紧急医生和紧急护士在急诊室的沟通:一种混合方法研究
David C Jones1, Jeffrey Phillips1, Amanda Graveson2
1Oregon Health & Science University, Department of Emergency Medicine, Portland, Oregon.
在急诊室 (ED) 中,有效的沟通至关重要. 紧急护士 (EN) 和紧急医生 (EP) 之间的沟通不良会对患者护理和团队动态产生负面影响.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健通讯 医疗保健通讯
- 团队动力学 团队动力学
背景情况:
- 紧急诊所 (ED) 是一个交通繁忙的环境,在这种环境中,沟通是频繁且对患者护理至关重要的.
- 了解对沟通质量的看法对于改善ED手术和患者结果至关重要.
研究的目的:
- 确定急诊护士和医生对ED有效和无效沟通的观点.
- 探索在紧急情况下沟通的性质和影响.
主要方法:
- 一种混合方法的方法,将在线调查和面对面的焦点小组与急诊护士 (EN) 和急诊医生 (EP) 结合起来.
- 从四个医院ED中招募了参与者,将定量调查数据与定性焦点小组主题整合起来.
主要成果:
- 内科医生和外科医生都报告了频繁的不良沟通,这会对患者的护理,ED功能和信任产生不利影响.
- 非语言沟通和环境因素显著影响团队沟通质量.
- 确定的主题包括沟通媒介的影响,尊重,人际关系,性别动态和学习机会.
结论:
- 沟通失败是常见的,并显著影响EDS的患者护理.
- 确定了有效的沟通特征,影响因素,以及沟通质量对整个团队的影响.
- 调查结果强调了在紧急情况下需要有针对性的沟通策略.
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