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一个新的护士-inteRN指导计划,以改善护士-医生沟通和在急诊室的团队合作
Amanda Doodlesack1, Nicole Dubosh2, Anne Grossestreuer2
1Dept. of Emergency Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center Harvard Affiliated Emergency Medicine Residency, One Deaconess Road, W/CC2, Boston, MA, 02215, USA. adoodles@bidmc.harvard.edu.
International journal of emergency medicine
|October 24, 2024
概括
实施了一项试点护士实习生指导计划,以改善急诊部的医生护士沟通. 虽然该计划成功推出,但随着时间的推移,感知到的好处有所下降,这突出了护士和实习生之间的不同沟通技能的看法.
科学领域:
- 医学教育 医学教育
- 紧急医疗 紧急医疗
- 专业间的沟通 专业间的沟通
背景情况:
- 有效的护士-医生沟通对于急诊室的患者护理至关重要.
- 在医生护士沟通方面缺乏正式的培训,在感知合作的重要性方面存在潜在的差异.
- 一个新的"护士-InteRN指导计划"被开发,以加强紧急部门的合作和学员的沟通技巧.
研究的目的:
- 实施和评估一个试点护士实习生指导计划.
- 评估该计划对参与者对护士-医生沟通,有效性和整体效益的看法的影响.
主要方法:
- 利用Kern的六步方法来开发和实施程序.
- 采用12个问题,5分利克尔特等级的计划前后调查,以评估参与,感知好处和有效性.
- 通过使用费舍尔的精确和威尔科克森的等级总和测试来比较护士和实习生的反应,并使用边际同质性测试来对应的反应.
主要成果:
- 13名实习生和22名护士参与了调查;调查完成率各不相同.
- 护士对提供反的兴趣明显高于实习生对接受反的兴趣 (p < 0.001).
- 实习生自我评价他们的沟通能力高于护士的评价 (p = 0.004),感知到的好处在课程后下降.
结论:
- 一个为期一年的护士实习生指导计划成功实施,旨在促进沟通和合作.
- 观察到护士和实习生对内部沟通技能的态度有显著差异.
- 虽然感知到了一些好处,但随着计划的持续时间而减少,这表明需要进一步研究其对团队合作和患者护理的影响.
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