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Communication in The Clinical Routine of Neonatologists
Nele Börner1, Stefanie Mache2, Cristian Scutaru3
1Department of Neonatology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Zeitschrift Fur Geburtshilfe Und Neonatologie
|August 30, 2018
Summary
Physicians in Neonatal Intensive Care Units (NICUs) spend most of their time communicating, primarily with each other. Improving communication, especially with nursing staff, is crucial for better team collaboration and patient care.
Area of Science:
- Medical communication research
- Neonatal intensive care unit (NICU) operations
- Healthcare team dynamics
Background:
- Effective communication is vital in NICUs due to vulnerable patients and specialized teams.
- Literature highlights communication breakdowns leading to medical errors.
- A quantitative assessment of medical communication in NICUs is needed.
Purpose of the Study:
- To quantitatively assess medical communication patterns within a Neonatal Intensive Care Unit (NICU).
- To identify the primary activities and time allocation for physicians in a NICU setting.
Main Methods:
- Task analysis involving 15 physicians in a Level III NICU over 60 days.
- Physicians' tasks were recorded and categorized.
- Physicians completed the Copenhagen Psychosocial Questionnaire (COPSOQ).
Main Results:
- Physicians spent an average of 9 hours daily on tasks, with 3 hours dedicated to communication.
- Communication primarily involved discussions among physicians, especially during early shifts.
- Communication with nursing staff during rounds was minimal (2 minutes), negatively correlating with physician job satisfaction.
Conclusions:
- Communication constitutes a significant portion of NICU physicians' work, predominantly among themselves.
- The effectiveness of this communication remains unassessed.
- Low communication with nursing staff indicates variability in team communication, necessitating improvements through training and standardized techniques like handoffs and rounds.
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