Böll Boris, Naendrup Jan-Hendrik, Reifarth Eyleen, Borrega Jorge Garcia
Klinik I für Innere Medizin, Centrum für Integrierte Onkologie (CIO), Internistische Intensivmedizin/Hämatologie-Onkologie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Med Klin Intensivmed Notfmed. 2022 Nov;117(8):588-594. doi: 10.1007/s00063-022-00955-z. Epub 2022 Sep 5.
Due to acuteness, time constraints, and psychological pressure as well as changing team compositions, professional communication constitutes a key challenge in the treatment of critically ill patients.
The aim of this narrative review is to present the current literature on clinical relevance and current developments of interdisciplinary and interprofessional communication in intensive care and emergency medicine.
Effective communication is of great importance in intensive care and emergency medicine, both for ensuring high-quality patient care and work satisfaction as well as mental health of the medical practitioners. Most conflicts occur between the medical and nursing staff, with communicative conflicts predominantly being related to discussions about the patient's prognosis and end-of-life decision-making. Structural measures such as regular team meetings and trainings seem suitable to specifically improve communication. However, the topic is commonly inadequately represented in everyday clinical practice as well as in research.
Even though the importance of interprofessional and interdisciplinary communication for high-quality patient care and workload reduction is increasingly being recognized, its routine application in everyday clinical practice is still scarce, particularly in intensive care and emergency medicine. Due to the specific structure and patient population of these fields of patient care, they can benefit more than other specialties from targeted measures to improve communication.
由于病情危急、时间紧迫、心理压力以及团队构成不断变化，专业沟通成为重症患者治疗中的一项关键挑战。
本叙述性综述旨在介绍有关重症监护和急诊医学中跨学科及跨专业沟通的临床相关性和当前发展的现有文献。
有效的沟通在重症监护和急诊医学中至关重要，这对于确保高质量的患者护理、工作满意度以及医护人员的心理健康都很重要。大多数冲突发生在医护人员之间，沟通冲突主要与关于患者预后和临终决策的讨论有关。定期团队会议和培训等结构性措施似乎适合专门改善沟通。然而，该主题在日常临床实践以及研究中通常都未得到充分体现。
尽管跨专业和跨学科沟通对于高质量患者护理和减轻工作量的重要性日益得到认可，但它在日常临床实践中的常规应用仍然很少，尤其是在重症监护和急诊医学中。由于这些患者护理领域的特定结构和患者群体，它们比其他专科更能从针对性的沟通改善措施中受益。
