浅谈急诊护生护患沟通技巧的培养

针对急诊护患关系的特点,指导实习护生掌握语言沟通技巧和非语言沟通技巧,与患者进行有效的沟通,减少护患纠纷,提高护理质量,建立和谐的急诊护患关系。     

脑外科护理中护患沟通应用对策

目的探讨在脑外科护理中的护患纠纷,总结有效的护患沟通方法。方法深入调查,在脑外科推行"互患沟通制"。结果实施护患沟通后整体护理效果的满意度调查结果显著提高,实施护患沟通前后护患纠纷的发生率、焦虑与抑郁情况显著减弱。结论良好的护患沟通有利于构建和谐的护患关系,提高护理质量,降低护患纠纷的发生,值得在脑外科护理中应用。     

护患沟通技巧在社区护理中的应用

目的为进一步培养锻炼护理工作者的沟通能力,提供更多的可以借鉴的方法 ,以提高护理服务效果。笔者结合护理实践,谈谈护患沟通的意义及提高护患沟通相应的方法。方法现就提高和改进护患沟通的现状进行调查,并在实践研究的基础上总结了几种相应有效消除沟通障碍的护患沟通策略。结果通过临床资料进行分析和总结,护患沟通对提高护理工作质量,改善护理满意度起到积极的作用。结论护士工作的性质,使护士成为与患者接触机会最多的医务工作者,如果护患沟通不当,很容易产生护患纠纷。护患沟通是建立良好护患关系,圆满完成护理工作的重要环节。利用护患沟通技巧的正确方法去识别和满足患者的需要,使有效的护患沟通促进护理质量的提高。     

浅论急诊护理工作中的护患沟通

护患沟通是护理人员与患者及其家属之间形成的一种工作型交流关系.急诊护理工作中的护患沟通又具有时间短促、沟通技巧要求高、护患矛盾复杂等特点.本文首先介绍急诊护理中护患沟通的重要性,然后分析影响护患沟通的因素,最后透过影响因素的分析着重掌握护患沟通的方法和技巧,从整体上介绍急诊护理中护患沟通的重要性、影响因素和对策.     

淡谈护患沟通在临床护理工作中的应用技巧

目的 通过护患沟通在临床护理工作中的应用,进一步了解护患沟通在护理工作中的重要意义.总结临床护理中应用护患沟通的技巧,从而更好地将其融入到护理工作中,使护理工作质量不断提高.方法 对我科2005年收治的782例患者采取临床实施护患沟通总结经验.结果 患者反应采取护患沟通后,增加了病人对护士的信任感,使病人能积极主动配合治疗及护理.结论 在临床护理工作中与患者进行护患沟通,可有效提高护士在患者心目中的地位,改善护患关系,提高护士的工作热情.     

护患沟通的技巧

护患沟通贯穿于护理活动的全过程,沟通的效果不仅影响护患关系、护理质量,而且涉及护理纠纷的产生和激化。如何处理好护患关系,减少护理纠纷,是广大护理工作者面临的一项重要课题,加强有效的护患沟通,是构建信任的护患关系的必然要求。     

浅谈护患语言沟通的技巧

目的探讨护患语言沟通的技巧。方法根据护患沟通中存在的问题,如:语言表达不当,缺乏沟通的技巧,沟通能力差等问题,采取恰当的护理措施,合理运用语言,加强护患沟通,强化护士素质,掌握好护患沟通的技巧,加强心理护理,充实语言交流的内涵。结果通过有效的护患沟通,取得了患者的信任,缩短了护患之间的距离。了解患者的心理状态,并实施了心理护理,使患者消除了紧张情绪,调整了心态,积极配合治疗和护理。结论护患语言沟通的技巧在临床护理工作中起着至关重要的作用。     

痔疮手术中护患沟通的位置分析

手术中的护患沟通是护患双方在术中进行相关信息传递与人际关系确立的过程.为了取得更好的沟通效果,为了降低护理风险和消除手术患者的心理紧张,多年来,我们除了熟练运用沟通技巧外,还针对手术中护患沟通的位置、距离关系作了进一步的探究.下面是我们对痔疮手术中护患沟通的观察分析.     

