Health Care Providers' Opinions on Communication Between Nursing Homes and Emergency Departments
Health Care Providers' Opinions on Communication Between Nursing Homes and Emergency Departments
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DOI：
10.1016/j.jamda.2009.09.002
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发表时间：
2010-03-01
影响因子：
7.6
通讯作者：
Shah, Manish N.
中科院分区：
文献类型：
--
作者：
Gillespie, Suzanne M.;Gleason, Lauren J.;Shah, Manish N.
目的描述护理之家（NH）和急诊医学提供者对NH和急诊科（艾德）之间在NH居民护理过渡期间的沟通的信念和意见。方法采用邮寄和互联网调查的横断面研究。参与者和设置在艾德设置和NH设置中实践的医生、执业护士、医师助理和护士。附属于罗切斯特，纽约的一个学术医疗中心的医院。关于口头交流的频率的意见应该发生。CITTSA共有155名护士和医疗提供者参加了调查，回答率为32.2%（155/481）。在调查参与者中，分别有63.0%和56.8%的人在他们的职位和设施上工作了5年以上。大多数受访者认为，在NH和艾德设置之间的患者转移过程中丢失了重要信息。来自艾德和NH设置的提供者对关键信息在患者转移时容易识别的可能性以及护理将包括所要求的测试和随访的可能性有不同的意见。从两个网站的护理支持口头沟通在他们的位置时，NH居民转移到其他setting.CONCLUSIONNurses和医疗提供者从紧急和NH设置同意，过渡沟通是穷人之间的NH和ED和支持的作用，在艾德过渡的NH居民的护理口头沟通。
OBJECTIVESTo characterize the beliefs and opinions of nursing home (NH) and emergency medicine providers about communication between NH and emergency departments (ED) during transitions of care of NH residents.DESIGNA cross-sectional study using a mailed and Internet survey.PARTICIPANTS AND SETTINGPhysicians, nurse practitioners, physicians assistants, and nurses who practice in ED settings and NH settings, affiliated with hospitals of an academic medical center in Rochester, New York.MEASUREMENTSOpinions on communication; beliefs about frequency of information transmission; opinions on how often verbal communication should occur.RESULTSA total of 155 nurses and medical providers participated in the survey for a response rate of 32.2% (155/481). Of the survey participants, 63.0% and 56.8% had been more than 5 years in their position and facility, respectively. Most respondents felt that important information was lost during patient transfers between NH and ED settings. Providers from ED and NH settings had different opinions on the likelihood that key information would be readily identifiable at patient transfer and that care would include requested tests and follow-up. Providers from both sites of care supported verbal communication at their position when NH residents are transferred to the other setting.CONCLUSIONNurses and medical providers from both emergency and NH settings agree that transitional communication is poor between NHs and EDs and support a role for verbal communication during the ED transitions of care of NH residents.