重症监护病房医护沟通现状及需求匹配策略研究  

Nurse-physician communication status and demand matching countermeasures in Intensive Care Unit

作　　者：唐莉[1] 李乐之[1] 杨凤 黄容 王花芹 李金秀[1] TANG Li;LI Lezhi;YANG Feng;HUANG Rong;WANG Huaqin;LI Jinxiu(Critical Care Medicine Department,Department of Clinical Nursing Teaching and Research,The Second Xiangya Hospital of Central South University,Changsha,410000,China)

机构地区：[1]中南大学湘雅二医院重症医学科、临床护理教研室,长沙市410000 [2]中南大学湘雅护理学院

出　　处：《中国护理管理》2024年第9期1412-1417,共6页Chinese Nursing Management

摘　　要：目的:采用混合性研究方法,调查ICU医护沟通实践现状并分析需求匹配策略,为促进医护沟通实践提供依据。方法:采用便利抽样法,对15所医院的435名ICU医护人员医护沟通现状进行问卷调查;采用目的抽样法对5所医院ICU的6名医生及11名护士,进行半结构式访谈。结果:医护沟通评价总分为(73.46±11.38)分;有序Logistic回归分析结果显示,沟通的开放性、沟通的准确性、理解能力、沟通培训经历是医护沟通满意度的影响因素。访谈结果显示医护沟通需求匹配策略主题包括3个:能力需求匹配策略(加强技能培训、强化认知);机会需求匹配策略(建设组织文化、营造沟通环境);内部动机匹配策略(激发职业获得感)。结论:ICU医护沟通实践存在提升空间。管理者可从能力、机会及动机三方面入手,通过加强医护沟通能力及专业培训,优化组织文化及沟通环境,提升医护人员职业获得感和专业价值感,促进ICU医护沟通实践。Objective:To investigate the current status of nurse-physician communication in ICU,and to analyze demand matching strategies thereby providing a reference for improving nurse-physician communication.Methods:Mixed research methods were employed.A questionnaire survey was conducted including 435 ICU medical staffs from 15 hospitals by convenience sampling method.We interviewed 6 physicians and 11 nurses from 5 hospitals by purposive sampling approach.Results:The total score of nurse-physician communication was 73.46±11.38.Ordinal Logistic Regression Analysis showed that communication training experience,communication openness,accuracy and understanding ability were influencing factors of the satisfaction of nurse-physician communication.The interview results suggested that demand matching countermeasures of nurse-physician communication as follows:capability requirements matching strategy(strengthening skill training and cognition);opportunity demand matching strategy(building an organizational culture and creating a communication environment);internal motivation matching strategy(stimulating a sense of professional gain).Conclusion:There is still room for improvement in nurse-physician communication in ICUs in China.Managers can start from three aspects:ability,opportunity and motivation.Managers should pay more attention to training medical staff in communication and professional ability,optimizing the organizational culture and communication environment,and enhancing the sense of professional satisfaction and professional value.

关 键 词：医护沟通 重症监护病房 医护人员 混合研究 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]