Pandit Dnyata Dhanajirao, Bhavana Sai, Nileshwar Anitha, T Latha, Ballala Kirthinath, Raj Elstin Anbu, G Somu, Kamath Rajesh
Department of Hospital Administration, Kasturba Medical College, Manipal Academy of Higher Education, Manipal 576104, India.
Department of Healthcare and Hospital Management, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal 576104, India.
Healthcare (Basel). 2025 Jun 12;13(12):1408. doi: 10.3390/healthcare13121408.
Effective communication between healthcare professionals and patient caregivers is paramount in the surgical waiting area, particularly during periods of heightened stress and emotional vulnerability. Globally, communication practices exhibit considerable variability, from traditional face-to-face interactions to integrating advanced digital technologies. Despite innovations, a comprehensive understanding of the impact of diverse communication strategies on patient caregiver satisfaction remains underdeveloped. This scoping review was designed to systematically map the existing literature on healthcare communication practices and identify strategies that may influence satisfaction among patient caregivers. A thorough search of multiple databases-Scopus, PubMed, CINAHL, Embase, ProQuest, Web of Science, the Cochrane Library, and clinical trial registries-was conducted. Only studies published in English or those for which an English full text was accessible were included. Eligible studies were those undertaken in hospital settings, including operating theaters, surgical units, surgical waiting areas, postoperative intensive care units, emergency departments, and other clinical areas focusing on patient caregivers. The review adhered to the methodological framework recommended by the Joanna Briggs Institute for scoping reviews and was reported following the most recent PRISMA-ScR guidelines. Ultimately, five studies met the inclusion criteria. The selection process involved a structured search utilizing Medical Subject Headings (MeSH), keywords, and index terms, supplemented by manual reference list screening. Initial screening was performed based on titles and abstracts, followed by full-text evaluation using a standardized selection form. Data extraction focused on the communication methods, study designs, and outcomes related to patient caregiver satisfaction. The findings are synthesized narratively and presented through tables and figures, offering a comprehensive overview of global communication practices and their influence on patient caregiver satisfaction in surgical environments. Across the five included studies, digital communication interventions such as SMS, mobile apps, or video updates reported improved patient caregiver satisfaction (e.g., 70.8% in Canada and 97% in Switzerland) and also reduced patient caregiver anxiety (e.g., STAI score ≥ 44) in 74.2% of Ethiopian patient caregivers. Worldwide evidence highlights the practical importance of tailored digital communication practices to support providing timely and accessible information to patient caregivers, while also revealing gaps linked to insurance status, digital literacy, and various communication approaches in healthcare systems. The five studies included showed considerable variation in communication practices across surgical settings. The main findings reveal that structured, timely, and transparent communication, mainly via digital tools such as SMS updates and mobile applications, enhanced patient caregiver satisfaction and alleviated their emotional distress too. Nevertheless, gaps were identified in postoperative communication, and challenges, such as technological accessibility, digital literacy skills of patient caregivers, and inconsistent methods for measuring satisfaction outcomes, were noted across studies. This scoping review identified the different types of healthcare communication practices adopted globally in surgical care settings and also demonstrated their influence on patient caregiver satisfaction. Traditional and digital communication practices both have their significant impact on patient caregiver experiences in surgical healthcare settings, focusing more on timely and consistent real-time updates and culturally sensitive information. Addressing the existing communication gaps and having tailored communication approaches to specific contexts may lead to improved patient caregiver support and surgical outcomes.
在手术等候区,医护人员与患者护理人员之间的有效沟通至关重要,尤其是在压力增大和情绪脆弱的时期。在全球范围内,沟通方式存在很大差异,从传统的面对面交流到整合先进数字技术。尽管有创新,但对于各种沟通策略对患者护理人员满意度的影响仍缺乏全面了解。本综述旨在系统梳理有关医疗保健沟通实践的现有文献,并确定可能影响患者护理人员满意度的策略。我们对多个数据库进行了全面检索,包括Scopus、PubMed、CINAHL、Embase、ProQuest、Web of Science、Cochrane图书馆和临床试验注册库。仅纳入以英文发表的研究或可获取英文全文的研究。符合条件的研究是在医院环境中进行的,包括手术室、外科病房、手术等候区、术后重症监护病房、急诊科以及其他关注患者护理人员的临床区域。本综述遵循乔安娜·布里格斯研究所推荐的范围综述方法框架,并按照最新的PRISMA-ScR指南进行报告。最终,有五项研究符合纳入标准。筛选过程包括利用医学主题词(MeSH)、关键词和索引词进行结构化检索,并辅以手动筛选参考文献列表。初步筛选基于标题和摘要进行,随后使用标准化筛选表进行全文评估。数据提取聚焦于沟通方法、研究设计以及与患者护理人员满意度相关的结果。研究结果以叙述方式进行综合,并通过表格和图表呈现出来,全面概述了全球沟通实践及其对手术环境中患者护理人员满意度的影响。在纳入的五项研究中,短信、移动应用程序或视频更新等数字沟通干预措施提高了患者护理人员的满意度(如加拿大为70.8%,瑞士为97%),并且还降低了74.2%的埃塞俄比亚患者护理人员的焦虑(如状态特质焦虑量表得分≥44)。全球证据凸显了量身定制数字沟通实践对于向患者护理人员及时提供可获取信息的实际重要性,同时也揭示了与保险状况、数字素养以及医疗系统中各种沟通方式相关的差距。纳入的五项研究表明,不同手术环境中的沟通实践存在很大差异。主要研究结果显示,结构化、及时且透明的沟通,主要通过短信更新和移动应用程序等数字工具,提高了患者护理人员的满意度,并减轻了他们的情绪困扰。然而,术后沟通存在差距,并且在各项研究中都注意到了一些挑战,如技术可及性、患者护理人员的数字素养技能以及满意度结果测量方法不一致等问题。本范围综述确定了全球在手术护理环境中采用的不同类型的医疗保健沟通实践,并展示了它们对患者护理人员满意度的影响。传统和数字沟通实践在手术医疗环境中对患者护理人员的体验都有重大影响,更注重及时、一致的实时更新以及具有文化敏感性的信息。解决现有的沟通差距并针对特定情况采用量身定制的沟通方法可能会改善对患者护理人员的支持并提高手术效果。