Saxton Rebecca
Research College of Nursing, Kansas City, MO, USA.
AORN J. 2012 May;95(5):602-11. doi: 10.1016/j.aorn.2011.06.011.
Disruptive behavior among health care providers has been linked to negative patient outcomes. High-stress areas, including the perioperative setting, are especially prone to this behavior. The purpose of this study was to develop, implement, and evaluate an educational communication skills intervention aimed at increasing the perceived self-efficacy of perioperative nurses to address disruptive physician behavior. Seventeen perioperative nurses participated in a two-day communication skills program presented by a certified Crucial Conversations trainer. By using paired t test analysis, I found that there was a statistically significant increase in total mean self-efficacy scores immediately after the intervention and four weeks after the intervention. In addition, four weeks after the intervention, participants reported the ability to address disruptive physician behavior 71% of the time. The results of this study suggest that one intervention strategy to address the serious threat of disruptive physician behavior to patient safety is to educate nurses in communication skills.
医护人员的破坏性行为已被证明与患者的不良预后相关。包括围手术期在内的高压力环境尤其容易出现这种行为。本研究的目的是开发、实施并评估一项教育沟通技能干预措施，旨在提高围手术期护士应对医生破坏性行为的自我效能感。17名围手术期护士参加了由认证的关键对话培训师举办的为期两天的沟通技能培训课程。通过配对t检验分析，我发现干预后即刻以及干预后四周，总体平均自我效能得分在统计学上有显著提高。此外，干预四周后，参与者报告称有71%的时间能够应对医生的破坏性行为。本研究结果表明，应对医生破坏性行为对患者安全构成的严重威胁的一种干预策略是对护士进行沟通技能教育。
