Keith Brandi B, Upchurch Linda, Palokas Michelle, Christian Robin
School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.
Mississippi Centre for Evidence Based Practice: A JBI Centre of Excellence, Jackson, MS, USA.
JBI Evid Implement. 2024 Nov 1;22(4):338-344. doi: 10.1097/XEB.0000000000000438.
Ineffective communication between health care professionals is one of the leading causes of medical errors and can result in adverse events and patient harm. Improving the effectiveness of communication in health care is a worldwide necessity.
The aim of this project was to promote evidence-based practices regarding general communication principles among the nursing staff in one unit of a children's hospital in the southern United States.
The project used JBI's Evidence Implementation Framework, together with two JBI audit tools (Practical Application of Clinical Evidence System and Getting Research into Practice). A baseline audit was conducted, followed by the implementation of targeted strategies. The project was completed with a follow-up audit to determine changes in practice.
Baseline data revealed 61% adherence with four audit criteria for effective communication in health care. Barriers included a lack of education of nursing staff regarding communication skills and less than optimal use of a structured communication tool. Targeted strategies to address the barriers included providing an educational module on communication to nursing staff and moving the structured communication tool to a more convenient location to increase its use. The post-implementation data revealed 81% adherence with the four audit criteria, a 20% increase from baseline results.
Optimizing communication and monitoring the use of a structured communication tool has the potential to decrease the risk of medical errors among health care providers.
医护人员之间沟通不畅是医疗差错的主要原因之一，可能导致不良事件和患者伤害。提高医疗保健领域的沟通效果是全球的必然需求。
本项目旨在促进美国南部一家儿童医院一个科室的护理人员遵循有关一般沟通原则的循证实践。
该项目采用了JBI的循证实施框架以及两个JBI审核工具（临床证据系统的实际应用和将研究成果应用于实践）。先进行了基线审核，然后实施了针对性策略。项目以跟进审核结束，以确定实践中的变化。
基线数据显示，在医疗保健有效沟通的四项审核标准方面，依从率为61%。障碍包括护理人员缺乏沟通技能教育以及结构化沟通工具的使用未达到最佳状态。针对这些障碍的针对性策略包括为护理人员提供关于沟通的教育模块，并将结构化沟通工具移至更便利的位置以增加其使用。实施后的数据显示，四项审核标准的依从率为81%，比基线结果提高了20%。
优化沟通并监测结构化沟通工具的使用有可能降低医护人员出现医疗差错的风险。
