在全球大流行期间改善与家庭成员的沟通:对患者体验的影响。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Gregory N. Orewa, Sue S. Feldman, K. Kennedy, Allyson G. Hall, Yu H Cheng, Arnaz A Malone, Ernest O Grimes, K. R. Hearld
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引用次数: 0

摘要

目的与患者及其家属/护理人员沟通以促进知情决策是以患者/家属为中心的护理不可或缺的一部分。由于 2019 年冠状病毒病(COVID-19)的高感染率和有限的个人防护设备,医疗保健系统不得不限制患者探视、限制患者与医护人员的互动,并对治疗方案进行其他改变,这些改变扰乱了传统的沟通方式,有可能削弱以患者/家属为中心的护理,并对患者满意度产生不利影响。本文重点介绍了美国南部一家学术医疗中心的两个 COVID-19 专用病房在 COVID-19 大流行期间实施强化沟通流程后患者体验发生的变化。方法该回顾性质量改进项目使用了 2021 年 1 月 1 日至 2021 年 8 月 31 日期间进行的 "医院医疗保健提供者和系统消费者评估"(HCAHPS)调查数据,以了解主动沟通措施在提高患者满意度方面的作用。结果我们的研究结果表明,医院第四病房(HSP4)所有类别的 HCAHPS 分数都随着时间的推移而增加,其中员工的响应速度和护理过渡方面的改进最大;然而,医院第三病房(HSP3)的 HCAHPS 分数保持稳定,员工的响应速度略有增加。制定沟通策略对于提高患者满意度至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Communication with Family Members during a Global Pandemic: Effect on Patient Experience.
OBJECTIVES Communication with patients and their families/caregivers to facilitate informed decision making is an integral part of patient/family-centered care. Due to the high coronavirus disease 2019 (COVID-19) infection rates and limited personal protective equipment, healthcare systems were forced to restrict patient visitors, limit patient-provider interactions, and implement other changes in treatment protocols that disturbed traditional communications and risked eroding patient/family-centered care and adversely affected patient satisfaction. This article focuses on changes in patient experience in two dedicated COVID-19 units of an academic medical center located in the US South as a result of the enhanced communication process implemented specifically during the COVID-19 pandemic. METHODS This retrospective quality improvement project used data from Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys, fielded between January 1, 2021 and August 31, 2021, to understand the role of a proactive communication initiative in patient satisfaction. RESULTS Our results show that HCAHPS scores for hospital unit hospital unit 4 (HSP4) in all categories increased over time, with the greatest improvements seen in the responsiveness of staff and care transition; however, HCAHPS scores for hospital unit HSP3 remained stable, with a small increase in responsiveness of staff. CONCLUSIONS Our findings suggest that communication is a critical factor in patient satisfaction, demonstrating the efficacy of a swift and innovative initiative to improve communication with family/caregivers, which may have been linked to better patient experiences. Developing communication strategies is crucial for enhancing patient satisfaction.
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来源期刊
Southern Medical Journal
Southern Medical Journal 医学-医学:内科
CiteScore
1.40
自引率
9.10%
发文量
222
审稿时长
4-8 weeks
期刊介绍: As the official journal of the Birmingham, Alabama-based Southern Medical Association (SMA), the Southern Medical Journal (SMJ) has for more than 100 years provided the latest clinical information in areas that affect patients'' daily lives. Now delivered to individuals exclusively online, the SMJ has a multidisciplinary focus that covers a broad range of topics relevant to physicians and other healthcare specialists in all relevant aspects of the profession, including medicine and medical specialties, surgery and surgery specialties; child and maternal health; mental health; emergency and disaster medicine; public health and environmental medicine; bioethics and medical education; and quality health care, patient safety, and best practices. Each month, articles span the spectrum of medical topics, providing timely, up-to-the-minute information for both primary care physicians and specialists. Contributors include leaders in the healthcare field from across the country and around the world. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.
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