Watson Bernadette M, Jones Liz, Cretchley Julia
The University of Queensland, Brisbane, Queensland, Australia.
Griffith University, Brisbane, Queensland, Australia.
Glob Qual Nurs Res. 2014 Oct 16;1:2333393614550162. doi: 10.1177/2333393614550162. eCollection 2014 Jan-Dec.
Clinical handovers are an essential part of the daily care and treatment of hospital patients. We invoked a language and social psychology lens to investigate how different health professional groups discussed the communication problems and strengths they experienced in handovers. We conducted in-depth interviews with three different health professional groups within a large metropolitan hospital. We used Leximancer text analytics software as a tool to analyze the data. Results showed that time was of concern to all groups in both similar and diverse ways. All professionals discussed time management, time pressures, and the difficulties of coordinating different handovers. Each professional group had its own unique perceptions and priorities about handovers. Our findings indicated that health professionals understood what was required for handover improvement but did not have the extra capacity to alter their current environment. Hospital management, with clinicians, need to implement handover schedule processes that prioritize interprofessional representation.
临床交接班是医院患者日常护理和治疗的重要组成部分。我们运用语言和社会心理学视角来调查不同健康专业群体如何讨论他们在交接班中遇到的沟通问题和优势。我们对一家大型都市医院内的三个不同健康专业群体进行了深入访谈。我们使用Leximancer文本分析软件作为工具来分析数据。结果表明，时间在所有群体中都以相似和不同的方式受到关注。所有专业人员都讨论了时间管理、时间压力以及协调不同交接班的困难。每个专业群体对交接班都有自己独特的看法和优先事项。我们的研究结果表明，健康专业人员明白改善交接班需要什么，但没有额外的能力来改变他们当前的环境。医院管理层与临床医生需要实施交接班时间表流程，优先考虑跨专业代表。
