报告的贡献者对在重症监护中的成人患者的沟通脆弱性作出了贡献
Laura Istanboulian1, Amy Freeman-Sanderson2, Anthony Gilding3
1Lawrence Bloomberg Faculty of Nursing, University of Toronto, Canada; Michael Garron Hospital, Toronto, Canada.
Intensive & critical care nursing
|September 13, 2025
概括
重症监护病房患者面临的沟通脆弱性来自多个因素超出他们的医疗状况. 解决社会关系,环境和结构问题可以提高ICU中的患者安全和沟通.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 患者的安全性 患者安全性
- 重症监护医药重症监护医药重症监护医药重症监护医药
背景情况:
- 重症监护室 (ICU) 的患者经历了沟通脆弱性,通常是由于机械通风等医疗因素造成的.
- 这种脆弱性增加了不良事件和护理中断的风险.
- 一个全面的理解需要检查社会关系和上下文元素.
研究的目的:
- 通过残疾人权利的透视来探索成人ICU中的患者沟通脆弱性.
- 识别有助于在重症监护机构沟通挑战的更广泛因素.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 采访了22名参与者:医疗保健提供者,家庭成员和患者幸存者.
- 使用对联内容分析分析的数据.
主要成果:
- 参与者确定了导致沟通脆弱性的患者,社会关系,环境和结构因素.
- 关键问题包括缺乏沟通培训,缺乏可访问的工具,隐私问题以及环境因素 (照明,噪音).
- 结构因素涉及家庭包容和感染控制政策.
结论:
- 在ICU的通信漏洞超出了患者特定的因素.
- 解决社会关系,环境和结构贡献者的问题为改善沟通和安全提供了途径.
- 基于残疾人权利的方法揭示了基于系统的实践变革机会,例如改善沟通工具的可用性和环境条件.
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