在重症监护病房的专业间沟通的概念化:从范围审查的发现
Nicole L Johnson1,2, Jane Moeckli1,2
1VA Office of Rural Health, Veterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, Iowa City, IA, USA.
在重症监护室 (ICU) 的专业间沟通往往仅限于基本信息交换. 未来的研究应该优先考虑沟通作为一个过程,使用定性方法和健康沟通理论来提高患者安全.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社会科学 社会科学 社会科学
- 卫生沟通健康沟通
背景情况:
- 在重症监护室 (ICU) 的临床错误经常与沟通中断有关.
- 专业间的沟通对于患者的安全和重症监护的质量至关重要.
- 现有的研究往往忽视了超出简单信息传输的专业间沟通的复杂性.
研究的目的:
- 描述ICU中通信的定义和测量.
- 确定健康沟通原则如何提高重症监护机构的团队沟通.
- 解决ICU研究中理论框架和通信测量的差距.
主要方法:
- 从卫生服务和社会科学数据库 (PubMed,通讯和大众媒体完整版) 中对34篇出版物的范围审查.
- 在选定的文章中分析了沟通如何定义,测量和理论化.
- 跨不同学科的沟通框架的比较.
主要成果:
- 只有六条条文明确定义了沟通.
- 六篇文章来自社会科学期刊,但没有一篇文章的作者是通信学者.
- 沟通被定义为信息传输 (交易) 或同等程度的动态过程.
结论:
- 未来的研究应该使用一种促进跨学科合作的语言.
- 优先考虑沟通作为一个过程,利用定性方法,提供更深入的见解.
- 吸引健康沟通理论和专家可以改进ICU沟通研究的研究问题和设计.
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