目的:这项研究的目的是探索当地实践和对轮班期间护士与住院医师有效沟通的看法。随后,寻求通过实施改进倡议来加强有效沟通。
方法:进行了混合方法研究,将问卷与焦点小组相结合。经过定性分析,审查了3项改善护士与住院医师沟通的举措,之后实施了1项倡议。在实施后3个月,通过问卷调查重新评估了对沟通实施和有效性的总体满意度。
方法:这项研究于2022年至2023年在莱顿大学医学中心外科进行,荷兰的一个三级中心。
方法:邀请所有外科护士(n=150)和住院医师(n=20)参加,通过回答问卷并参加焦点小组。共有38名护士(回应率25.3%)和12名居民(60%)填写问卷,31名护士和13名住院医师参加了焦点小组.
结果:主题“清晰度,\"\"相互尊重,\"\"可访问性\"和\"方法\"对有效沟通至关重要,其中,关于“清晰度”的解释和需求存在跨学科的差异。\"作为回应,在轮班期间实施了跨学科咨询的结构化时刻,根据护士的说法(73.9%),与居民相比(40.0%)。大多数护士同意,通过固定时间(60.9%)改善了轮班期间的沟通。
结论:可以发现轮班期间护士与住院医师有效沟通的关键要素的感知差异,这可能是由培训和文化的差异来解释的。相互意识到对方的任务,责任和背景似乎对于在轮班期间提供良好的患者护理的能力至关重要。改善跨专业实践并克服对护理质量的关注,对当地做法的关注势在必行。实际安排,例如固定的对等通信时刻,可以在轮班工作期间加强伙伴关系。
OBJECTIVE: The aim of this study was to explore local practices and perceptions of effective nurse-resident communication during shifts. Subsequently, effective communication was sought to be reinforced by implementing an initiative for improvement.
METHODS: A mixed-methods study was performed, combining a questionnaire with focus groups. Following qualitative analysis, 3 initiatives for improvement of nurse-resident communication were scrutinized, after which 1 initiative was implemented. Overall contentment with the implementation and effectiveness of communication was reassessed through a questionnaire at 3 months postimplementation.
METHODS: This study took place between 2022 and 2023 at the Department of Surgery of the Leiden University Medical Center, a tertiary center in the Netherlands.
METHODS: All surgical nurses (n = 150) and residents (n = 20) were invited to participate, by responding to the questionnaire and take part in the focus groups. A total of 38 nurses (response rate 25.3%) and 12 residents (60%) completed the questionnaire, and 31 nurses and 13 residents participated in the focus groups.
RESULTS: The themes \"clarity,\" \"mutual respect,\" \"accessibility\" and \"approach\" were critical for effective communication, in which there were interdisciplinary differences in the interpretation and needs regarding \"clarity.\" In response, structured moments for interdisciplinary consultation during shifts were implemented, which were foremostly useful according to nurses (73.9%), compared to residents (40.0%). A majority of the nurses agreed that communication during shifts improved through fixed moments (60.9%).
CONCLUSIONS: Differences in the perception of critical elements for efficient nurse-resident communication during shifts can be found, which could possibly be explained by differences in training and culture. Mutual awareness for each other\'s tasks, responsibilities and background seems vital for the ability to deliver good patient care during shifts. To improve interprofessional practice and overcome concerns of quality of care, attention for local practices is imperative. Practical arrangements, such as fixed moments for peer communication, can strengthen partnership during shift work.