tailieunhanh - Báo cáo y học: "Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis. | Aslakson et al. Critical Care 2010 14 R218 http content 14 6 R218 KS CRITICAL CARE RESEARCH Open Access Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis 1 2 2 2 3 4 Rebecca A Aslakson Rhonda Wyskiel Dauryne Shaeffer Marylou Zyra Nita Ahuja Judith E Nelson Peter J Pronovost1 Abstract Introduction Intensive care unit ICU patients and family members repeatedly note accurate and timely communication from health care providers to be crucial to high-quality ICU care. Practice guidelines recommend improving communication. However few data particularly in surgical ICUs exist on health care provider opinions regarding whether communication is effective. Methods To evaluate ICU clinician perceptions regarding adequacy of communication regarding prognosis we developed a survey and administered it to a cross section of surgical ICU nurses surgical ICU physicians nurse practitioners NPs and surgeons. Results Surgeons had a high satisfaction with communication regarding prognosis for themselves 90 ICU nurses 85 and ICU physicians and NPs 85 . ICU nurses noted high satisfaction with personal 82 and ICU physician and NP 71 communication but low 2 satisfaction with that provided by surgeons. ICU physicians and NPs noted high satisfaction with personal 74 and ICU nurse 88 communication but lower 23 satisfaction with that provided by surgeons. ICU nurses were the most likely 75 to report speaking to patients and patient families regarding prognosis followed by surgeons 40 and then ICU physicians and NPs 33 . Surgeons noted many opportunities to speak to ICU nurses and ICU physicians and NPs about patient prognosis and noted that comments were often valued. ICU physicians and NPs and ICU nurses noted many opportunities to speak to each other but fewer opportunities to communicate with surgeons. ICU physicians and NPs thought that their comments were valued by ICU nurses but less valued by surgeons. ICU nurses .