通过床边圆形来更好地倾听:一种质量改进倡议
Rasan K Cherala1, Mark Schleinitz1
1Department of General Internal Medicine Brown University/Rhode Island Hospital.
The Brown journal of hospital medicine
|March 6, 2025
概括
床边环绕计划改善了患者对他们的医疗护理和担忧的认识. 然而,需要进一步的研究来证实医院中患者提供者沟通的增强.
科学领域:
- 医学教育 医学教育
- 提高质量 提高质量
- 患者沟通 患者沟通
背景情况:
- 床边圆形是医院医生与病人联系的关键.
- 制定了一项质量改善计划,重点是病床沟通和医生倾听.
- 这一举措旨在提高患者在住院期间的体验.
研究的目的:
- 开发和实施标准化的床边圆形干预措施.
- 评估这项干预措施对患者意识和沟通的影响.
- 为了评估一个主要的学术教学医院的床边圆形化疗法的有效性.
主要方法:
- 制定并实施了一种标准化的床边圆形干预措施.
- 住院和教师教育被纳入了干预.
- 在干预之前和之后进行了患者调查 (n=63).
主要成果:
- 床边圆形化提高了患者对日常医疗计划,诊断和解决问题的认识.
- 在解释医疗计划方面没有观察到显著的改善 (p = 0.08).
- 干预和控制小组之间的比较显示出不同的结果.
结论:
- 床边圆形显示了改善患者与提供者沟通的趋势.
- 在广泛实施之前,需要进一步调查.
- 该研究强调了床边圆形化实践的潜在好处和改进领域.
相关概念视频
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.7K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.7K
SBAR I: Understanding the Concept
4.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.3K
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.7K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.7K
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
Types of Reports I: Hands-off Report
873
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
873


