Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco, CA, USA.
Am J Obstet Gynecol. 2011 Aug;205(2):91-6. doi: 10.1016/j.ajog.2011.04.021. Epub 2011 Apr 16.
Effective communication is a hallmark of safe patient care. Challenges to effective interprofessional communication in maternity care include differing professional perspectives on clinical management, steep hierarchies, and lack of administrative support for change. We review principles of high reliability as they apply to communication in clinical care and discuss principles of effective communication and conflict management in maternity care. Effective clinical communication is respectful, clear, direct, and explicit. We use a clinical scenario to illustrate an historic style of nurse-physician communication and demonstrate how communication can be improved to promote trust and patient safety. Consistent execution of successful communication requires excellent listening skills, superb administrative support, and collective commitment to move past traditional hierarchy and professional stereotyping.
有效的沟通是安全患者护理的标志。产妇护理中有效跨专业沟通面临的挑战包括对临床管理的不同专业观点、陡峭的层级制度以及缺乏对变革的行政支持。我们回顾了高可靠性原则在临床护理沟通中的应用，并讨论了产妇护理中有效沟通和冲突管理的原则。有效的临床沟通是尊重、清晰、直接和明确的。我们使用临床场景来说明历史上护士与医生沟通的风格，并展示如何改进沟通以促进信任和患者安全。要始终如一地执行成功的沟通，需要出色的倾听技巧、卓越的行政支持以及集体承诺，以克服传统的层级制度和专业刻板印象。
