西印度群岛大学医院重症监护病房的跨学科交流。

Interdisciplinary communication in the intensive care unit at the University Hospital of the West Indies.

作者信息

Chang L P T, Harding H E, Tennant I, Soogrim D, Ehikhametalor K, James B, Frankson A, Gordon-Strachan G M

机构信息

Department of Surgery, Radiology, Anaesthesia and Intensive Care, University Hospital of the West Indies.

出版信息

West Indian Med J. 2010 Dec;59(6):656-61.

PMID:21702238

Abstract

OBJECTIVE

To assess the perceptions of physicians and nurses working full-time in the Intensive Care Unit (ICU) at the University Hospital of the West Indies (UHWI) regarding interdisciplinary communication.

METHOD

A cross-sectional survey of all medical personnel working full-time in the ICU was conducted in January 2008 using a self-administered, validated questionnaire. Data on perceived communication, teamwork and leadership, comprehension of patient care goals, perceived effectiveness and satisfaction were collected and analysed using the SPSS Version 14. Internal reliability was tested using Cronbach's alpha score and differences and correlations were assessed using Pearson's Chi-square and correlation analysis.

RESULTS

Ninety-five per cent (105/111) of questionnaires were completed. More doctors than nurses experienced open communication with other staff members (73% vs 32%; p < 0.01), with less openness occurring with increasing seniority. More doctors (53%) than nurses (32%) reported receiving inaccurate information from doctors (p < 0.05), with 67% and 51% respectively receiving incorrect information from nurses (p < 0.05). Communication across shifts was felt to be better amongst doctors than nurses (73% vs 63%). Only 50% of doctors compared to 88% of nurses felt they received relevant information quickly (p < 0.05). More nurses than doctors (86% vs 63%; p < 0.01) felt that they had a good understanding of patient care goals. Negative perceptions of the leadership characteristics of consultants (62% amongst doctors and 74% of nurses) and sisters (79% and 73%, respectively) were high.

CONCLUSIONS

Communication within the ICU, UHWI, is unsatisfactory with an overall poor perception of senior leadership. Improvement in staff morale and leadership training may create a working environment where team members can communicate openly without fear of chastisement.

摘要

目的

评估在西印度大学医院（UHWI）重症监护病房（ICU）全职工作的医生和护士对跨学科交流的看法。

方法

2008年1月，采用一份自我管理的、经过验证的问卷，对在ICU全职工作的所有医务人员进行了横断面调查。收集了有关感知到的交流、团队合作与领导力、对患者护理目标的理解、感知到的有效性和满意度的数据，并使用SPSS 14版进行分析。使用克朗巴赫α系数检验内部信度，使用皮尔逊卡方检验和相关分析评估差异和相关性。

结果

95%（105/111）的问卷完成。经历过与其他工作人员进行开放交流的医生比护士更多（73%对32%；p<0.01），随着资历增加，开放程度降低。报告从医生那里收到不准确信息的医生（53%）比护士（32%）更多（p<0.05），分别有67%和51%的医生和护士从护士那里收到不正确信息（p<0.05）。医生们认为不同班次之间的交流比护士更好（73%对63%）。只有50%的医生认为他们能快速收到相关信息，而护士的这一比例为88%（p<0.05）。认为自己对患者护理目标有很好理解的护士比医生更多（86%对63%；p<0.01）。对顾问（医生中有62%，护士中有74%）和护士长（分别为79%和73%）领导特征的负面看法较高。