护士和医生在跨学科沟通期间的感知和决策:影响沟通道选择的因素
Christine W Nibbelink1, Karen Dunn Lopez, J Jeffery Reeves
1Author Affiliations: Hahn School of Nursing and Health Science, University of San Diego (Dr Nibbelink), CA; College of Nursing, The University of Iowa (Dr Dunn Lopez), Iowa City; University of California, San Diego; Department of Surgery (Dr Reeves), Division of Hospital Medicine (Dr Horman), and Clinical Professor, School of Medicine (Dr El-Kareh), La Jolla.
护士和医生沟通道的选择受患者的状态,先前经验和感知到的有用性的影响. 对沟通过程建立信任是改善患者护理和结果的关键.
科学领域:
- 医疗保健管理的管理
- 医学沟通 医学沟通
- 患者安全 患者安全
背景情况:
- 有效的跨学科沟通对于安全的患者护理至关重要.
- 决策错误和沟通故障会对患者的治疗结果产生负面影响.
- 对影响护士和医生沟通决策的因素的研究有限.
研究的目的:
- 探索护士和医生对沟通道选择的看法.
- 了解选择中断式与非中断式通讯道的决策过程.
- 确定影响急性护理环境中沟通道选择的因素.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 26名参与者:10名注册护士,10名住院医生,6名临床医生.
- 实践导向决策模型指导数据收集和分析.
主要成果:
- 核心类别:建立对沟通过程的信任.
- 主题1:了解患者状况驱动沟通决策.
- 主题2:先前的跨学科沟通经验影响了道选择.
- 主题3:感知到的有用性会影响沟通道的选择.
结论:
- 对沟通过程的信任对于有效的跨学科互动至关重要.
- 这些发现支持在电子健康记录 (EHR) 和临床决策支持系统中设计改进的沟通道.
- 了解决策因素可以提高沟通策略和患者的治疗结果.
更多相关视频
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
06:16Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
相关概念视频
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Levels of Communication I: Intrapersonal, Interpersonal, and Small Group
We can participate in these relationships through verbal, nonverbal, and mediated communication. We engage in verbal communication when we use words during our interaction to convey specific meanings. On the other hand, nonverbal communication refers to various factors that can impact how we understand each other—for example, facial expressions.
We interact with others using mediated technologies like the...
Ethical Issues
Ethical Concerns in Healthcare:
Nurses' Legal Responsibilities II
Communication between nurses and...
Therapeutic Communication
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Role of Communication in the Nursing Process I: Assessment and Diagnosis
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
