急性护理外科团队对晨交班的利用：一项定性研究的结果。
Utilization of morning report by acute care surgery teams: results from a qualitative study.
机构信息
University of Massachusetts Medical School, Worcester, MA, USA.
出版信息
Am J Surg. 2013 Nov;206(5):647-54. doi: 10.1016/j.amjsurg.2013.07.012.
BACKGROUND
The rigor of handoffs is increasingly scrutinized in the era of shift-based patient care. Acute care surgery (ACS) embraced such a model of care; however, little is known about handoffs in ACS programs.
METHODS
Eighteen open-ended interviews were conducted with ACS leaders representing diverse geographic and practice settings. Two independent reviewers analyzed interviews using an inductive approach to elucidate themes regarding use of morning report (using NVivo qualitative analysis software).
RESULTS
Twelve of 18 respondents reported using morning report, but only 6 of 12 included attending surgeon-to-attending surgeon handoffs. One of 12 incentivized attending surgeons to participate, 2 of 12 included nursing staff members, and 2 of 12 included physician extenders. Cited benefits of morning report were safe and effective information exchange (2 of 12), quality improvement (2 of 12), multidisciplinary discussion (1 of 12), and resident education (2 of 12). Three of 12 respondents cited time commitment as the main limitation of morning report.
CONCLUSIONS
Morning report is underused among ACS programs; however, if implemented strategically, it may improve patient care and resident education.
背景
在基于轮班的患者护理时代，交接班的严谨性受到越来越多的审查。急性护理外科 (ACS) 采用了这样的护理模式；然而，关于 ACS 计划中的交接班情况知之甚少。
方法
对来自不同地理位置和实践环境的 ACS 领导人进行了 18 次开放式访谈。两名独立的评论员使用归纳方法分析了访谈，以阐明有关使用晨交班（使用 NVivo 定性分析软件）的主题。
结果
18 名受访者中有 12 名报告使用了晨交班，但只有 6 名受访者包括主治医生之间的交接班。其中 1 名鼓励主治医生参加，2 名包括护理人员，2 名包括医生助理。晨交班的好处包括安全有效的信息交流（12 份中有 2 份）、质量改进（12 份中有 2 份）、多学科讨论（12 份中有 1 份）和住院医师教育（12 份中有 2 份）。12 名受访者中有 3 名表示，时间承诺是晨交班的主要限制。
结论
ACS 计划中晨交班的使用率较低；然而，如果战略性地实施，它可能会改善患者护理和住院医师教育。
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