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韩国护士在临床病情恶化时与医生沟通的认知和表现。

Korean nurses' perception and performance on communication with physicians in clinical deterioration.

机构信息

College of Nursing, Pusan National University, Yangsan, Korea.

College of Nursing, Research Institute of Nursing Science, Pusan National University, Yangsan, Korea.

出版信息

Medicine (Baltimore). 2022 Sep 23;101(38):e30570. doi: 10.1097/MD.0000000000030570.

DOI:10.1097/MD.0000000000030570
PMID:36197239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9509099/
Abstract

Effective communication between nurses and physicians is necessary for prompt and accurate responses in clinical deterioration. This study aimed to examine nurses' perception and performance of communication with physicians in clinical deterioration situations in the ward. A descriptive research design with a survey of 250 ward nurses working in 2 tertiary hospitals was used. Regarding communication with the physician, nurses' perception was highest for timeliness, followed by accuracy, understanding, satisfaction, and openness, and their performance was highest for preparation, followed by situation, background, assessment, and recommendation. It is suggested that proactive activities for improving openness, accuracy, satisfaction, and mutual understanding between physicians and nurses are required for patient safety. Additionally, the performance for assessment and recommendations should be improved. Education programs for nurses and physicians should be developed and applied to clinical practice to promote understanding and trust in interprofessional communication.

摘要

护士与医生之间的有效沟通对于临床病情恶化时的快速、准确反应至关重要。本研究旨在探讨护士在病房临床病情恶化情况下与医生沟通的感知和表现。采用描述性研究设计,对 2 家 3 级医院的 250 名病房护士进行了调查。关于与医生的沟通,护士对及时性的感知最高,其次是准确性、理解、满意度和开放性,他们的表现最高的是准备情况,其次是情况、背景、评估和建议。因此,为了患者安全,需要积极主动地改善医生和护士之间的开放性、准确性、满意度和相互理解。此外,应提高评估和建议的表现。应制定护士和医生的教育计划并将其应用于临床实践,以促进对专业间沟通的理解和信任。

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本文引用的文献

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The development and psychometric evaluation of the Clinicians' Attitudes towards Responding and Escalating care of Deteriorating patients scale.临床医生对病情恶化患者反应和升级护理态度量表的编制及心理计量学评价。
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