Hoonakker Peter L T, Pecanac Kristen E, Brown Roger L, Carayon Pascale
Center for Quality and Productivity Improvement, University of Wisconsin-Madison.
School of Nursing, University of Wisconsin-Madison.
J Crit Care. 2017 Feb;37:224-229. doi: 10.1016/j.jcrc.2016.10.018. Epub 2016 Oct 28.
The purpose of the study was to examine how tele-intensive care unit (tele-ICU) nurse characteristics and organizational characteristics influence tele-ICU nurses' trust and satisfaction of monitored bedside ICU nurses, and whether these influences are mediated by communication.
Data of tele-ICU characteristics and characteristics of the ICUs they monitored were collected at 5 tele-ICUs located throughout the country. One hundred ten tele-ICU nurses at those tele-ICUs completed a questionnaire containing items related to their characteristics and their trust, satisfaction, and perceived communication with monitored bedside nurses. We analyzed the data using a hierarchical path model, with communication variables entered as mediators.
Many of the tele-ICU nurse characteristics (age, currently or previously worked at the monitored ICU, hours worked per week, and years as a ICU nurse) had statistically significant direct effects on perception of communication timeliness, accuracy, and openness, as well as trust and satisfaction with monitored bedside ICU nurses. Communication openness mediated the relationships of both working at a monitored ICU and being older (≥55) on satisfaction. Communication accuracy mediated the relationships of both a specialized monitored ICU and working at a monitored ICU on trust.
Tele-ICUs and monitored ICUs should work to optimize communication so that trust can be established among the nurses.
本研究旨在探讨远程重症监护病房（tele-ICU）护士的特征和组织特征如何影响tele-ICU护士对受监测的床边ICU护士的信任和满意度，以及这些影响是否通过沟通来介导。
在全国范围内的5个tele-ICU收集了tele-ICU的特征及其所监测的ICU的特征数据。这些tele-ICU的110名tele-ICU护士完成了一份问卷，其中包含与他们的特征、对受监测的床边护士的信任、满意度以及感知到的沟通相关的项目。我们使用分层路径模型分析数据，将沟通变量作为中介变量纳入。
许多tele-ICU护士的特征（年龄、目前或以前在受监测的ICU工作、每周工作小时数以及担任ICU护士的年限）对沟通及时性、准确性和开放性的感知，以及对受监测的床边ICU护士的信任和满意度具有统计学上的显著直接影响。沟通开放性介导了在受监测的ICU工作和年龄较大（≥55岁）与满意度之间的关系。沟通准确性介导了专门的受监测ICU和在受监测的ICU工作与信任之间的关系。
Tele-ICU和受监测的ICU应努力优化沟通，以便在护士之间建立信任。
