University of Mississippi School of Nursing.
Mississippi Centre for Evidence-Based Practice: A JBI Centre of Excellence.
JBI Evid Implement. 2023 Jun 1;21(2):120-127. doi: 10.1097/XEB.0000000000000363.
The objective of this project was to promote evidence-based practices regarding nursing communication with pediatric patients/families.
Effective communication between healthcare providers and patients/families is an essential component of patient care and plays a vital role in patient outcomes. Ineffective communication among the healthcare team and patient families has been described as a significant factor contributing to adverse events and poor health outcomes.
The project used JBI's Practical Application of Clinical Evidence System and Getting Research into Practice audit tool for encouraging evidence-based practices. A baseline audit was conducted, followed by the implementation of targeted strategies. The project was completed with a follow-up audit to determine change in practice.
Three evidence-based practices were utilized as audit criteria for the project. The baseline audit on the three audit criteria revealed an average compliance of 30%. After providing communication skills training to nursing staff and education and visual aids to patients/families and nursing staff regarding the use of white boards, follow-up audits revealed an average compliance of 62%, an increase of 32%.
These implementation strategies will continue to be utilized on the unit and will be implemented in other areas of the hospital to further improve communication between patients/families and their healthcare team.
本项目旨在促进与儿科患者/家属进行护理沟通的循证实践。
医护人员与患者/家属之间的有效沟通是患者护理的重要组成部分,对患者的结局起着至关重要的作用。医疗团队与患者家属之间沟通不畅已被描述为导致不良事件和健康结局不佳的重要因素。
本项目使用 JBI 的临床证据实用应用系统和实践应用审计工具来鼓励循证实践。进行了基线审计,然后实施了有针对性的策略。项目完成后进行了后续审计,以确定实践的变化。
本项目将三项循证实践用作审计标准。在对这三个审计标准进行的基线审计中,平均合规率为 30%。在为护理人员提供沟通技巧培训,并为患者/家属和护理人员提供关于使用白板的教育和视觉辅助工具后,后续审计显示平均合规率为 62%,提高了 32%。
这些实施策略将继续在该单元使用,并将在医院的其他领域实施,以进一步改善患者/家属与其医疗团队之间的沟通。