Improving communication among nursing staff at a children's hospital in the southern United States: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Brandi B Keith, Linda Upchurch, Michelle Palokas, Robin Christian
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Abstract

Introduction: 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.

Objective: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

Spanish abstract: http://links.lww.com/IJEBH/A217.

改善美国南部一家儿童医院护理人员之间的沟通:最佳实践实施项目。
导言:医护人员之间的无效沟通是造成医疗事故的主要原因之一,可能导致不良事件和对患者的伤害。提高医护沟通的有效性是全世界的当务之急:本项目旨在向美国南部一家儿童医院的护理人员推广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 审计工具(临床证据系统的实际应用和将研究付诸实践)。先进行基线审计,然后实施有针对性的策略。项目结束后进行了后续审计,以确定实践中的变化:基线数据显示,61%的人遵守了医疗保健中有效沟通的四项审核标准。存在的障碍包括护理人员缺乏沟通技巧方面的教育,以及结构化沟通工具的使用效果不佳。解决障碍的针对性策略包括为护理人员提供沟通教育模块,以及将结构化沟通工具移至更方便的位置以提高其使用率。实施后的数据显示,四项审核标准的遵守率为 81%,比基线结果提高了 20%:优化沟通和监控结构化沟通工具的使用有可能降低医疗服务提供者发生医疗事故的风险。西班牙文摘要:http://links.lww.com/IJEBH/A217。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
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