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Nurses' Communications with Health Professionals

간호사의 의료인 간 의사소통에 대한 조사연구

  • Cho, Yong Ae (Department of Nursing Staff Development, Samsung Medical Center, Graduate School of Clinical Nursing Science, SungKyunKwan University) ;
  • Kim, Mi Kyung (Department of Nursing Staff Development, Samsung Medical Center) ;
  • Cho, Myoung Sook (Samsung Medical Center, Graduate School of Clinical Nursing Science, SungKyunKwan University) ;
  • Nam, Eun Young (Department of Nursing Staff Development, Samsung Medical Center)
  • 조용애 (삼성서울병원 간호교육팀, 성균관대학교 임상간호대학원) ;
  • 김미경 (삼성서울병원 간호교육팀) ;
  • 조명숙 (삼성서울병원 간호본부, 성균관대학교 임상간호대학원) ;
  • 남은영 (삼성서울병원 간호교육팀)
  • Received : 2013.01.31
  • Accepted : 2013.02.20
  • Published : 2013.04.30

Abstract

Purpose: To present necessary data for improvement in communications between health professionals in as characterized by nurses' communications. Methods: This study was a descriptive survey research design with a survey of 1,510 registered nurses working in general hospitals (of at least 1,900 beds) in Seoul. A questionnaire on communication in the ICU, nurse-physician and nurse-nurse, was used. Data were collected from January 9 to 20, 2012, and the response rate was 85.0%. Results: Cronbach ${\alpha}$ values ranged from .75 to .89, except for .59 for accuracy (nurse-physician), with .89 overall. The highest mean score was for perception for timeliness [$3.83{\pm}.57$], followed by shift communication (nurse-nurse) [$3.64{\pm}.66$], openness (nurse-nurse) [$3.64{\pm}.65$], accuracy (nurse-nurse) [$3.14{\pm}.61$], openness (nurse-physician) [$2.90{\pm}.75$], understanding (nurse-physician) [$2.82{\pm}.65$], and accuracy (nurse-physician) [$2.70{\pm}.59$]. Subscales of openness, understanding, and shift communication were strongly associated with communication satisfaction. The general characteristics of nurses with different perceptions of communications included age, clinical experience, work pattern, and department. Conclusion: Proactive activities to improve accuracy, openness and mutual understanding between physicians and nurses are required for patient safety. Further studies are also needed to reassess communications and evaluate the relationship between patient outcomes and nurses' job satisfaction after application of strategies to improve communications.

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