医生与护士的沟通。利雅得医生的看法。

Al-Doghaither A H, Mohamed B A, Abdalla A E, Magzoub M E, Al-Doghaither M H

Department of Community Health Sciences, King Saud University, Kingdom of Saudi Arabia.

Saudi Med J. 2001 Apr;22(4):315-9.

OBJECTIVE

The need for communication between nurse and physician in clinical practice is undisputed. The objectives of this study were to describe doctors' perceptions of their communication with nurses, as related to the openness of the communication and the accuracy of the information communicated and to examine if specific sociodemographic characteristics concerning physicians were associated with perception of communication.

METHODS

The sample consisted of 200 physicians selected randomly from 6 randomly selected hospitals representing both general and private. A modified Shortell's Intensive Care Unit physician-nurse communication subscale was used to measure the physician's perceptions of the degree to which openness and accuracy described their communication with nurses. Data was collected via a self-administered pilot questionnaire, which also included sociodemographic characteristics.

RESULTS

The overall mean score for openness was 2.61 and 3.19 for accuracy out of a maximum score of 5. For openness the highest mean score was obtained for "listening to physician (4.31)" and the lowest mean score was obtained for "hospital environment (1.84)". For accuracy, the highest mean score was obtained for "use of medical language (4.37)" and the lowest mean score was for "feedback (1.84)". The results showed a significant difference for experience, age and gender for both types of hospitals. For specialization, title and nationality no significant difference was observed for both types of hospitals for openness and accuracy. Multivariate regression analysis showed that gender, age and experience were the predictor variables for openness and accuracy. With more experienced, older aged females, having the highest mean score.

CONCLUSION

Communication between physician and nurses needs not remain only a researchable issue; its viability and vitality are crucial to the changing health care scene. Thus, the development of health delivery models that will enable effective multidisciplinary communication, cooperation and wiser use of limited resources in health care is essential.

目的

护士与医生在临床实践中的沟通需求是无可争议的。本研究的目的是描述医生对其与护士沟通的看法，涉及沟通的开放性和所传达信息的准确性，并检验医生的特定社会人口学特征是否与沟通认知相关。

方法

样本包括从6家随机选取的代表公立和私立的医院中随机抽取的200名医生。使用经过修改的肖特尔重症监护病房医生 - 护士沟通子量表来衡量医生对开放性和准确性在多大程度上描述其与护士沟通的认知。通过自行填写的预调查问卷收集数据，该问卷还包括社会人口学特征。

结果

开放性的总体平均得分是2.61分（满分5分），准确性的总体平均得分是3.19分。对于开放性，“倾听医生意见（4.31）”得分最高，“医院环境（1.84）”得分最低。对于准确性，“使用医学语言（4.37）”得分最高，“反馈（1.84）”得分最低。结果显示，两种类型医院在经验、年龄和性别方面存在显著差异。对于专科、职称和国籍，两种类型医院在开放性和准确性方面均未观察到显著差异。多元回归分析表明，性别、年龄和经验是开放性和准确性的预测变量。经验更丰富、年龄较大的女性平均得分最高。