采用以团队为中心的方法来评估护士与医生沟通的有效性。
Using a team-centered approach to evaluate effectiveness of nurse-physician communications.
作者信息
Matzke Brenda, Houston Susan, Fischer Ute, Bradshaw Martha J
出版信息
J Obstet Gynecol Neonatal Nurs. 2014 Nov-Dec;43(6):684-94. doi: 10.1111/1552-6909.12486. Epub 2014 Aug 26.
OBJECTIVE
To characterize communication strategies of labor and delivery nurses and their physician colleagues during perinatal decisions.
DESIGN
A quantitative descriptive design was used.
SETTING
A perinatal setting in an urban acute care facility.
PARTICIPANTS
Twenty-nine perinatal nurses and 11 attending physicians.
METHODS
A model of team communication derived from research on cockpit crew communication served as a framework for this analysis. Data were taken from transcriptions of audio-taped conversations and discourse analysis.
RESULTS
Findings indicated that nurses and physicians tended to use status-based communication styles and rarely employed team-centered communication strategies.
CONCLUSION
Nurse and physician status-based communication styles may hinder optimal patient outcomes.
目的
描述围产期决策过程中分娩护士及其医生同事的沟通策略。
设计
采用定量描述性设计。
地点
城市急症护理机构中的围产期环境。
参与者
29名围产期护士和11名主治医生。
方法
从对驾驶舱机组人员沟通的研究中得出的团队沟通模型作为该分析的框架。数据取自录音对话的文字记录和话语分析。
结果
研究结果表明，护士和医生倾向于使用基于地位的沟通方式，很少采用以团队为中心的沟通策略。
结论
护士和医生基于地位的沟通方式可能会阻碍实现最佳患者治疗效果。
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