ELEVATOR TALK - OBSERVATIONAL STUDY OF INAPPROPRIATE COMMENTS IN A PUBLIC SPACE
ELEVATOR TALK - OBSERVATIONAL STUDY OF INAPPROPRIATE COMMENTS IN A PUBLIC SPACE
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DOI：
10.1016/s0002-9343(99)80139-9
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发表时间：
1995-08-01
影响因子：
5.9
通讯作者：
ARNOLD, RM
中科院分区：
文献类型：
--
作者：
UBEL, PA;ZELL, MM;ARNOLD, RM
目的：我们进行了一项研究，以确定的类型和频率的不适当的意见，由医院员工，而乘坐医院elevator.METHODS：四名观察员乘坐电梯在五家医院，听取任何意见，由医院员工，可能被认为是不适当的。所有可能不适当的评论都由研究团队进行审查，如果它们至少符合以下标准之一，则被归类为不适当：违反了患者的保密性，引起了对演讲者提供高质量患者护理的能力或愿望的担忧，引起了对医院护理质量差的担忧（由人以外的扬声器），或包含对患者或其family.RESULTS贬损的言论：我们观察到259单向电梯之旅提供对话的机会。我们无意中听到了39条不恰当的评论，这些评论发生在36次乘坐中（占旅行的13.9%）。最常见的评论（18）是违反患者保密性。其次最常见的（10条评论）是不专业的言论，其中临床医生谈论自己的方式提出了关于他们提供高质量患者护理的能力或愿望的问题。其他评论包括对医院护理总体质量的贬损言论（8）和对患者的贬损言论（5）。医生参与了15的意见，护士在10，和其他医院的员工在rest.CONCLUSION：不适当的意见发生在我们抽样的电梯乘坐令人不安的频率。这些评论并不完全涉及违反病人保密，但包括一系列的讨论，卫生保健工作人员必须小心避免。
OBJECTIVES: We conducted a study to determine the type and frequency of inappropriate comments made by hospital employees while riding hospital elevators.METHODS: Four observers rode in elevators at five hospitals, listening for any comments made by hospital employees that might be deemed inappropriate. All potentially inappropriate comments were reviewed by the research team and were classified as inappropriate if they met at least one of the following criteria: violated patient confidentiality, raised concerns about the speaker's ability or desire to provide high-quality patient care, raised concerns about poor quality of care in the hospital (by persons other than the speaker), or contained derogatory remarks about patients or their families.RESULTS: We observed 259 one-way elevator trips offering opportunity for conversation. We overheard a total of 39 inappropriate comments, which took place on 36 rides (13.9% of the trips). The most frequent comments (18) were violations of patient confidentiality. Next most frequent (10 comments) were unprofessional remarks in which clinicians talked about themselves in ways that raised questions about their ability or desire to provide high-quality patient care. Other comments included derogatory statements about the general quality of hospital care (8) and derogatory remarks about patients (5). Physicians were involved in 15 of the comments, nurses in 10, and other hospital employees in the remainder.CONCLUSION: inappropriate comments took place with disturbing frequency in the elevator rides we sampled. These comments did not exclusively involve Violations of patient confidentiality, but encompassed a range of discussions that health care employees must be careful to avoid.