患者对手术移交质量的看法:一种混合方法调查
Jessica M Ryan1,2,3, Philip Tomlinson4, Anastasija Simiceva5
1School of Postgraduate Studies, Department of Surgical Affairs, RCSI, St. Stephen's Green, Co. Dublin, Ireland. jessicaryan@rcsi.com.
Patient safety in surgery
|May 2, 2025
概括
手术患者对医生对医生的患者护理移交意识有限. 患者和公众的参与提高了对这一关键沟通过程的理解,尽管培训需求仍然存在.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者安全 患者安全
- 手术护理过渡的转变
背景情况:
- 医院内患者护理的交接非常关键,但风险很高.
- 患者在医生之间的沟通中往往缺乏透明度.
- 患者和公众的参与可以提高移交理解.
研究的目的:
- 调查手术患者对医生与医生交接通信的看法.
- 纳入患者和公众的观点,以改善交付可访问性.
- 确定改善患者对护理过渡的理解的领域.
主要方法:
- 在患者和公众参与下进行横截面,混合方法调查.
- 在两家教学医院向通用外科患者分发的调查.
- 量化分析 (McNemar's,Wilcoxon) 和主题分析自由文本答复.
主要成果:
- 收到了208个回复;患者对护理与医生交接的知识更丰富.
- 总体而言,患者对移交的看法是积极的,但对周末移交的满意度下降.
- 关键主题:沟通不良的影响,团队合作的重要性,外部因素和患者参与.
结论:
- 手术患者对医生移交和相关风险的认识有限.
- 患者和公众参与改善了主题的可访问性和理解性.
- 在提供足够的培训以实现有意义的患者参与移交方面,仍然存在挑战.
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