医疗保健中的不文明:沟通不良的影响
Joseph H Guppy1, Hedda Widlund2, Ross Munro3
1Department of Medical Education, Brighton & Sussex Medical School, Brighton, UK.
BMJ leader
|July 7, 2023
概括
医疗保健中的不文明行为会对患者的护理和工作人员的福祉产生负面影响. 解决这个问题对于改善医疗保健系统和留住员工至关重要.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 患者安全 患者安全
背景情况:
- 在全球范围内,在医疗保健机构中普遍存在不文明态度,影响了至少三分之一的英国国家卫生服务人员.
- 不礼貌会对患者的护理产生负面影响,导致医疗错误,诊断不准确和沟通中断.
- 由于工作场所的不文明,员工经历了对保留,生产力和士气的不利影响.
研究的目的:
- 审查关于不文明在医疗保健中的影响的文献.
- 探索现有的预防和解决不文明行为的策略.
- 提出将这些战略纳入医疗机构的方法.
主要方法:
- 关于医疗保健不文明现有研究的文献综述.
- 分析记录下来的预防和干预不文明行为的策略.
- 探索这些战略的整合方法.
主要成果:
- 非文明行为对患者的安全构成重大风险,并带来巨大的成本.
- 对员工士气,员工留守和生产力的负面影响已经得到了充分的证据.
- 现有的预防和干预方法需要更广泛的采用和整合.
结论:
- 医疗机构必须优先解决不文明行为,以保护患者和工作人员.
- 提高意识和领导力承诺对于降低不文明率至关重要.
- 实施基于证据的战略可以减轻不文明的有害影响.
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