临床护理中导致护患沟通失败的原因分析及规避措施探讨

良好的护患沟通在临床护理中具有重要的作用和意义。本文在对临床护理中护患沟通重要性进行阐述的基础上,分析了导致护患沟通失败的原因,并提出了规避措施,以期形成良好的护患沟通技巧,提高护理质量,促进患者的早日康复。     

分析社区护理中护患关系的培养技巧

目的 对社区护理中的护患关系的培养技巧进行分析.方法 坚持人文关怀的理念,在服务态度,工作方法,护患沟通等方面加强护患之间的沟通.结果 护患关系得到有效的改善,实现了护患关系的和谐发展.结论 在社区护理工作中,必须加强护患双方的沟通,才能培养和谐的护患关系,使护理质量到提高.     

The Role of the Built Environment: How Decentralized Nurse Stations Shape Communication,Patient Care Processes,and Patient Outcomes

Increasingly, health communication scholars are attending to how hospital built environments shape communication, patient care processes, and patient outcomes. This multimethod study was conducted on two floors of a newly designed urban hospital. Nine focus groups interviews were conducted with 35 health care professionals from 10 provider groups. Seven of the groups were homogeneous by profession or level: nursing (three groups), nurse managers (two groups), and one group each of nurse care technicians (“techs”) and physicians. Two mixed groups were comprised of staff from pharmacy, occupational therapy, patient care facilitators, physical therapy, social work, and pastoral care. Systematic qualitative analysis was conducted using a conceptual framework based on systems theory and prior health care design and communication research. Additionally, quantitative modeling was employed to assess walking distances in two different hospital designs. Results indicate nurses walked significantly more in the new hospital environment. Qualitative analysis revealed three insights developed in relationship to system structures, processes, and outcomes. First, decentralized nurse stations changed system interdependencies by reducing nurse-to-nurse interactions and teamwork while heightening nurse interdependencies and teamwork with other health care occupations. Second, many nursing-related processes remained centralized while nurse stations were decentralized, creating systems-based problems for nursing care. Third, nursing communities of practices were adversely affected by the new design. Implications of this study suggest that nurse station design shapes communication, patient care processes, and patient outcomes. Further, it is important to understand how the built environment, often treated as invisible in communication research, is crucial to understanding communication within complex health care systems.     

A multifaceted intervention improves patient satisfaction and perceptions of emergency department care.

OBJECTIVE: . We aimed to evaluate the effectiveness of a multifaceted intervention, targeting staff-patient communication, in improving emergency department patient satisfaction. METHODS: We undertook a pre- and post-intervention study in a university-affiliated emergency department, over a 12-month period. The intervention included communication workshops, a patient education film, and a patient liaison nurse. At the patient level, the patient liaison nurse ensured optimal staff-patient community communication and played a role in staff communication education. The intervention was evaluated using patient surveys (containing general and communication-specific satisfaction items scored out of 100), complaint rates, and patient liaison nurse activity data. RESULTS: A total of 321 and 545 patients returned questionnaires in the pre- and post-intervention periods, respectively. Significant improvements were observed in patients' perceptions of being 'informed about delays' [score difference, 5.3; 95% confidence interval (CI), 0.6-10.0], that 'staff cared about them as a person' (difference, 4.4; 95% CI, 0.7-8.1), the overall emergency department facility assessment (difference, 3.9; 95% CI, 0.4-7.5) and overall emergency department care (difference, 3.8; 95% CI, 0.3-7.3). Non-significant improvements were seen in all other satisfaction items. In the post-intervention period, there was a 22.5% (95% CI, 14.6-32.8) decrease in the number of complaints received and a decrease in the complaint rate of 0.7 (95% CI, -0.3 to 1.6) complaints per 1000 patients. The patient liaison nurse activities included orientation of the patient including (i) explanation of tests, procedures, and delays; (ii) communication with a range of hospital staff; and (iii) general comfort measures including analgesia quality control. CONCLUSION: Significant improvements in a variety of patient satisfaction measures were achieved with an intervention comprising staff communication workshops, a patient education film, and a patient liaison nurse.     

Predictors of communication quality: the patient, provider, and nurse call center triad

The purpose of this study was to examine characteristics of communication quality in a managed care context in which a nurse call center was used as the patient point of entry to the health system. The study sought to determine the level of communication quality among patients, health care providers, and nurses in the call center. Having measured the timeliness, accuracy, usefulness, and quantity of communication variables, a reasonable picture of communication quality emerged. The study explored patient differences in their perception of communication quality due to socioeconomic status, needs, experience, age, and various other factors. Likewise, providers who differ in training, specialty, and experience should have different perceptions and expectations of communication through nurse call center interaction.     

