北美护理杂志读书报告会详细资料.ppt

Communication Skills Nursing Department Gu Danfeng 2015-07-02 重点（Key Points） 在美国，医疗差错被认为是导致病人死亡的第三个主要原因（Hospital medical errors are now considered the third leading cause of death in the United States.） 美国联合委员会确认沟通障碍是导致病人意外伤害的一个很严重的因素，作为国际患者安全目标卫生保健提供者要提高沟通效能 (The US Joint Commission identified miscommunication as the main cause of serious, unexpected patient injuries and improving thr effectiveness of communication among health care providers as a national patient safety goal. ) 国际移民组织建议在处理医疗和用药错误时要看系统的改进而不是看个人的失误(The IOM recommended looking at system improvements, rather than individual failures, when addressing medical and medication error.) 重点（Key Points) 针对专业护理实践和围绕4小时护理合作，跨专业学习的经验是必不可少的(The implementation of interprofessional learning experiences is essential for nursing, given the nature of professional nursing practice and with around-the-clock coordination of care provided.) 共同管理能提高安全举措；员工必须协作、要公平和问责(Shared governance can provide safety initiatives; employees must have partnership, equity, and accountability.) 共同管理受益所有权必须是在服务点，并且90%的决定必须是由提供保健服务的服务点来决定的（For shared governance to be beneficial ownership must occur at the point of service and occur with at least 90% of the decisions being made by those providing the point of care service.） 介绍（introduction） 1、过于频繁、无效的工作政策和操作阻碍了护士关注病人的需求，结果导致病人护理和护士工作满意度变得很糟糕。（Too often, inefficient workplace policies and practices prevent hospital nurses from focusing fully on the needs of their patients, and patient care and nurse job satisfaction suffer as a result.） 2、沟通涉及表达和接受信息的双向过程，对于沟通的双方，沟通的信息要及时、准确和有效。 (Communication involves a two-way process of expressive and receptive communication 。 Communication should be timely, accurate, and useful to the sender and the receiver of message.) 介绍（introduction） 3、美国联合委员会指出无效的沟通是导致病人意外伤害重要原因 （The US Joint Communication, a nonprofit health care accreditation organization, identified miscommunication as the main cause of serious） （帕拉迪思和他的同事对自愿参与住院病人安全事件调研的三家医院的研究发现医疗差错增加了病人17%的住院费用和