Kirschbaum Kristin, McAuliffe Maura S, Swanson Melvin
has researched interprofessional medical communication for more than 10 years. Both her master's and doctoral research was conducted with physicians to examine and measure latent communication variables that contribute to miscommunication behavior and compromised patient care. Dr Kirschbaum has multiple publications and made numerous conference presentations that center on cultural variables and interprofessional medical communication.
is a tenured professor of nursing and founding director of the East Carolina University College of Nursing Nurse Anesthesia Program, Greenville, North Carolina. She has extensive experience in national and international survey research.
AANA J. 2018 Feb;86(1):11-18.
Medical errors more often result from miscommunication among providers than lack of medical knowledge. The consequences of miscommunication are well documented, but there is less information about factors contributing to communication errors among providers. In this study, surveys were administered to a national sample of 3,000 nurse anesthetists to measure variables associated with communication attitudes and behaviors. The specific variables measured in the survey were latent cultural factors that contribute to communication behaviors. Previous research found these latent variables contribute to miscommunication among operating room physicians, resulting in patient-related errors that could be avoided. The survey used for this study was based on an intercultural communication theory. Survey items were modified to reflect operating room culture, specifically nurse anesthetist communication. Exploratory factor analyses were used to analyze the survey data. The analyses found distinct patterns of latent cultural communication variables in the sample of 474 completed responses. The communication profiles that resulted from this study can be compared with previously collected physician data to help explain how miscommunication occurs among interprofessional groups of operating room providers, resulting in medical error. Knowledge of these latent variables can be translated to more effective communication training protocols in the future.
医疗差错更多是由医护人员之间的沟通不畅导致的，而非医疗知识的欠缺。沟通不畅的后果已有充分记录，但关于导致医护人员沟通错误的因素的信息却较少。在本研究中，对全国范围内的3000名麻醉护士样本进行了调查，以测量与沟通态度和行为相关的变量。调查中测量的具体变量是导致沟通行为的潜在文化因素。先前的研究发现，这些潜在变量会导致手术室医生之间的沟通不畅，从而导致一些与患者相关的、原本可以避免的错误。本研究使用的调查基于一种跨文化沟通理论。调查项目经过修改以反映手术室文化，特别是麻醉护士的沟通情况。使用探索性因素分析来分析调查数据。分析在474份完整回复的样本中发现了潜在文化沟通变量的不同模式。本研究得出的沟通概况可与先前收集的医生数据进行比较，以帮助解释手术室医护人员跨专业群体之间是如何发生沟通不畅并导致医疗差错的。对这些潜在变量的了解未来可转化为更有效的沟通培训方案。
