Department of Infectious Diseases, and Centre for Infection Prevention and Management, Imperial College London and Imperial Healthcare NHS Trust, London, UK.
J Hosp Infect. 2012 Sep;82(1):25-9. doi: 10.1016/j.jhin.2012.05.016. Epub 2012 Jul 17.
Communication in healthcare settings has recently received significant attention in the literature. However, there continues to be a large gap in current understanding of the effectiveness of different communication channels used in acute healthcare settings, particularly in the context of infection prevention and control (IPC).
To explore and evaluate the main communication channels used within hospitals to communicate with healthcare workers (HCWs) and to propose practical recommendations.
Critical review of the main communication channels used within acute health care to communicate information to HCWs, and analysis of their impact on practice.
The analysis covers verbal communications, standardization via guidelines, education and training, electronic communications and marketing strategies. Traditional communication channels have not been successful in changing and sustaining best practice in IPC, but newer approaches (electronic messages and marketing) also have pitfalls.
A few simple recommendations are made in relation to the development, implementation and evaluation of communications to HCWs; top-down vs bottom-up communications; and the involvement of HCWs, particularly ward personnel.
医疗保健环境中的沟通在文献中最近受到了极大关注。然而，在理解急性保健环境中使用的不同沟通渠道的有效性方面，仍然存在很大差距，特别是在感染预防和控制（IPC）方面。
探索和评估在医院中用于与医护人员（HCWs）进行沟通的主要沟通渠道，并提出实用建议。
对用于向 HCWs 传达信息的急性保健中主要沟通渠道进行批判性审查，并分析其对实践的影响。
分析涵盖了口头沟通、通过指南标准化、教育和培训、电子沟通和营销策略。传统的沟通渠道在改变和维持 IPC 最佳实践方面并未取得成功，但更新的方法（电子信息和营销）也存在缺陷。
针对向 HCWs 进行沟通的制定、实施和评估，提出了一些简单的建议；自下而上与自上而下的沟通；以及 HCWs 的参与，特别是病房人员。
