如何在轮班工作期间支持护士和住院人员之间的沟通:对当地实践和观念的混合方法研究
Merel J Verhagen1, Martine A Frouws1, Robert A Timmer1
1Leiden University Medical Center, Leiden, The Netherlands.
Journal of surgical education
|June 15, 2024
概括
有效的护士居民沟通对于患者护理至关重要. 实施结构化沟通时刻改善了跨学科的协作和轮班期间的满意度.
科学领域:
- 医学教育 医学教育
- 医疗保健通讯 医疗保健通讯
- 专业间合作 专业间合作
背景情况:
- 在轮班交换期间,护士和住院人员之间的有效沟通对于患者安全和护理质量至关重要.
- 这些专业群体之间对沟通的看法和做法可能会有很大差异.
研究的目的:
- 探索当地实践和对值班期间护士居民有效沟通的看法.
- 实施和评估旨在改进这种沟通的倡议.
主要方法:
- 采用混合方法方法,结合问卷和重点小组.
- 参与者包括外科护士和第三级医疗中心的住院医生.
- 基于定性发现,制定了一项改进计划,随后实施并重新评估.
主要成果:
- 有效沟通的关键主题包括清晰度,相互尊重,可访问性和方法,在解释"清晰度"方面指出了跨学科的差异.
- 在班次期间实施结构化的跨学科咨询时刻被认为是有用的,特别是护士.
- 大多数护士报告说,在固定沟通时刻的实施后,轮班期间的沟通改善了.
结论:
- 对沟通有效性的看法差异可能源于培训和专业文化的差异.
- 促进对任务,责任和背景的相互认识对于最佳的患者护理至关重要.
- 将实用解决方案,如结构化沟通,与当地实践相适应,可以加强跨专业伙伴关系和护理质量.
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