Dorsey Bridget F, Kamimura Akiko, Cook Lawrence J, Kadish Howard A, Cook Heather K, Kang Ashley, Nguyen Jacqueline B T, Holsti Maija
University of Utah, Salt Lake City, UT, USA.
J Patient Exp. 2022 Jul 6;9:23743735221112223. doi: 10.1177/23743735221112223. eCollection 2022.
Communication gaps between the healthcare team and caregivers of pediatric patients can result in negative consequences. This study aims to identify specific words and phrases used in a pediatric emergency department (ED) that are unclear or confusing to caregivers. Research assistants at the Primary Children's Hospital recorded caregivers' responses to the question, " Across all steps in the care process, 62 of 220 participants (28.2%) reported unclear words and phrases used by the healthcare team. Responses recorded after the discharge step had the highest proportion of communication problems, followed by the initial evaluation and then the update step ( [2, = 220] = 6.30, = .043). Themes among responses included ED logistics, signs/symptoms, the diagnostic process, treatment/procedures, general confusion, and language barriers. These results provide feedback to pediatric emergency medicine providers about potential communication gaps and point to a need for further efforts to train providers in the practice of high-quality communication.
医疗团队与儿科患者护理人员之间的沟通差距可能会导致负面后果。本研究旨在识别儿科急诊科（ED）中使用的、护理人员不清楚或感到困惑的特定词汇和短语。 Primary儿童医院的研究助理记录了护理人员对“在护理过程的所有步骤中，220名参与者中有62名（28.2%）报告称医疗团队使用的词汇和短语不清楚”这一问题的回答。出院步骤后记录的回答中沟通问题的比例最高，其次是初始评估，然后是更新步骤（[2，=220]=6.30，=0.043）。回答中的主题包括急诊科后勤、体征/症状、诊断过程、治疗/程序、普遍困惑和语言障碍。这些结果为儿科急诊医学提供者提供了关于潜在沟通差距的反馈，并指出需要进一步努力培训提供者进行高质量沟通的实践。
