医生实践促进与护士有效沟通:一个定性研究
Claire Howlett1, Esther Y Hsiang2, Molly A Kantor2
1Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.
概括
医生可以通过优先考虑与护士的沟通来改善病人护理. 关键策略包括一致的日常工作流程,有意的沟通和建立关系,以提高医疗保健质量和安全.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 专业间合作 专业间合作
- 患者安全 患者安全
背景情况:
- 有效的医生护士沟通与更好的医疗保健质量和患者安全有关.
- 有限的研究存在于增强这种沟通的特定医生行为.
研究的目的:
- 识别医生行为,促进高质量的沟通与床边护士在住院环境.
- 探索医生如何与护士沟通.
主要方法:
- 有目的地抽取医生,被护士认定为优秀的沟通者.
- 半结构面试侧重于工作流程,沟通方法和协作态度.
- 采访数据的诱导性内容分析.
主要成果:
- 医生在日常工作流程中积极优先考虑与床边护士的沟通.
- 三个新兴的主题:一致的日常沟通工作流程,有意的沟通,和故意的关系建设.
- 医生利用特定的技术来提高沟通质量.
结论:
- 医生行为显著影响与护士的沟通有效性.
- 医生和系统层面的干预措施可以整合结构化沟通实践.
- 促进建立关系对于改善医生护士沟通和患者结果至关重要.
相关概念视频
Nurses' Legal Responsibilities II
1.2K
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
1.2K
Role of Communication in the Nursing Process II: Planning and Implementation
2.5K
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...
2.5K
Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
Therapeutic Communication
6.9K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
6.9K
Levels of Communication I: Intrapersonal, Interpersonal, and Small Group
14.7K
Interpersonal communication focuses on the exchange of messages between two people.
We can participate in these relationships through verbal, nonverbal, and mediated communication. We engage in verbal communication when we use words during our interaction to convey specific meanings. On the other hand, nonverbal communication refers to various factors that can impact how we understand each other—for example, facial expressions.
We interact with others using mediated technologies like the...
We can participate in these relationships through verbal, nonverbal, and mediated communication. We engage in verbal communication when we use words during our interaction to convey specific meanings. On the other hand, nonverbal communication refers to various factors that can impact how we understand each other—for example, facial expressions.
We interact with others using mediated technologies like the...
14.7K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
10.8K
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...
10.8K


