Miller P A
University of Kansas School of Nursing, Kansas City, Kan., USA.
Am J Crit Care. 2001 Sep;10(5):341-50.
Collaborative interaction between nurses and physicians on critical care units is significantly related to mortality rates and length of stay in the units. For this reason, collaborative interaction should be an integral part of quality improvement programs.
To examine perspectives of nurses and physicians on collaborative interaction in an intensive care unit, to examine differences between groups in perceptions of collaborative interaction in the unit, and to compare this unit with units examined in a national study.
A modification of the ICU Nurse-Physician Questionnaire was used to collect data from 35 nurses and 45 physicians. Descriptive statistics and analysis of variance were used to determine group scores and to examine differences between groups.
The level of collaborative interaction in the unit was high. However, nurses and physicians and all other staff groups examined except one had significant differences in perceptions of collaborative interaction. The high level of collaborative interaction was confirmed by a comparison of the results with the results from a national sample.
Critical care units can use this example to incorporate an assessment of the level of collaborative interaction into their quality improvement program.
重症监护病房护士与医生之间的协作互动与死亡率及在该病房的住院时间显著相关。因此，协作互动应成为质量改进计划的一个组成部分。
探讨护士和医生对重症监护病房协作互动的看法，研究两组对该病房协作互动认知的差异，并将该病房与一项全国性研究中所考察的病房进行比较。
采用经过修改的重症监护病房护士 - 医生调查问卷收集35名护士和45名医生的数据。使用描述性统计和方差分析来确定组得分并检验组间差异。
该病房的协作互动水平较高。然而，护士和医生以及除一个组之外的所有其他被考察的工作人员组在协作互动认知方面存在显著差异。将结果与全国样本的结果进行比较，证实了协作互动水平较高。
重症监护病房可以以这个例子为参考，将协作互动水平评估纳入其质量改进计划。
