Department of Mental Health, The First Hospital of Shanxi Medical University, Taiyuan, China.
Emergency Department, Shanxi Provincial People's Hospital, Taiyuan, China.
J Nurs Manag. 2020 May;28(4):903-911. doi: 10.1111/jonm.13018. Epub 2020 May 6.
This paper explored the general phenomenon and psychological experience of the special background communication in night shift medical staff and provides better reference for night shift communication between doctors and nurses.
Physician-nurse communication has always been an important agenda for health care work and an important concept in nursing theory. During night shifts, effective doctor and nurse communication can enhance mutual trust, provide timely and appropriate medical services to patients, reduce adverse events and enhance patient safety.
A qualitative study was conducted.
Husserl's descriptive phenomenology method and semi-structured in-depth interviews were used to collect data from 8 nurses and 5 doctors. Colaizzi's method was used to analyse data using MAXQDA 12. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed (see Appendix S1).
Three themes were extracted after sorting out and refining: the need to achieve goals in night-time physician-nurse communication; obstacles in night-time physician-nurse communication; and relationship culture in night-time physician-nurse communication.
Attention should be paid to the particularity of night shift and efficiency of achieving the goal of communication between doctors and nurses on night shift, and the hidden obstacles behind communication between doctors and nurses. Managers should pay attention to the cultural construction of night shift communication in the system, form a good night shift communication process and regularly train doctors' and nurses' related communication skills. And they should also study relationship culture rationally to improve the communication efficiency of night shift.
The experiences described in this study contribute to a better understanding of obstacles hidden behind night shift physician-nurse communication. This also provides valuable information to professional managers who develop good doctor-nurse relationship culture.
本文探讨了夜班医护人员特殊背景交流的普遍现象和心理体验，为医护夜班交流提供了更好的参考。
医护沟通一直是医疗工作的重要议题，也是护理理论中的重要概念。在夜班期间，医生和护士之间有效的沟通可以增强相互信任，为患者提供及时、恰当的医疗服务，减少不良事件，提高患者安全性。
定性研究。
采用胡塞尔描述现象学方法和半结构式深度访谈，对 8 名护士和 5 名医生进行数据收集。采用 MAXQDA12 对数据进行 Colaizzi 分析。遵循《定性研究报告的统一标准》（COREQ）检查表（见附录 S1）。
整理和提炼后提取出 3 个主题：夜班医护沟通中目标实现的必要性；夜班医护沟通中的障碍；夜班医护沟通中的关系文化。
夜班时应注意医护沟通目标的特殊性和效率，关注医护沟通背后隐藏的障碍。管理者应注重夜班沟通的制度文化建设，形成良好的夜班沟通流程，并定期对医护人员进行相关沟通技巧的培训。还应理性地研究关系文化，提高夜班沟通效率。
本研究中描述的经验有助于更好地理解夜班医护沟通背后隐藏的障碍。这也为开发良好的医护关系文化的专业管理者提供了有价值的信息。
