在护理中实施一个坏消息沟通协议:对沟通技能的影响
Enoc Isaí Hernández-Cantú1, Kareli Montserrath Alcaraz-Ávalos2, María Guadalupe Martínez-León2
1Educación e Investigación en Salud, Hospital General de Zona No. 67 «Bicentenario de la Independencia», Instituto Mexicano del Seguro Social (IMSS), Nuevo León, Mexico.
Enfermeria clinica
|December 5, 2025
概括
实施坏消息通信协议 (BNCP) 显著提高了护士的沟通技巧和患者满意度. 该协议还导致与通信相关的医院冲突大幅减少,提高了整体护理质量.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 护理教育的教育.
- 患者安全 患者安全
背景情况:
- 在医疗保健环境中,有效的沟通至关重要.
- 沟通不良可能导致患者的负面结果和冲突增加.
- 标准化的协议可以提高通信的一致性.
研究的目的:
- 评估坏消息通信协议 (BNCP) 对护士沟通能力的影响.
- 评估患者和家庭对通信质量后协议实施的看法.
- 为了测量与通信相关的医院冲突的变化.
主要方法:
- 在247名护士身上,采用了准实验性的测试前测试后测试设计.
- 通过使用利克特问卷 (α=0.89) 评估护士的沟通技巧.
- 通过调查和机构记录,分析了患者/家庭的看法和冲突.
主要成果:
- 护士的沟通成绩显著改善 (2.8至4.2,p<0.001).
- 患者/家庭对沟通质量的评价从"差" (18.5%) 转变为"优秀" (42.7%) (p<0.001).
- 与沟通相关的冲突减少了62.8% (p<0.001).
结论:
- 坏消息通信协议有效提高了护士的沟通技巧和患者满意度.
- 实施BNCP导致医疗保健相关冲突大幅减少.
- 将结构化通信协议纳入护理教育可以提高患者护理质量.
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