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Poster Session 3

Category: Obstetric Quality and Safety

Poster Session 3

(800) Impact of Interprofessional Mentorship on Nurse Attitudes Towards Physician–Nurse Collaboration in Obstetrics

Thursday, February 12, 2026

10:30 AM - 12:00 PM

Submitting Author and Presenting Author(s)

Hannah Kelly, MD

OB/GYN Resident
Duke University Hospital
Durham, North Carolina, United States

Coauthor(s)

AB

Aya Bashi, MD

OB/GYN Resident
Duke University Hospital
Durham, North Carolina, United States
MK

Melissa Katella, MSN, RN

Nurse
Duke University Hospital
Durham, North Carolina, United States
Rachel L. Wood, MD (she/her/hers)

Assistant Professor of Obstetrics and Gynecology
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University
Durham, North Carolina, United States
AW

Anne West-Honart, MD, MS

Assistant Professor of Obstetrics and Gynecology
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Duke University
Durham, North Carolina, United States

Objective:
Interprofessional collaboration is essential for communication, patient safety, and psychological safety in high-acuity obstetric settings. To improve teamwork on labor and delivery (L&D), our program launched “Adopt-an-Intern" (Figure 1), a mentorship program pairing L&D nurses with incoming OB/GYN interns. This study evaluated the program’s impact on nurses’ attitudes toward nurse–physician collaboration.

Study Design:
This prospective, cross-sectional study used the Jefferson Scale of Attitudes Toward Physician–Nurse Collaboration (JSAPNC) to survey nurses who served as mentors and matched controls. Nursing background data were also collected. The JSAPNC measures attitudes in four domains: collaboration, nurse’s role in care, nurse autonomy, and physician authority. The study was IRB-exempt, and responses were collected in REDCap. Baseline characteristics were compared using t-tests and chi-square tests. Group differences in JSAPNC scores were analyzed using t-tests or Mann–Whitney U tests, and effect sizes were calculated using Cohen’s d.

Results:
Fifty-seven nurses completed the survey (15 mentors, 42 controls). Groups were similar at baseline with similar years of L&D experience (Mentor: 7.2±5.9 vs. Control: 5.7±8.0; p=0.46) and day/night shift distribution (p=0.73). Scores across all domains were consistently higher among mentors (Table 1). Although no differences reached statistical significance (all p >0.05), effect sizes were uniformly positive (Cohen’s d≈0.10–0.25). When all domains were combined into a composite score, mentors had a higher mean (14.25±1.00 vs. 14.05±0.70; Cohen’s d=0.25), indicating a small effect favoring the intervention.

Conclusion:
Participation in Adopt-an-Intern was associated with more favorable nurse attitudes toward team collaboration across all JSAPNC domains, though without statistical significance. While volunteer selection bias may play a role, results suggest interprofessional mentorship enhances perceptions of teamwork. Next steps include assessing the program's effect on physicians and patient-centered outcomes.