Işık Işıl, Gümüşkaya Oya, Şen Sevim, Arslan Özkan Hediye
AORN J. 2020 Jan;111(1):e1-e15. doi: 10.1002/aorn.12899.
Perioperative communication failures endanger patient safety and may reduce efficiency. The objective of our phenomenological research study was to determine the reasons for and consequences of perioperative communication failures and to seek recommendations for improvement. Fourteen perioperative nurses participated in this study. We conducted in-depth interviews with a semi-structured questionnaire following Colaizzi's seven-step methodology to extract themes. We organized the themes into categories: causes, consequences, and recommendations for preventing communication failure. Some themes for causes were inadequate time for preoperative preparation, lack of personnel, and disruptive behaviors of physicians. Consequences of communication failure were decreased staff retention, avoidance of colleagues, threats to patient safety, and intra-team violence. Two recommendations included enforcing institutional regulations and creating team spirit. The study revealed that nurses believe that institutional regulations should not only be present but enforced. Further, nurses believe that strengthening employees' interpersonal skills is essential to preventing communication issues.
围手术期沟通失误危及患者安全，可能降低效率。我们这项现象学研究的目的是确定围手术期沟通失误的原因和后果，并寻求改进建议。14名围手术期护士参与了本研究。我们按照科莱齐的七步法，通过半结构化问卷进行深入访谈以提炼主题。我们将主题分为几类：原因、后果以及预防沟通失误的建议。原因方面的一些主题包括术前准备时间不足、人员短缺以及医生的破坏性行为。沟通失误的后果包括员工留用率降低、回避同事、对患者安全构成威胁以及团队内部暴力。两条建议包括执行机构规定和营造团队精神。该研究表明，护士们认为机构规定不仅要有，而且要执行。此外，护士们认为加强员工的人际沟通技巧对于预防沟通问题至关重要。
