医生行为与医生和护士在床边跨学科巡回期间增加的沟通相关
Kelly X Huang1, Caitlin K Chen1, Antonio M Pessegueiro1
1Department of Medicine Quality, UCLA Health, Los Angeles, California, USA.
Journal of hospital medicine
|August 16, 2023
概括
有效的跨学科轮 (IDRs) 需要特定的结构. 临床医生参与,医生主动和早期护士参与提高了在床边巡视期间的沟通和患者护理质量.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 在医学领域的团队合作.
- 以患者为中心的护理提供.
背景情况:
- 在跨学科巡回 (IDRs) 期间有效的团队沟通对于安全,高效和以患者为中心的护理至关重要.
- 对IDR的最佳结构和程序尚不清楚.
研究的目的:
- 分析医生和护士在床边IDR期间互动的直接观察.
- 识别增加专业间沟通的特定行为.
主要方法:
- 训练有素的观察员在一个学术医疗中心审计了通用医学病房的检查.
- 一个标准化工具记录了医生和护士在1007次患者接触期间的行为和沟通.
- 数据收集时间为2019年10月至2020年3月.
主要成果:
- 与住院医生和医学学生相比,主治医生的互动时间更长,并且更有可能开始谈论护士关注的问题.
- 早期护士参与床边检查与增加的互动时间和医生主动性相关.
- 医生对护士担忧的调查,而不是被动的等待,导致更多的讨论和医生对患者/家庭担忧的调查.
结论:
- 实施IDR结构,促进医生参与和医生主动,可以优化沟通.
- 早期护士参与床边巡视是加强跨学科沟通和提高护理质量的关键.
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