"It's Just Really Important for us all to be on the Same Page": Qualitative Evaluation of Factors that Influence Written Mobility Communication.

IF 3.5 4区 医学 Q1 ORTHOPEDICS Physical Therapy Pub Date : 2024-11-06 DOI:10.1093/ptj/pzae158
Sally Yin, Prue McRae, Julie Adsett, Alison Mudge
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Abstract

Objective: Poor interdisciplinary team communication is a known barrier to increasing inpatient mobility. Understanding why and how clinicians from different disciplines communicate about mobility would help inform communication improvements. This qualitative interview study aimed to describe and explore clinician perceptions about written mobility communication, and perceived barriers and enablers to this communication.

Methods: A rapid deductive qualitative approach was used to efficiently capture information for local improvement. Clinicians (physical therapists, nurses, physicians, and occupational therapists) working on 3 internal medicine wards in a metropolitan teaching hospital in Brisbane, Australia were purposefully sampled and invited to participate in individual interviews. Questions were based on the Consolidated Framework for Implementation Research. Interviews were recorded, transcribed, and analyzed using deductive and inductive thematic methods.

Results: From 17 interviews, key themes identified that written communication about patient mobility is important and valued by clinicians; clinicians learn documentation on the job, often from physical therapists; clinicians are not aware of organizational responsibility for mobility communication; multiple purposes for written communication contribute to multiple locations and inconsistency; and clinicians perceive that improvement would require a multi-disciplinary and multi-level approach. Suggestions for improvement included use of a common language, consistent use of existing bedside communication tools, and clearer responsibility for written communication about mobility.

Conclusion: Written communication about patient mobility was valued by clinicians and a range of barriers to effective interdisciplinary communication identified. Clear professional roles and responsibility for written mobility communication is important. Suggestions for improvement included an interdisciplinary language supported by multi-disciplinary education and organizational governance.

Impact: Written communication about patient mobility is recognized as critical to safe, high-quality hospital care. Our findings suggest that successful mobility communication improvements must involve multiple disciplines and include clear organizational governance to support staff training, clear role responsibilities, and quality monitoring.

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对我们所有人来说,"保持一致非常重要":对影响书面流动性沟通因素的定性评估。
目的:众所周知,跨学科团队沟通不畅是提高住院患者流动性的一个障碍。了解不同学科的临床医生为何以及如何就流动性问题进行沟通,将有助于改进沟通。这项定性访谈研究旨在描述和探讨临床医生对书面流动性沟通的看法,以及对这种沟通的障碍和促进因素的认识:方法:我们采用了快速演绎定性方法来有效地获取信息,以便在当地进行改进。我们有目的地抽取了澳大利亚布里斯班一家大都市教学医院 3 个内科病房的临床医生(物理治疗师、护士、医生和职业治疗师),并邀请他们参加个别访谈。访谈问题以实施研究综合框架为基础。采用演绎和归纳主题方法对访谈进行记录、转录和分析:从 17 次访谈中,我们发现了以下关键主题:有关患者移动能力的书面交流非常重要,并受到临床医生的重视;临床医生在工作中学习文件记录,通常是向理疗师学习;临床医生没有意识到组织在移动能力交流方面的责任;书面交流的多种目的导致了多地点和不一致;临床医生认为改进需要多学科和多层次的方法。改进建议包括使用共同语言、统一使用现有的床边沟通工具以及更明确地规定流动性书面沟通的责任:结论:临床医生重视与患者移动能力相关的书面沟通,同时也发现了阻碍跨学科有效沟通的一系列障碍。明确移动能力书面沟通的专业角色和责任非常重要。改进建议包括在多学科教育和组织管理的支持下使用跨学科语言:影响:有关患者移动性的书面沟通被认为是安全、高质量医院护理的关键。我们的研究结果表明,成功的移动沟通改进必须涉及多个学科,并包括明确的组织管理,以支持员工培训、明确职责和质量监控。
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来源期刊
Physical Therapy
Physical Therapy Multiple-
CiteScore
7.10
自引率
0.00%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.
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