Wen Dong, Guan Pengcheng, Zhang Xingting, Lei Jianbo
a Peking University Third Hospital , Beijing , China.
b Center for Medical Informatics , Peking University , Beijing , China.
Inform Health Soc Care. 2018 Jan;43(1):12-21. doi: 10.1080/17538157.2016.1255630. Epub 2017 Jan 9.
Good communication between physicians and nurses is important for the understanding of disease status and treatment feedback; however, certain issues in Chinese hospitals could lead to suboptimal physician-nurse communication in clinical work.
Convenience sampling was used to recruit participants. Questionnaires were sent to clinical physicians in three top tertiary Grade-A teaching hospitals in China and six hundred and seventeen physicians participated in the survey.
(1) Common physician-nurse interactions were shift-change reports and provisional reports when needed, and interactions expected by physicians included face-to-face reports and communication via a phone or mobile device. (2) Most respondents believed that the need for information in physician-nurse interactions was high, information was moderately accurate and timely, and feedback regarding interaction time and satisfaction indicated that they were only average and required improvement. (3) Information needs in physician-nurse interactions differed significantly according to hospital category, role, workplace, and educational background (p < .05).
There was a considerable need for information within physician-nurse interactions, and the level of satisfaction with the information obtained was average; requirements for the improvement of communication differed between physicians and nurses because of differences in their characteristics. Currently, the use of information technology in physician-nurse communication was less common but was highly expected by physicians.
医生与护士之间的良好沟通对于了解疾病状况和治疗反馈很重要;然而,中国医院的某些问题可能导致临床工作中医护沟通不理想。
采用便利抽样法招募参与者。向中国三所顶级三级甲等教学医院的临床医生发放问卷,共有617名医生参与了调查。
(1)常见的医护互动是交接班报告以及必要时的临时报告,医生期望的互动方式包括面对面报告以及通过电话或移动设备进行沟通。(2)大多数受访者认为医护互动中对信息的需求很高,信息的准确性和及时性一般,关于互动时间和满意度的反馈表明其水平仅为中等,需要改进。(3)医护互动中的信息需求因医院类别、角色、工作场所和教育背景的不同而存在显著差异(p < .05)。
医护互动中对信息有相当大的需求,对所获信息的满意度一般;由于医生和护士特点不同,他们对改善沟通的要求也有所不同。目前,信息技术在医护沟通中的应用不太普遍,但医生对此寄予厚望。