在跨学科团队圆形化期间的护士-医生沟通:内部医学中的观察性研究
Dhwani Krishnan1, Anna Dermenchyan2, Wendy Simon2
1The Healthcare Improvement & Innovation in Quality (THINQ) Collaborative, Department of Medicine, UCLA Health, University of California, Los Angeles, CA, USA.
Journal of multidisciplinary healthcare
|October 17, 2025
概括
医生在病床周围的时间增加,在跨学科周围期间有结构的护士-医生互动,提高了患者护理沟通. 护士与医生的互动时间是包容性讨论和团队参与的关键.
科学领域:
- 医疗保健管理的管理
- 临床交流 临床沟通
- 患者护理协调与协调
背景情况:
- 跨学科团队的整合对于医院的沟通和患者护理规划至关重要.
- 之前的研究证实了圆形效益,但床边时间和临床内容交付之间的联系尚不清楚.
研究的目的:
- 调查医生在床边的时间和护士与医生的互动是否会影响护理计划的讨论.
- 评估对医院参诊期间护理团队成员参与度的影响.
主要方法:
- 在一个学术医疗中心进行了一项观察性描述性研究.
- 训练有素的观察员在早上巡视期间使用标准化工具记录了1007例患者接触.
- 后勤回归分析了圆形化时间,交互时间和讨论主题之间的关联.
主要成果:
- 64.7%的遭遇涉及护士与医生的互动 (平均时间6.1分钟).
- 较长的病床周围时间与有关住院目标和出院的讨论有关.
- 长时间的护士与医生的互动促进了护士的参与和患者/家庭的参与.
结论:
- 长时间的床边圆形和结构化的护士-医生互动都改善了在轮次期间的沟通.
- 护士与医生的互动时间是全面讨论和团队参与的重要预测因素.
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