Predictors of Communication Quality: The Patient,Provider, and Nurse Call Center Triad

The purpose of this studywas to examine characteristics of communication quality in a managed care context in which a nurse call center was used as the patient point of entry to the health system. The study sought to determine the level of communication quality among patients, health care providers, and nurses in the call center. Having measured the timeliness, accuracy, usefulness, and quantity of communication variables, a reasonable picture of communication quality emerged. The study explored patient differences in their perception of communication quality due to socioeconomic status, needs, experience, age, and various other factors. Likewise, providers who differ in training, specialty, and experience should have different perceptions and expectations of communication through nurse call center interaction.     

The role of the nurse in hospital marketing

The nurse is introduced as a vital component of the hospital's marketing process. As the major provider of patient care, teacher, counselor, and patient advocate, the nurse has a direct impact on the quality of care delivered and ultimately, the patient's choice of health care delivery site. Marketing strategies for nurses include daily rounds, constructive communication, physical appearance, and educational level. Through such strategies, nurses play an active role in increasing patient revenue.     

军队医院肾脏内科人性化护理应用体会

目的探讨人性化服务在笔者所在医院肾脏内科的应用。方法在笔者所在医院肾脏内科实行营造人性化环境、优化服务流程、打造星级化品牌,从而对患者实行全面护理服务。结果人性化护理提高了护理工作质量,美化了整体工作形象,融洽了护患合作关系。结论人性化护理使护理人员思维、服务观念发生了根本变化,提升了其职业自豪感,增强了主动沟通服务意识。     

A pilot study of specialized nursing care for home health patients

We conducted a pilot study to assess the feasibility of remote (Web-based) consultations for leg wounds. The wounds were photographed by a home care nurse using a digital camera and the images were transmitted to a server from the nurses' office, together with patient details. The home care nurse graded the wounds and suggested a treatment plan. Subsequently, a specialist wound-care nurse also graded them and suggested a treatment plan, using the data stored on the Web server. Thirty-four patients were studied. The Web system proved simple to use and staff responses were positive. The agreement between the home care nurses and the specialist nurse in assessing wounds was good (kappa coefficients 0.41 to 0.71). Agreement over the treatment of wounds was more variable (kappa coefficients -0.75 to 0.81). The results of the pilot study are encouraging and suggest that Web-based communication can improve the quality of care for patients with leg wounds and reduce costs.     

Rationing of nursing care and nurse–patient outcomes: a systematic review of quantitative studies

Bedside rationing in nursing care refers to withholding or failure to carry out certain aspects of care because of limited resources such as time, staffing or skill mix. The absence of previous systematic reviews on nursing care rationing leads to a gap of synthesized knowledge on the factors and processes related to rationing and the potential negative consequences on both patients and nurses. The aim of this study was to gain an in‐depth understanding of the factors and processes related to nursing care rationing. Selected papers were methodologically assessed based on their design, sampling, measurement and statistical analysis. Seventeen quantitative studies were reviewed, and findings were categorized into four themes: elements of nursing care being rationed, causes of rationing, nurse outcomes and patient outcomes. Results revealed that communication with patients and families, patient ambulation, and mouth care were common elements of rationed care. Nurse–patient workload and communication barriers were reported as potential causes of rationing. Patient‐related outcomes included patient falls, nosocomial infections and low patient satisfaction levels. Nurse‐related outcomes included low job and occupational satisfaction. In addition, rationing appears to be an important organizational variable linked with patient safety and quality of care. This review increases understanding of what is actually occurring at the point of care delivery so that managers will be able to improve processes that lead to high quality of care and better patient and nurse outcomes. Copyright © 2013 John Wiley & Sons, Ltd.     

The meaning of ostomy care among nurses: a case study

This study aimed to identify how nurses working in a hospital interpret ostomy care. The case-study methodology was used. The obtained results originated four categories: the patient needs special care, it is necessary to provide orientation, in order to provide orientation, the nurse needs..., the recognition of difficulties in delivering special care. These categories express that the care given to ostomy patient by the nurses is not appropriate due to the lack of specific knowledge.