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检查VA社区生活中心护士和护士助理之间的关系协调
Princess Nash1, Emma Quach2,3,4, Valerie Clark2
1Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, Alabama, USA.
Journal of evaluation in clinical practice
|January 12, 2026
概括
退伍军人卫生管理局社区生活中心工作人员之间的高通信频率不能保证质量. 这项研究发现,虽然沟通频率很高,但它的质量和关系协调很弱,影响了护理.
科学领域:
- 医疗保健管理的管理
- 护理 护理 护理
- 组织行为 组织行为
背景情况:
- 退伍军人健康管理局 (VA) 是美国最大的医疗保健系统,为退伍军人提供服务.
- 在VA内部的社区生活中心 (CLC) 专注于以居民为中心的护理.
- 改善CLC的员工沟通和关系对于护理质量至关重要.
研究的目的:
- 评估VA CLC中护士和护理助理之间的沟通和关系.
- 用RC调查来评估关系协调 (RC).
- 确定需要改进的领域,在CLC内部的员工互动.
主要方法:
- 从8个VA CLC获得的关系协调数据的二次分析.
- 使用关系协调调查来衡量沟通 (及时性,频率,准确性,解决问题) 和关系 (共同目标,知识,尊重).
- 从153名护士和133名护士助理 (25%的反应率) 收集的数据.
主要成果:
- 在护士助理和护士之间,以及在护士之间,通信频率的评分是"强"的.
- 护士和护士助理对及时,准确和解决问题的沟通的评级"弱".
- 共享的目标和相互尊重被评为"弱";在护理助理和护士之间,共享的知识被评为"中等".
结论:
- 通信的高频率并不等同于高质量.
- 尽管互动频繁,但关系协调和沟通质量可能存在差异.
- 需要有针对性的干预措施来改善CLC中沟通和关系的质量.
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