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改善医患及医护沟通与总体满意度:一项质量改进项目。

Improving Physician-patient and Physician-nurse Communication and Overall Satisfaction Rates: A Quality Improvement Project.

作者信息

Hitawala Asif, Flores Monica, Alomari Mohammad, Kumar Sany, Padbidri Vinay, Muthukuru Sujit, Rahman Shafia, Alomari Ahmed, Khazaaleh Shrouq, Gopalakrishna K V, Michael Madonna

机构信息

Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA.

Internal Medicine, Cleveland Clinic Foundation, Cleveland, USA.

出版信息

Cureus. 2020 Apr 22;12(4):e7776. doi: 10.7759/cureus.7776.

Abstract

Introduction Communication between healthcare providers and patients is a key component associated with the quality of healthcare and patient satisfaction. Often, simple communication skills may be insufficient to sustain a successful provider-patient relationship. The aim of this project was to assess and improve patient and nurse satisfaction with physicians via improvement in physician-patient and physician-nurse communication to a level greater than 90%. Methods Initial surveys were given to the patients and nurses on admission to the regular nursing floor to assess current satisfaction rates. Afterward, visual handouts were given that provided details about the current medical team members and the role of each team member. which were updated daily along with the medical plan. Surveys were then handed out to the patients and their nurses at the time of discharge. All surveys were conducted anonymously. Results A total of 26 surveys (n = 13 patients, n = 13 nurses) were collected and analyzed for a preliminary assessment. Surveys concluded that 68.8% of patients were satisfied with the patient-provider communication; similarly, 74.4% of the nurses were satisfied with the nurse-provider communication. In the next six weeks, visual handouts were implemented. During this period, surveys involving a total of 40 patients and 40 nurses were collected. The results after the intervention revealed that 93.3% of patients were satisfied with the patient-provider communication, and 94.7% of nurses were satisfied with the nurse-provider communication. Post-intervention, the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) displayed an improvement in physician communication, reaching the expected goal of 84.4%. Conclusion Ineffective communication often goes undetected in many healthcare settings, causing serious effects on the health and safety of patients, and may ultimately jeopardize overall satisfaction. Literature has shown a positive correlation between patient satisfaction and improved clinical outcomes. Using visual aids and updating medical care plans on a daily basis are simple yet effective tools to improve communication. Written materials should be created in a patient-friendly manner to enhance communication, clarity, and understanding.

摘要

引言

医疗服务提供者与患者之间的沟通是与医疗质量和患者满意度相关的关键组成部分。通常,简单的沟通技巧可能不足以维持成功的医患关系。本项目的目的是通过将医患沟通和医护沟通提高到90%以上的水平,来评估并提高患者和护士对医生的满意度。

方法

在患者和护士入住普通护理病房时进行初始调查,以评估当前的满意度。之后,发放视觉资料手册,其中提供了当前医疗团队成员的详细信息以及每个团队成员的职责,这些信息会随医疗计划每日更新。然后在出院时向患者及其护士发放调查问卷。所有调查均采用匿名方式。

结果

共收集并分析了26份调查问卷(n = 13名患者,n = 13名护士)用于初步评估。调查得出,68.8%的患者对医患沟通感到满意;同样,74.4%的护士对医护沟通感到满意。在接下来的六周内,实施了视觉资料手册。在此期间,共收集了涉及40名患者和40名护士的调查问卷。干预后的结果显示,93.3%的患者对医患沟通感到满意,94.7%的护士对医护沟通感到满意。干预后,医院医疗服务提供者和系统消费者评估(HCAHPS)显示医生沟通方面有所改善,达到了84.4%的预期目标。

结论

在许多医疗环境中,无效沟通往往未被察觉,这会对患者的健康和安全产生严重影响,并最终可能危及总体满意度。文献表明患者满意度与改善的临床结果之间存在正相关。使用视觉辅助工具并每日更新医疗护理计划是改善沟通的简单而有效的工具。书面材料应以患者友好的方式编写,以加强沟通、清晰度和理解。

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