Esmaeilpour-Bandboni Mohammad, Vaismoradi Mojtaba, Salsali Mahvash, Snelgrove Sherrill, Sheldon Lisa Kennedy
Res Theory Nurs Pract. 2017 Aug 1;31(3):202-218. doi: 10.1891/1541-6577.31.3.202.
Nurse-physician professional communication affects the effectiveness and performance of the health care team and the quality of care delivered to the patient. This study aimed to explore the perspectives and experiences of physicians on nurse-physician professional communication in an urban area of Iran.
Semistructured interviews were conducted with 15 physicians selected using a purposive sampling method. Physicians from different medical specialties were chosen from 4 teaching hospitals in an urban area of Iran. The data were analyzed with content analysis and themes developed.
Three themes developed during data analysis: "seeking the formal methods of communication to ensure patient care," "nurses' professional attributes for professional communication," and "patients' health conditions as the mediators of professional communication."
Nurses need to be informed of the perspectives and experiences of physicians on professional communication. Our findings can improve nurses' understandings of professional communication that could inform the development of educational and training programs for nurses and physicians. There is a need to incorporate communication courses during degree education and design interprofessional training regarding communication in clinical settings to improve teamwork and patient care. Open discussions between nurses and physicians, training sessions about how to improve their knowledge about barriers to and facilitators of effective professional communication, and key terms and phrases commonly used in patient care are suggested.
护士与医生之间的专业沟通会影响医疗团队的效率和表现以及为患者提供的护理质量。本研究旨在探讨伊朗一个城市地区医生对护士与医生专业沟通的看法和经历。
采用目的抽样法选取15名医生进行半结构式访谈。从伊朗一个城市地区的4家教学医院中挑选不同医学专科的医生。对数据进行内容分析并提炼出主题。
数据分析过程中形成了三个主题：“寻求正式沟通方式以确保患者护理”、“护士专业沟通的专业属性”以及“患者健康状况作为专业沟通的调解因素”。
需要让护士了解医生对专业沟通的看法和经历。我们的研究结果可以增进护士对专业沟通的理解，从而为护士和医生的教育及培训项目的开展提供参考。在学位教育期间需要纳入沟通课程，并设计关于临床环境中沟通的跨专业培训，以改善团队协作和患者护理。建议护士与医生进行开放的讨论，开展关于如何提高他们对有效专业沟通的障碍和促进因素的认识的培训课程，以及患者护理中常用的关键术语和短语。
