调查护士与医生的沟通差距,重点关注诊断问题和沉默的原因
Taiju Miyagami1, Takashi Watari2, Yuji Nishizaki3,4
1Department of General Medicine, Faculty of Medicine, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan. tmiyaga@juntendo.ac.jp.
Scientific reports
|July 29, 2024
概括
由于工作场所的恐惧和沟通障碍,许多护士犹不决地表达对医生诊断的担忧. 提高诊断准确性需要培养更安全的环境,并鼓励护士参与医疗决策.
科学领域:
- 医疗保健专业人员的合作.
- 医学诊断 沟通 医学诊断 沟通
- 护理实践的护理实践
背景情况:
- 有效的医生护士合作对于提高诊断准确度至关重要.
- 了解护士对医生诊断和沟通的看法对于改善患者护理至关重要.
- 阻碍开放沟通的障碍可能会阻碍潜在诊断错误的识别和纠正.
研究的目的:
- 调查护士对医生诊断的担忧的普遍性.
- 探索护士为什么不把诊断问题告诉医生的原因.
- 在诊断过程中识别影响护士-医生沟通的障碍.
主要方法:
- 一项采用基于网络的问卷进行的横截面研究.
- 包括在日本大型在线媒体网站上注册的护士.
- 数据收集时间为2023年6月26日至7月31日,共有430名参与者.
主要成果:
- 61.2%的护士表示在过去一个月内对医生的诊断感到担忧.
- 52.5%的护士担心这些问题并没有将其传达给医生.
- 关键障碍包括对医生自豪感的恐惧,对担忧的忽视,以及对诊断必要性的个人怀疑.
结论:
- 相当多的护士对诊断感到担忧,但却面临沟通障碍.
- 创造心理安全的环境对于鼓励护士的投入至关重要.
- 建议采取教育举措,促进护士参与诊断,以改善医疗保健结果.
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