Kitson Alison L, Muntlin Athlin Åsa, Elliott Janice, Cant Megan L
The University of Adelaide - School of Nursing, South Australia, Australia.
J Adv Nurs. 2014 Jun;70(6):1228-42. doi: 10.1111/jan.12321. Epub 2013 Dec 11.
To describe, appraise and synthesize the seminal and empirical literature around Registered Nurses' communication behaviours between shifts in acute hospital settings.
Effective communication between shifts (at nursing handover) is acknowledged as a prerequisite to safe and high-quality patient-centred care. However, gaps and inconsistencies continue to prevail.
Narrative review and synthesis.
The electronic databases PubMED, CINAHL and Scopus were used.
English language, peer-reviewed papers published between 1970-April 2012 were considered for review. Criteria included Registered Nurses' communication during handovers in adult hospital settings.
Twenty-nine papers were reviewed. The research lacks a clear conceptual framework to define the core purposes of Nurses' communication behaviours between shifts. Seven themes were identified: overall purpose; report givers and receivers; seeing the whole picture; teaching and education; language; patient-centred care; and social cohesion. Two main communication processes are required - one articulating the whole picture and the other detailing information about patients.
This area of research is challenged by lack of consistency in terminology and methodological rigour. While recent research has confirmed the findings from the seminal work, it has not been able to elaborate on some of the key challenges to refine the knowledge base. A more integrated approach is required to understand the complex process of improving nursing communication behaviours, particularly around the nursing handover. A neglected area of study is the role of the unit lead in determining the communication standards of the whole nursing team.
描述、评估并综合急性医院环境中注册护士轮班期间沟通行为的开创性及实证文献。
轮班期间（护理交接班时）的有效沟通被认为是以患者为中心的安全、高质量护理的前提条件。然而，差距和不一致现象仍然普遍存在。
叙述性综述与综合分析。
使用了电子数据库PubMed、CINAHL和Scopus。
纳入1970年至2012年4月期间发表的英文、经同行评审的论文进行综述。标准包括成人医院环境中注册护士在交接班时的沟通情况。
共审查了29篇论文。该研究缺乏一个明确的概念框架来界定护士轮班期间沟通行为的核心目的。确定了七个主题：总体目的；报告者与接收者；全面了解情况；教学与教育；语言；以患者为中心的护理；以及社会凝聚力。需要两个主要的沟通流程——一个阐述整体情况，另一个详细说明患者信息。
该研究领域受到术语不一致和方法严谨性不足的挑战。虽然近期研究证实了开创性研究的结果，但未能详细阐述一些关键挑战以完善知识库内容。需要一种更综合的方法来理解改善护理沟通行为的复杂过程，尤其是围绕护理交接班的过程。一个被忽视的研究领域是科室负责人在确定整个护理团队沟通标准方面的作用。
