Structured Interdisciplinary Communication Strategies in Four ICUs: An Observational Study

Autor:	Timothy P. Hofer, Marta L. Render, Suzanne Brungs, Emily S. Patterson, Sanjay Saint
Rok vydání:	2006
Předmět:	business.industry 05 social sciences 050105 experimental psychology Medical Terminology Nursing Intensive care Medicine 0501 psychology and cognitive sciences Interdisciplinary communication Active listening Observational study business 050107 human factors Medical Assisting and Transcription
Zdroj:	Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 50:929-933
ISSN:	1071-1813 2169-5067
DOI:	10.1177/154193120605001028
Popis:	Paired direct observations of a physician and nurse caring for 11 challenging patients at four Intensive Care Units (ICUs) were conducted to identify structured interdisciplinary communication strategies. Providers employed the following strategies at all four ICUs: 1) nurses listening to bedside (but not closed) rounds, 2) nurses cross-checking physician plans, and 3) physicians and nurses providing “heads-up” alerts. Providers employed the following at some of the ICUs: 1) nurses and physicians speaking privately following rounds (3/4 ICUs), and 2) nurses speaking during bedside rounds (2/4 ICUs). None (0/4 ICUs) conducted pre-round interdisciplinary briefings. None (0/4 ICUs) used artifacts explicitly designed to aid interdisciplinary communication (e.g., Morning Briefing Tools), although shared electronic and paper resources were used by both nursing and physician personnel. Implications of the findings are discussed.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::51ad6e86228ce0a5cec4659657823656 https://doi.org/10.1177/154193120605001028 Zobrazit plný text záznamu