RESCUE - Rapid, Effective, Safe Communication in Emergency Departments: A cross-sectional e-survey.

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE

Australasian Emergency Care Pub Date : 2024-12-27 DOI:10.1016/j.auec.2024.12.002

Amy Freeman-Sanderson, Nicola Clayton, Margaret Fry, Rebecca Sullivan, Bronwyn Hemsley

{"title":"RESCUE - Rapid, Effective, Safe Communication in Emergency Departments: A cross-sectional e-survey.","authors":"Amy Freeman-Sanderson, Nicola Clayton, Margaret Fry, Rebecca Sullivan, Bronwyn Hemsley","doi":"10.1016/j.auec.2024.12.002","DOIUrl":null,"url":null,"abstract":"Background: Effective staff-to-staff and patient-provider communication in the Emergency Department (ED) is essential for safe, quality care. Routine wearing of Personal-Protective-Equipment (PPE) has introduced new challenges to communication. We aimed to understand the perspectives of ED staff about communicating while wearing PPE, and to identify factors contributing to communication success, breakdown, and repair.Methods: Study design was a descriptive cross-sectional online survey with convenience sampling. Categorical data were analysed using descriptive statistics and qualitative data analysed using content thematic analysis.Results: Across nursing, medical and allied health, 78 staff responded with mean age= 38.8 years and mean ED clinical experience= 8.8 years). Respondents reported PPE impacted communication with patients/family members (81 %) and staff (61 %), with almost three-quarters of patient interactions rated as \"somewhat difficult\" or \"extremely difficult\". Content themes were: (i) impacts of mask-wearing on communication, (ii) impacts of mask-wearing on patient care quality and safety, and (iii) strategies for repairing communication breakdown. Health impacts of communicating in PPE (50 %) included voice fatigue, skin irritation, and throat dryness.Conclusion: ED staff perceived that wearing PPE impacted communication and compromised safe and efficient quality care delivery. Staff reported using increased voice volume, repetition, gestures, increased proximity, and emphasised facial movements to enhance their communication.","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australasian Emergency Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.auec.2024.12.002","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Effective staff-to-staff and patient-provider communication in the Emergency Department (ED) is essential for safe, quality care. Routine wearing of Personal-Protective-Equipment (PPE) has introduced new challenges to communication. We aimed to understand the perspectives of ED staff about communicating while wearing PPE, and to identify factors contributing to communication success, breakdown, and repair.

Methods: Study design was a descriptive cross-sectional online survey with convenience sampling. Categorical data were analysed using descriptive statistics and qualitative data analysed using content thematic analysis.

Results: Across nursing, medical and allied health, 78 staff responded with mean age= 38.8 years and mean ED clinical experience= 8.8 years). Respondents reported PPE impacted communication with patients/family members (81 %) and staff (61 %), with almost three-quarters of patient interactions rated as "somewhat difficult" or "extremely difficult". Content themes were: (i) impacts of mask-wearing on communication, (ii) impacts of mask-wearing on patient care quality and safety, and (iii) strategies for repairing communication breakdown. Health impacts of communicating in PPE (50 %) included voice fatigue, skin irritation, and throat dryness.

Conclusion: ED staff perceived that wearing PPE impacted communication and compromised safe and efficient quality care delivery. Staff reported using increased voice volume, repetition, gestures, increased proximity, and emphasised facial movements to enhance their communication.

查看原文本刊更多论文

救援——急诊科快速、有效、安全的通信：一项横断面电子调查。

背景：在急诊科（ED），有效的员工与员工和患者与提供者之间的沟通对于安全、优质的护理至关重要。个人防护装备（PPE）的日常穿戴给沟通带来了新的挑战。我们的目的是了解急诊科工作人员对戴着PPE进行沟通的看法，并确定影响沟通成功、失败和修复的因素。方法：采用描述性横断面在线调查，方便抽样。分类数据采用描述性统计分析，定性数据采用内容专题分析分析。结果：在护理、医疗和相关健康领域，78名员工的平均年龄= 38.8岁，平均ED临床经验= 8.8岁。受访者表示，PPE影响了与患者/家属（81% %）和工作人员（61% %）的沟通，几乎四分之三的患者互动被评为“有些困难”或“极其困难”。内容主题为：(i)戴口罩对沟通的影响，（ii）戴口罩对患者护理质量和安全的影响，以及（iii）修复沟通故障的策略。穿着个人防护用品交流对健康的影响（50% %）包括声音疲劳、皮肤刺激和喉咙干燥。结论：急诊科工作人员认为佩戴个人防护装备影响了沟通，影响了安全高效的优质医疗服务。员工们报告说，他们通过提高音量、重复、做手势、拉近距离，并强调面部动作来加强沟通。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.