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复杂的临床沟通实践:信息接收者如何吸收信息并将其应用于患者护理?

Complex Clinical Communication Practices: How Do Information Receivers Assimilate and Act Upon Information for Patient Care?

作者信息

Wong Ming Chao, Yee Kwang Chien, Turner Paul

机构信息

eHealth Services Research Group (eHSRG), University of Tasmania.

School of Medicine, Faculty of Health, University of Tasmania.

出版信息

Stud Health Technol Inform. 2017;234:376-381.

Abstract

Improving clinical communication is imperative to improving the quality and safety of patient care. Significant efforts have been made to improve clinical communication and patient safety, guided by the mantra of "the right information, to the right person, in the right place, at the right time". The design and implementation of information communication technologies (ICTs) has been considered as one of the major developments in improving patient care. Clinical communication in today's clinical practice is complex and involves multi-disciplinary teams using different types of media for information transfer. This paper argues that traditional communication theories fail to adequately capture and describe contemporary clinical communicative practices or to provide insight into how information transferred is actually assimilated and/or utilised for patient care. This paper argues for the need to more fully consider underlying assumptions about the role of information in clinical communication and to recognise how the attributes of information receivers, especially where ICTs are deployed influence outcomes. The paper presents a discussion regarding the need to consider information receivers as the foundation for clinical communication improvement and future design and development of ICTs to improve patient care.

摘要

改善临床沟通对于提高患者护理质量和安全性至关重要。在“正确的信息,在正确的时间,传递给正确的人,在正确的地点”这一理念的指导下,人们已经做出了巨大努力来改善临床沟通和患者安全。信息通信技术(ICT)的设计和实施被视为改善患者护理的主要进展之一。当今临床实践中的临床沟通非常复杂,涉及多学科团队使用不同类型的媒介进行信息传递。本文认为,传统的沟通理论未能充分捕捉和描述当代临床沟通实践,也未能深入了解所传递的信息实际上是如何被吸收和/或用于患者护理的。本文主张需要更全面地考虑关于信息在临床沟通中作用的潜在假设,并认识到信息接收者的属性,特别是在部署ICT的情况下,如何影响结果。本文讨论了将信息接收者视为改善临床沟通以及未来设计和开发ICT以改善患者护理的基础的必要性。

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