Krautscheid Lorretta C
University of Portland, USA.
Int J Nurs Educ Scholarsh. 2008;5:Article40. doi: 10.2202/1548-923X.1647. Epub 2008 Oct 21.
Communication errors are identified by the Joint Commission as the primary root cause of sentinel events across all categories. In addition, improving the effectiveness of communication among healthcare providers is listed as one of the Joint Commission's 2008 National Patient Safety Goals. Nursing programs are expected to graduate practice-ready nurses who demonstrate quality and safety in patient care, which includes interdisciplinary communication. Through objectively structured clinical assessment simulations, faculty evaluate each nursing student's ability to perform many aspects of care, including the ability to communicate effectively with physicians via telephone in an emergent situation. This quality improvement project reports the results of a three-year review of undergraduate student nurse performance (n = 285) related to effective clinical communication. Changes in teaching-learning strategies, implementation of a standardized communication tool, and clinical enhancements which resulted in improved student competency, will be presented.
沟通失误被联合委员会认定为各类警示事件的主要根本原因。此外，提高医疗服务提供者之间的沟通效率被列为联合委员会2008年全国患者安全目标之一。护理专业项目期望培养出具备实践能力的护士，这些护士在患者护理中要展现出质量和安全意识，这其中包括跨学科沟通。通过客观结构化临床评估模拟，教师评估每个护理专业学生在护理诸多方面的能力，包括在紧急情况下通过电话与医生有效沟通的能力。这个质量改进项目报告了对本科护理专业学生（n = 285）有效临床沟通表现进行的为期三年的审查结果。将介绍教学策略的变化、标准化沟通工具的实施以及带来学生能力提升的临床改进措施。
