在急症病房的书面流动性沟通:对物理治疗师和护士的记录实践的观察研究
Emily Harvey1,2, Julie Adsett3,4, Alison Mudge4
1Physiotherapy Department, Caboolture Hospital, Caboolture, Queensland, Australia.
Physical therapy
|September 10, 2024
概括
物理治疗师和护士之间的书面移动性沟通是不一致和不完整的. 改善流动性水平和目标的文档可以提高住院患者的流动性和医院的结果.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 住院患者的移动性研究
- 多学科的团队协作合作.
背景情况:
- 住院患者的流动性较低与不良的医院结果有关.
- 临床医生之间的沟通不良是改善患者流动性的重要障碍.
- 了解当前的流动性沟通实践对于开发有效干预措施至关重要.
研究的目的:
- 描述急症护理医疗机构的物理治疗师和护士的书面移动性沟通实践.
- 识别这些学科之间优先选择的沟通来源和内容的差异.
- 分析记录的流动性信息的一致性和完整性.
主要方法:
- 在四个澳大利亚医院进行的横截面观测研究.
- 对物理治疗师和护士进行调查,以确定首选的文档来源和内容.
- 对患者记录进行审计,以比较跨学科和地点的书面流动性沟通.
主要成果:
- 在物理治疗师和护士之间,优先选择的文档来源和内容存在显著差异.
- 护士的文档往往侧重于协助和援助,缺乏关于流动性水平或目标的细节.
- 患者记录审计揭示了不同来源和医院站点的不一致和缺失的流动性信息.
结论:
- 当前的书面流动性沟通的特点是关注援助而不是进步,存在重大文档缺口.
- 信息搜索和文档的学科差异导致患者移动记录不完整和不一致.
- 解决这些沟通差异对于改善渐进的动员和患者结果至关重要.
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