护士和医生在医疗外科单位的床边巡回期间的感知和行为
Aishwarya Natarajan1, Manuel G Venegas2, Dylan Mai3
1Aishwarya Natarajan is a medical student at the University of California, San Francisco School of Medicine. She was the executive director of The Healthcare Improvement and Innovation in Quality (THINQ) Collaborative, Department of Medicine, University of California, Los Angeles (UCLA) Health from 2020 to 2021.
概括
在床边巡视期间改善护士与医生的沟通是关键. 解决意识和可用性等障碍可以加强合作和患者护理,使专业人员和患者受益.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 专业间合作 专业间合作
- 护理和医疗的实践.
背景情况:
- 在病床巡回期间,医疗保健专业人员之间的有效沟通和协作对于改善患者的治疗结果和提高护士和医生的满意度至关重要.
- 了解这些互动中的具体挑战和机会对于优化护理提供至关重要.
研究的目的:
- 识别在床边巡视期间阻碍护士与医生的有效沟通的障碍.
- 探索改善护士和医生在学术医疗中心环境中的专业间合作的途径.
主要方法:
- 对220名护士和医生进行了一项调查,评估人们对护士和医生沟通的态度.
- 通过使用标准化工具来评估沟通模式,从1007次床边轮回收集了观察数据.
主要成果:
- 护士和医生报告了不同的障碍;护士经常提到对轮次的不知情 (83%),而医生则注意到护士无法使用 (83%).
- 只有60%的观察回合涉及直接的护士与医生接触,其中69%包括讨论护士关切.
- 当没有直接接触时,医疗团队在80%的病例中未能与护士联系. 在开始的对话中,护士的担忧被讨论得更频繁.
结论:
- 在床边巡视期间启动直接沟通和讨论护士的担忧会带来显著的好处.
- 改进结构化通信协议可以加强专业间的协作和患者护理质量.
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