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Abstract：
Background There is a dearth of research on successful interventions to improve nurse-physician communication (NPC). An important step is identifying what matters to bedside nurses and their perceptions of effective NPC communications and actions. Methods We conducted three focus groups with a total of 19 medical unit nurses across two hospitals in one academic medical center in the United States. Using a convenience sampling strategy, five to eight nurses voluntarily participated in each focus group. The recording was transcribed verbatim and two independent coders performed coding and resolved any discrepancies in codes. Qualitative content analysis was pursued to identify themes and associated quotes. Results The presence of direct communication between physicians and nurses was identified as the first theme and perceived by nurses as very important. Additional themes related to physician communication and attributes emerged including collegiality and respect (e.g., engaging nurses as partners in patient care), attentiveness and responsiveness (e.g., listening carefully and addressing concerns), and directness and support (e.g., backing nurses up in difficult situations). Effective NPC is further facilitated by organizational structure, relationship development separate from patient care, and consistent/timely use of technology. Conclusions Hospital bedside nurses provided valuable insight into improved physician communication and what attributes contribute to more effective NPC. Most importantly, they emphasized the significance of physicians in supporting them with difficult patients.
摘要：
背景关于改善护士与医生沟通（NPC）的成功干预措施的研究缺乏。重要的一步是确定对床边护士重要的事情以及他们对有效的NPC沟通和行动的看法。方法我们在美国一家学术医学中心的两家医院进行了三个焦点小组，共有19名医疗单位护士。使用方便的抽样策略，5~8名护士自愿参加每个焦点小组.录音被逐字转录，两个独立的编码器执行编码并解决代码中的任何差异。进行定性内容分析以确定主题和相关报价。结果医生和护士之间的直接沟通被确定为第一个主题，护士认为这是非常重要的。与医生沟通和属性相关的其他主题出现了，包括合议和尊重(例如，让护士作为病人护理的合作伙伴)，注意力和反应能力(例如，认真倾听并解决问题)，以及直接性和支持(例如，在困难的情况下支持护士)。组织结构进一步促进了有效的人大，与病人护理分开的关系发展，和一致/及时使用技术。结论医院床边护士为改善医生沟通以及哪些属性有助于更有效的NPC提供了有价值的见解。最重要的是,他们强调了医生在帮助困难患者方面的重要性。
