Luderer Christiane, Behrens Johann
Institut für Gesundheits- und Pflegewissenschaft der Martin-Luther-Universität Halle-Wittenberg.
Pflege. 2005 Feb;18(1):15-23. doi: 10.1024/1012-5302.18.1.15.
The aim of this descriptive study was to identify the situation of conversation between hospital nurses and physicians and their patients about diagnosis and illness and to unweave the structure of communication in the interdisciplinary team that influences the personel's behaviour in the conversation. The rate of rebound in this postal debriefing amounted to 42 percent. 144 nurses from nursing and 46 medical staff participated. The examination showed that there are influencing factors, shown as formal (ward round, committing conversations, team conversations and documentation systems) and informal (colleagues and flair) structure of communication. In consequence of the non-homogenous structure of communication the hospital staff is not homogenous informed about the awareness of patients concerning diagnosis and illness. That's why hospital staff is without self-confidence in conversations with patients and avoids talks. Furthermore, a lack in teaching communication skills was revealed both in medical and nursing education and it became evident that nursing staff are not yet informed about juridical aspects of information talks. A documentation of patient's information status enables a congruent and authentic contact between staff and patient.
这项描述性研究的目的是确定医院护士、医生与患者之间关于诊断和病情的对话情况，并剖析跨学科团队中影响人员对话行为的沟通结构。此次邮政汇报中的回复率为42%。144名护理人员和46名医务人员参与其中。调查显示，存在一些影响因素，表现为正式（查房、指定对话、团队对话和文档系统）和非正式（同事和直觉）的沟通结构。由于沟通结构的非同质化，医院工作人员对于患者对诊断和病情的认知了解并不一致。这就是为什么医院工作人员在与患者对话时缺乏自信并避免交谈。此外，医学和护理教育中都存在沟通技能教学不足的问题，并且很明显护理人员尚未了解信息谈话的法律方面。记录患者的信息状态有助于工作人员与患者之间进行一致且真实的沟通。
