紧急医疗中的冲突:系统性审查
Timothy Edward Tjan1, Lee Yung Wong2,3, Andrew Rixon4
1Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
概括
紧急服务部门 (ED) 的冲突源于个人,团队和系统问题. 解决这些问题需要改善沟通,标准化指南和更好的部门间关系,以提高患者护理.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健专业冲突 医疗保健专业冲突
- 团队动力学 团队动力学
背景情况:
- 应急部门 (ED) 是一个高压环境,经常有团队互动.
- 医疗保健专业人员之间的冲突在紧急情况下很常见.
- 了解冲突的多方面的原因对于改善ED操作至关重要.
研究的目的:
- 在个人,团队和系统层面对ED内部导致临床医生冲突的因素进行综合分析.
- 探索缓解冲突的战略,并确定未来的研究机会.
主要方法:
- 在PubMed和Web of Science数据库中的系统文献搜索.
- 包括同行评审的英语期刊文章.
- 使用叙事分析分析29篇相关文章的分析.
主要成果:
- 冲突经常发生在患者转诊和ED的入院期间.
- 有助因素包括缺乏信任,员工缺乏经验,集团间偏见,沟通错误,患者复杂性,工作负载压力,责任不清楚,权力不平衡和工作场所文化.
- 提出的解决方案包括加强沟通培训,标准化招生准则和改善部门间关系.
结论:
- 冲突是紧急医学的普遍问题,源于任务和关系的复杂相互作用.
- 解决冲突需要采取针对个人,团队和系统因素的多层次方法.
- 专注于沟通,标准化和关系建设的干预措施对于ED的冲突解决至关重要.
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