. To describe the purpose and basic properties of the Jefferson Scale of Attitudes Toward Physician-Nurse Collaboration (JSAPNC), including number of items and scales, and psychometric properties;
  2. To describe the application of the JSAPNC to the field of health sciences education;
  3. To evaluate the relative strengths and weaknesses of the JSAPNC; and
  4. To provide the JSAPNC and supplemental materials to aid in its administration.

Author Information

  • Angela Wetzel, PhD: Virginia Commonwealth University

None to report.

None to report.


Wetzel A. Critical synthesis package: Jefferson scale of attitudes toward physician-nurse collaboration. MedEdPORTAL. 2013;9:9631. https://doi.org/10.15766/mep_2374-8265.9631