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改善临床沟通:心理学视角

Improving clinical communication: a view from psychology.

作者信息

Parker J, Coiera E

机构信息

Hewlett-Packard Research Laboratories, Bristol, England (JSP).

出版信息

J Am Med Inform Assoc. 2000 Sep-Oct;7(5):453-61. doi: 10.1136/jamia.2000.0070453.

Abstract

Recent research has studied the communication behaviors of clinical hospital workers and observed a tendency for these workers to use communication behaviors that were often inefficient. Workers were observed to favor synchronous forms of communication, such as telephone calls and chance face-to-face meetings with colleagues, even when these channels were not effective. Synchronous communication also contributes to a highly interruptive working environment, increasing the potential for clinical errors to be made. This paper reviews these findings from a cognitive psychological perspective, focusing on current understandings of how human memory functions and on the potential consequences of interruptions on the ability to work effectively. It concludes by discussing possible communication technology interventions that could be introduced to improve the clinical communication environment and suggests directions for future research.

摘要

近期研究对临床医院工作人员的沟通行为进行了考察,并观察到这些工作人员倾向于采用往往效率低下的沟通行为。研究发现,工作人员更青睐同步沟通方式,比如打电话以及与同事偶遇时的面对面交流,即便这些渠道效果不佳。同步沟通还会营造出干扰性很强的工作环境,增加出现临床失误的可能性。本文从认知心理学角度审视这些研究结果,重点关注当前对人类记忆功能的理解以及中断对有效工作能力的潜在影响。文章最后讨论了为改善临床沟通环境可能引入的沟通技术干预措施,并提出了未来研究的方向。

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