定义在开放的外科重症监护病房中有效的跨学科护理团队沟通的条件:一个定性研究
Carmen M Diaz1, Abahuje Egide2, Andrew Berry3
1Northwestern University, Evanston, Illinois, USA.
BMJ open
|December 14, 2023
概括
在重症监护室有效的跨学科沟通依赖于明确的角色和正式的流程. 这些元素促进心理安全,改善团队协作,可能降低患者死亡率.
科学领域:
- 医疗保健管理的管理
- 医学沟通 医学沟通
- 密集护理医学 密集护理医学
背景情况:
- 不良的跨学科护理团队沟通与患者死亡率的增加有关.
- 有效的沟通策略对于在重症监护机构的最佳患者结果至关重要.
研究的目的:
- 定义有效跨学科护理团队沟通所必需的条件.
- 确定影响外科重症监护病房内沟通的因素.
主要方法:
- 进行了一项观察性,横截面的定性研究.
- 数据是通过6次采访和10个重点小组与33名跨学科的临床医生收集的.
- 两个独立的团队成员使用代编码分析了字面转录.
主要成果:
- 出现了五个主要主题:角色定义,正式流程,非正式沟通,层次结构和心理安全.
- 清晰的角色定义和标准化的正式流程赋予临床医生权力.
- 这些因素减轻了层次结构,并在团队讨论期间增强了心理安全.
结论:
- 标准化沟通和定义正式流程中的角色对于有效的跨学科团队合作至关重要.
- 促进心理安全是改善沟通结构的一个关键成果.
- 这些改进可以促进更好的患者护理,并可能降低死亡率.
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