Wen Dong, Zhang Xingting, Wan Jie, Fu Jing, Lei Jianbo
Peking University Third Hospital, 49 North Garden, Rd., Haidian District, 100191, Beijing, China.
Center for Medical Informatics, Peking University, 38 Xueyuan Rd., Haidian District, 100191, Beijing, China.
BMC Med Inform Decis Mak. 2017 Jun 12;17(1):85. doi: 10.1186/s12911-017-0473-x.
To explore the current situation, existing problems and possible causes of said problems with regards to physician-nurse communication under an environment of increasingly widespread usage of Hospital Information Systems and to seek out new potential strategies in information technology to improve physician-nurse communication.
Semi-structured interviews were conducted with 20 physicians and nurses in five leading tertiary grade A hospitals in Beijing, China (two physicians and two nurses in each hospital). The interviews primarily included three aspects comprising the current situation and problems of clinical physician-nurse communication, the application and problems of Hospital Information Systems, and assessments on the improvement of physician-nurse communication through the usage of information technology. The inductive conventional content analysis approach was employed.
(1) Physicians and nurses are generally quite satisfied with the current situation of communication. However, the information needs of nurses are prone to being overlooked, and the communication methods are primarily synchronous communication such as face-to-face and phone communication. (2) Hospital Information Systems are gradually being used for physician-nurse communication; in the meantime, physicians and nurses face challenges with regards to the improvement of physician-nurse communication through the usage of information technology. Challenges differ based on the different stages of using the system and the different levels of understanding of physicians and nurses towards information technology. Their dissatisfaction mainly deals with system errors and the level of convenience in using the system. (3) In-depth interviews found that in general, physicians and nurses have a strong interest and trust in improving physician-nurse communication through appropriate information technology, e.g., communication methods such as information reminders for physicians and nurses through mobile devices and instant voice-to-text conversion methods.
There are objective risks in physician-nurse communication in Chinese hospitals, and clinical information systems lack solutions to the relevant problems. Developing a dedicated, mobile, quick and convenient module for physician-nurse communication within existing hospital information system with automatic reminders for important information that segregates between synchronous and asynchronous communication according to the different types of information could help improve physician-nurse communication.
探讨在医院信息系统日益广泛应用的环境下，医护沟通的现状、存在的问题及问题的可能成因，并寻找信息技术方面新的潜在策略以改善医护沟通。
对中国北京五家顶尖三甲医院的20名医生和护士进行半结构化访谈（每家医院两名医生和两名护士）。访谈主要包括三个方面，即临床医护沟通的现状与问题、医院信息系统的应用与问题，以及对通过信息技术应用改善医护沟通的评估。采用归纳性常规内容分析法。
（1）医生和护士对当前的沟通状况总体较为满意。然而，护士的信息需求容易被忽视，沟通方式主要是面对面和电话等同步沟通。（2）医院信息系统逐渐用于医护沟通；与此同时，医生和护士在通过信息技术应用改善医护沟通方面面临挑战。挑战因系统使用的不同阶段以及医生和护士对信息技术的不同理解水平而有所不同。他们的不满主要涉及系统错误和系统使用的便捷程度。（3）深入访谈发现，总体而言，医生和护士对通过适当的信息技术改善医护沟通有浓厚兴趣和信任，例如通过移动设备对医生和护士进行信息提醒以及即时语音转文本转换方法等沟通方式。
中国医院的医护沟通存在客观风险，临床信息系统缺乏相关问题的解决方案。在现有医院信息系统内开发一个专门的、移动的、快速便捷的医护沟通模块，对重要信息进行自动提醒，并根据不同类型信息区分同步和异步沟通，有助于改善医护沟通。
