改善护士-医生床边沟通使用患者体验质量改进试点项目在学术医疗中心
Justin Wang1, Vasco Deon Kidd2, Brad Giafaglione1
1Clinical Operations, University of California Irvine Medical Center, Orange, USA.
Cureus
|March 12, 2024
概括
使用IMOMW缩写的质量改进计划增强了护士与医生的沟通,从而提高了患者体验得分和增加了文档. 这项研究强调了改善沟通对医疗保健结果的影响.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 患者体验研究 研究研究
背景情况:
- 患者的体验对医疗保健结果产生重大影响,影响了患者的遵守,临床结果,安全性和协调性.
- 积极的患者体验通过忠诚度,声誉,推和减少失职风险来提高医院的财务绩效.
- 护士和医生之间的有效沟通是优质患者护理的基石.
研究的目的:
- 实施和评估旨在加强护士医生沟通的质量改善倡议.
- 评估改善沟通对组织成果的影响,包括患者体验得分和文档.
- 确定有效的策略,以改善医院环境中的跨学科沟通.
主要方法:
- 在几个医院单位进行了一项多学科的,追溯的质量改进计划.
- 一个创新的,员工开发的缩写,IMOMW (我在路上),被用来促进沟通.
- 通过电子健康记录文档的变化,患者体验调查得分 (净促进者得分) 和沟通指标来衡量结果.
主要成果:
- 在Epic Systems的医生和护士圆形化文档增加了13%.
- 推设施的患者体验净促进者得分增长了10.5%.
- 医生和护士之间的团队沟通改善了13.4%,在护理 (5.4%) 和医生 (5.3%) 沟通方面取得了具体进展.
结论:
- 通过IMOMW倡议,成功改善了跨学科护士与医生的沟通.
- 增强的沟通与电子健康记录文档和患者体验得分的显著改善相关.
- 需要进一步的研究来确定改善护士-医生沟通和患者体验的干预措施的可持续性.
相关概念视频
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.9K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.9K
SBAR I: Understanding the Concept
4.5K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.5K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.8K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.8K
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
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...
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...
3.7K


