Foronda Cynthia, MacWilliams Brent, McArthur Erin
Nursing, Johns Hopkins University, 525 N. Wolfe St., Baltimore, MD 21205, USA.
University of Wisconsin- Oshkosh, College of Nursing, 800 Algoma Blvd., Oshkosh, WI 54901, USA.
Nurse Educ Pract. 2016 Jul;19:36-40. doi: 10.1016/j.nepr.2016.04.005. Epub 2016 May 3.
The link between miscommunication and poor patient outcomes has been well documented. To understand the current state of knowledge regarding interprofessional communication, an integrative review was performed. The review suggested that nurses and physicians are trained differently and they exhibit differences in communication styles. The distinct frustrations that nurses and physicians expressed with each other were discussed. Egos, lack of confidence, lack of organization and structural hierarchies hindered relationships and communications. Research suggested that training programs with the use of standardized tools and simulation are effective in improving interprofessional communication skills. Recommendations include education beyond communication techniques to address the broader related constructs of patient safety, valuing diversity, team science, and cultural humility. Future directions in education are to add courses in patient safety to the curriculum, use handover tools that are interprofessional in nature, practice in simulation hospitals for training, and use virtual simulation to unite the professions.
沟通不畅与患者不良预后之间的联系已有充分记录。为了解有关跨专业沟通的当前知识状况,我们进行了一项综合综述。该综述表明,护士和医生接受的培训不同,他们在沟通方式上也存在差异。讨论了护士和医生彼此表达的明显不满。自我、缺乏信心、缺乏组织和结构层次阻碍了关系和沟通。研究表明,使用标准化工具和模拟的培训项目在提高跨专业沟通技能方面是有效的。建议包括超越沟通技巧的教育,以解决患者安全、重视多样性、团队科学和文化谦逊等更广泛的相关概念。教育的未来方向是在课程中增加患者安全课程,使用本质上是跨专业的交接班工具,在模拟医院进行培训实践,并使用虚拟模拟来整合各专业。