Phillips Jeffrey, Jones David
Emergency Medicine Resident, Oregon Health and Science University, Portland, Oregon.
Emergency Medicine Residency Program Director, Oregon Health and Science University, Portland, Oregon.
J Emerg Med. 2025 Feb;69:43-50. doi: 10.1016/j.jemermed.2024.08.011. Epub 2024 Sep 5.
Emergency departments (ED) must perform patient care at a safe and efficient pace, which requires an effective care team. Communication and workplace practices that foster identification as part of an emergency healthcare team have not been previously demonstrated.
To explore the critical role of communication within ED healthcare teams and its impact on team belonging. This study investigates how communication practices between physicians and nurses in the ED influence team dynamics and the sense of belonging to the healthcare team.
A qualitative approach involving focus groups with 38 participants from nine EDs in Oregon.
This study identifies positive influences on team belonging, such as proactivity, openness, less formal name conventions, and relationships outside of work. Conversely, negative influences include resistance to communication, obstacles to communication, and interactions leading to alienation.
The findings emphasize the importance of fostering positive communication practices to enhance team dynamics, cohesiveness, and overall well-being within ED healthcare teams. Future research may delve into specific aspects like naming conventions and the role of friendships in healthcare communication.
急诊科必须以安全且高效的节奏开展患者护理工作，这需要一个高效的护理团队。此前尚未证明能够促进团队成员将自己视为急诊医疗团队一部分的沟通方式及工作场所实践。
探讨急诊科医疗团队内部沟通的关键作用及其对团队归属感的影响。本研究调查急诊科医生与护士之间的沟通方式如何影响团队动态及对医疗团队的归属感。
采用定性研究方法，对来自俄勒冈州9个急诊科的38名参与者进行焦点小组访谈。
本研究确定了对团队归属感的积极影响，如主动性、开放性、不太正式的称呼惯例以及工作之外的关系。相反，负面影响包括沟通抵触、沟通障碍以及导致疏离的互动。
研究结果强调了培养积极沟通方式对于增强急诊科医疗团队的团队动态、凝聚力和整体幸福感的重要性。未来的研究可以深入探讨诸如称呼惯例以及友谊在医疗沟通中的作用等具体方面。
