中国医师对医护互动和信息需求的看法

Dong Wen, Pengcheng Guan, Xingting Zhang, Jianbo Lei
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引用次数: 3

摘要

摘要背景:良好的医护沟通对了解病情和反馈治疗非常重要;然而,中国医院的某些问题可能导致临床工作中医患沟通不佳。方法:采用方便抽样法进行调查。对全国三所三级甲等教学医院的临床医师进行问卷调查,共617名医师参与调查。结果:(1)常见的医护互动为换班报告和需要时的临时报告,医生期望的互动包括面对面报告和通过电话或移动设备进行沟通。(2)大多数被调查者认为医护互动对信息的需求较高,信息的准确性和及时性中等,而在互动时间和满意度方面的反馈显示,它们仅为一般水平,需要改进。(3)不同医院类别、不同角色、不同工作场所、不同学历的医护互动信息需求差异显著(p < 0.05)。结论:在医护互动中存在相当大的信息需求,并且对所获得的信息的满意度为平均水平;由于医生和护士的特点不同,对改善沟通的要求也不同。目前,信息技术在医护沟通中的应用并不普遍,但却受到医生的高度期望。
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Physicians’ perceptions of physician-nurse interactions and information needs in China
ABSTRACT Background: Good communication between physicians and nurses is important for the understanding of disease status and treatment feedback; however, certain issues in Chinese hospitals could lead to suboptimal physician-nurse communication in clinical work. Methods: Convenience sampling was used to recruit participants. Questionnaires were sent to clinical physicians in three top tertiary Grade-A teaching hospitals in China and six hundred and seventeen physicians participated in the survey. Results: (1) Common physician-nurse interactions were shift-change reports and provisional reports when needed, and interactions expected by physicians included face-to-face reports and communication via a phone or mobile device. (2) Most respondents believed that the need for information in physician-nurse interactions was high, information was moderately accurate and timely, and feedback regarding interaction time and satisfaction indicated that they were only average and required improvement. (3) Information needs in physician-nurse interactions differed significantly according to hospital category, role, workplace, and educational background (p < .05). Conclusions: There was a considerable need for information within physician-nurse interactions, and the level of satisfaction with the information obtained was average; requirements for the improvement of communication differed between physicians and nurses because of differences in their characteristics. Currently, the use of information technology in physician-nurse communication was less common but was highly expected by physicians.
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