“You Never Forget Your First Mistake”: Nursing Socialization, Memorable Messages, and Communication About Medical Errors
“You Never Forget Your First Mistake”: Nursing Socialization, Memorable Messages, and Communication About Medical Errors
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“你永远不会忘记你的第一个错误”：护理社会化、难忘的信息以及有关医疗错误的沟通
作者：
Carey M Noland;H. Carmack
由于护士的沟通对于预防、拦截和解决医疗错误至关重要，了解他们如何学习就医疗错误进行沟通是很重要的。在本研究中，我们确定了关于护理学生在培训期间接受的错误沟通的难忘信息，以及他们如何理解这些信息。通过对68名护生的个别访谈获得数据。采用主题常数比较法对数据进行分析。虽然公开和诚实地沟通医疗错误是参与者正式和非正式学到的首要信息，但对于护理专业的学生来说，就医疗错误进行沟通比使用公开和诚实的沟通要复杂得多。在处理医疗事故时，护理专业的学生主要依靠三个令人难忘的信息来指导他们的沟通：(a)不是每个人都听说过错误，(b)等级问题，(c)被动沟通是打断或报告错误的最佳方式。
As nurses’ communication is essential to prevent, intercept, and resolve medical mistakes, it is important to understand how they learn to communicate about medical errors. In this study, we identify memorable messages about communicating about mistakes that nursing students receive during their training and how they make sense of these messages. Data were acquired through individual interviews with 68 nursing students. The data were analyzed using a thematic constant comparative method. While open and honest communication about medical errors was the overarching message participants formally and informally learned, for nursing students, communicating about medical errors is a much more complex process than using open and honest communication. When dealing with medical errors, nursing students relied on three major memorable messages to guide their communication: (a) Not everyone hears about errors, (b) hierarchy matters, and (c) passive communication is the best way to interrupt or report an error.