加强重症监护病房家属间的沟通：一项混合方法研究。
Enhancing Communication With Family Members in the Intensive Care Unit: A Mixed-Methods Study.
机构信息
Karen-leigh Edward is an adjunct professor of nursing and practice-based research, Department of Health Professions, Faculty of Health, Arts and Design, Swinburne University of Technology, Swinburne University, Hawthorn, Australia.
Alessandra Galletti is a research associate, Swinburne University of Technology.
出版信息
Crit Care Nurse. 2020 Dec 1;40(6):23-32. doi: 10.4037/ccn2020595.
BACKGROUND
Nurses in the intensive care unit are central to clinical care delivery and are often the staff members most accessible to family members for communication. Family members' ratings of satisfaction with the intensive care unit admission are affected more by communication quality than by the level of care for the patient. Family members may feel that communication in the intensive care unit is inconsistent.
OBJECTIVES
To use a shared decision-making model to deliver a communication education program for intensive care unit nurses, evaluate the confidence levels of nurses who undertook the education, and examine changes in family members' satisfaction with communication from intensive care unit nurses after the nurses received the education.
METHODS
A mixed-methods design was used. Seventeen nurses and 81 family members participated.
RESULTS
Staff members were overall very confident with communicating with family members of critically ill patients. This finding was likely linked to staff members' experience in the position, with 88% of nurses having more than 11 years' experience. Family members were happy with care but dissatisfied with the environment.
CONCLUSIONS
Environmental factors can negatively affect communication with family members in the intensive care unit.
背景
重症监护病房的护士是临床护理的核心，通常也是家属最容易与之沟通的工作人员。家属对入住重症监护病房的满意度更多地受到沟通质量的影响，而不是患者的护理水平。家属可能会觉得重症监护病房的沟通不一致。
目的
使用共享决策模型为重症监护病房护士提供沟通教育计划，评估接受教育的护士的信心水平，并检查护士接受教育后，家属对护士沟通的满意度的变化。
方法
采用混合方法设计。共有 17 名护士和 81 名家属参与。
结果
工作人员与重症患者的家属沟通时普遍非常有信心。这一发现可能与工作人员在该岗位上的经验有关，88%的护士拥有超过 11 年的经验。家属对护理感到满意，但对环境不满意。
结论
环境因素会对重症监护病房与家属的沟通产生负面影响。
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