相关实验视频
Updated: Jun 4, 2025

Ultrasonographic Assessment During Cardiopulmonary Resuscitation
Published on: October 24, 2020
救援 - - 紧急部门的快速,有效,安全的沟通:一个横截面的电子调查
Amy Freeman-Sanderson1, Nicola Clayton2, Margaret Fry3
1Graduate School of Health, Faculty of Health, University of Technology, Sydney, NSW, Australia; Speech Pathology Department, Royal Prince Alfred Hospital, Sydney, NSW, Australia; Critical Care Division, The George Institute for Global Health, Faculty of Medicine, UNSW Sydney, Sydney, Australia; Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
佩戴个人防护设备 (PPE) 严重阻碍急诊室 (ED) 工作人员的沟通,影响患者护理质量和安全. 员工采用增加音量和手势等策略来克服这些沟通障碍.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健通讯 医疗保健通讯
- 感染控制 感染控制
背景情况:
- 在急诊室 (ED) 中,有效的沟通对于患者的安全和护理质量至关重要.
- 个人防护设备 (PPE) 的常规使用对已建立的沟通实践提出了新的挑战.
- 了解ED工作人员对与PPE相关的沟通的看法对于确定改进策略至关重要.
研究的目的:
- 探索紧急部门 (ED) 工作人员在佩戴个人防护设备 (PPE) 时对沟通挑战的看法.
- 在个人防护设备使用的背景下,确定影响沟通成功,故障和维修的因素.
- 评估个人防护设备对患者和提供者以及员工之间的互动的影响.
主要方法:
- 一个描述性的,横截面的在线调查使用了方便抽样.
- 使用描述性统计数据分析了定量数据.
- 质量数据经过了内容主题分析,以确定关键主题.
主要成果:
- 78名ED工作人员 (护理,医疗,相关卫生) 报告个人防护设备对与患者/家属 (81%) 和同事 (61%) 的沟通产生了重大影响.
- 由于PPE,近75%的患者互动被评为"有点困难"或"非常困难".
- 确定的主题包括口罩对沟通的影响,患者护理质量/安全以及沟通修复策略. 50%的人报告了声音疲劳和皮肤刺激等健康影响.
结论:
- 护理人员认为,佩戴个人防护设备会对沟通产生负面影响,并损害提供安全,高效和高质量的护理.
- 工作人员利用增加语音音量,重复,手势,更近距离和强调面部运动等策略来改善沟通.
- 解决与PPE相关的沟通障碍对于保持ED中最佳患者护理标准至关重要.
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