一项旨在改善急诊科护士与医生之间沟通和团队合作的新型护士-实习护士指导计划。

IF 2 Q2 EMERGENCY MEDICINE International Journal of Emergency Medicine Pub Date : 2024-10-23 DOI:10.1186/s12245-024-00740-z
Amanda Doodlesack, Nicole Dubosh, Anne Grossestreuer, Lorian de Oliveira, Leslie Bilello
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引用次数: 0

摘要

背景:护士与医生之间的沟通对于在急诊科提供病人护理至关重要。美国医学教育研究生院将人际交往和沟通技巧列为住院医师的六项核心能力之一。众所周知,沟通不畅与患者的不良预后之间存在关联。然而,目前缺乏正规的医护沟通培训项目,而且有文献报道称,医生可能认为合作不如护士重要。为了弥补这一不足,我们开发并实施了一项新颖的试点 "护士-实习护士指导计划"。该计划旨在改善学员与护士之间的沟通,加强急诊科之间的合作。然后,我们评估了该计划对参与者的护医沟通感知、有效性和总体收益的影响:方法:我们采用 Kern 的 "六步法 "制定并实施了该计划。然后,我们通过项目前和项目后的 12 个问题的调查来评估项目的影响,使用 1-5 级李克特量表来评估参与度、感知收益和项目功效。采用费雪精确检验和 Wilcoxon 秩和检验对护士与实习生的回答进行比较。干预前和干预后的回答按受访者配对,并使用边际同质性检验进行比较:结果:13 名实习生和 22 名护士参加了该计划。所有 13 名实习生和 22 名护士中的 19 名都完成了计划前调查。13 名实习生中的 10 名和 22 名护士导师中的 11 名完成了计划后调查。与实习生相比,护士对提供有关沟通技巧的反馈意见表现出更大的兴趣(P 结语):我们成功实施了一项为期一年的护士-实习生导师计划,旨在促进沟通、合作和专业发展。我们的结果表明,护士和实习生对实习生的沟通技巧持不同态度。实习生感觉到了一些益处,但遗憾的是,这种益处在项目过程中有所减少。我们需要进一步研究,以确定该计划如何影响沟通、团队合作和病人护理。我们希望,鉴于这种护士-实习生指导计划的新颖性,这项研究可以作为未来计划的试点。
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A novel nurse-inteRN mentorship program to improve nurse-physician communication and teamwork in the emergency department.

Background: Communication between nurses and physicians is essential to providing patient care in the emergency department. The American College of Graduate Medical Education includes interpersonal and communication skills as one of six core competencies for residents. There is a known correlation between poor communication and negative patient outcomes. Yet, formalized training programs in doctor-nurse communication are lacking and literature reports that physicians may view collaboration as less important than nurses. To address this gap, we developed and implemented a novel, pilot "Nurse-InteRN Mentorship Program". The program aimed to improve trainees' communication with nurses and enhance emergency department collaboration. We then evaluated the impact of this program on participant perception of nurse-physician communication, efficacy and overall benefit.

Methods: We used Kern's Six-step approach to develop and implement this program. We then evaluated the program's impact with a pre-program and post-program 12-question survey to evaluate participation, perceived benefit, and efficacy of the program using a 1-5 Likert scale. Nurse vs. intern responses were compared using Fisher's exact and Wilcoxon rank sum tests. Pre- and post- intervention responses were paired by respondent and compared using marginal homogeneity tests.

Results: 13 interns and 22 nurses participated in the program. All 13 interns and 19 of 22 nurses completed the pre-program survey. 10 of 13 interns and 11 of 22 nurse mentors completed the post-program survey. Nurses showed greater interest in providing feedback on communication skills than interns showed in receiving feedback (p < 0.001). Interns rated themselves higher in communication skills with patients than nurses rated them (p = 0.004). Perceived benefit among nurses and interns decreased after completion of the program.

Conclusion: We were able to successfully implement a one-year nurse-intern mentorship program aiming to promote communication, collaboration and professional development. Our results show differing attitudes between nurses and interns around interns' communication skills. There was some perceived benefit, but unfortunately this decreased over the course of the program. Further studies are needed to determine how this program impacts communication, teamwork, and patient care. We hope that given the novelty of such a nurse-intern mentorship program, this study may serve as a pilot for future programs.

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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
63
审稿时长
13 weeks
期刊介绍: The aim of the journal is to bring to light the various clinical advancements and research developments attained over the world and thus help the specialty forge ahead. It is directed towards physicians and medical personnel undergoing training or working within the field of Emergency Medicine. Medical students who are interested in pursuing a career in Emergency Medicine will also benefit from the journal. This is particularly useful for trainees in countries where the specialty is still in its infancy. Disciplines covered will include interesting clinical cases, the latest evidence-based practice and research developments in Emergency medicine including emergency pediatrics.
期刊最新文献
How many is enough? Measuring the number of FAST exams needed by emergency medicine trainees to reach competence. Bibliometric analysis of the usage of tenecteplase for stroke. Convergence insufficiency as a predictor of poor prognosis after acute mild traumatic brain injury. Datura stramonium seed ingestion leading to unintentional poisoning in a 3-year-old Ethiopian toddler: case report. Evaluation of GFAP/UCH-L1 biomarkers for computed tomography exclusion in mild traumatic brain injury (mTBI).
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