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急诊科中影响护患有效沟通的障碍。

Barriers to effective nurse-patient communication in the emergency department.

机构信息

Faculty of Nursing, The University of Jordan, Aqaba, Jordan.

Al-Zaytoonah University of Jordan, Amman, Jordan.

出版信息

Emerg Nurse. 2020 May 5;28(3):29-35. doi: 10.7748/en.2020.e1969. Epub 2020 Apr 14.

DOI:10.7748/en.2020.e1969
PMID:32285654
Abstract

BACKGROUND

It has been identified that ineffective nurse-patient communication in the emergency department can lead to frustration, mistrust and inadequate pain management. Therefore, it is important to recognise the potential barriers to effective communication, including nurse and patient-related factors.

AIM

To identify what emergency nurses perceive as barriers to nurse-patient communication, and if there is any difference in the perception of communication barriers between nurses' demographic subgroups.

METHOD

A total of 199 emergency nurses were recruited using convenience sampling, from nine hospitals in the West Bank, Palestine. These nurses completed a 27-item questionnaire that encompassed six domains of barriers that may affect nurse-patient communication: demographic, knowledge-related, environmental, social, economic and psychological factors.

RESULTS

Of the six domains covered by the questionnaire, environmental factors scored the highest, meaning that emergency nurses perceived these to be the most significant barriers to effective nurse-patient communication. This was followed by knowledge-related and psychological factors. Knowledge-related factors were perceived to be a greater communication barrier by male nurses more than female nurses, and by younger nurses more than older nurses.

CONCLUSION

To enhance nurse-patient communication, it is important to establish a comfortable working environment and to provide ongoing training for nurses to develop their communication skills.

摘要

背景

在急诊科,无效的护患沟通会导致挫败感、不信任和疼痛管理不足。因此,识别有效沟通的潜在障碍非常重要,包括护士和患者相关因素。

目的

确定急诊护士认为的护患沟通障碍,并确定护士人口统计学亚组之间对沟通障碍的感知是否存在差异。

方法

采用便利抽样法,从巴勒斯坦西岸的 9 家医院招募了 199 名急诊护士。这些护士完成了一份包含可能影响护患沟通的六个领域的 27 项问卷:人口统计学、知识相关、环境、社会、经济和心理因素。

结果

在问卷涵盖的六个领域中,环境因素得分最高,这意味着急诊护士认为这些是有效护患沟通的最大障碍。其次是知识相关和心理因素。男性护士比女性护士更认为知识相关因素是更大的沟通障碍,年轻护士比年长护士更认为知识相关因素是更大的沟通障碍。

结论

为了加强护患沟通,重要的是要建立一个舒适的工作环境,并为护士提供持续的培训,以发展他们的沟通技巧。

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