Effective communication among healthcare professionals in the intensive care unit (ICU) is a particular imperative,with accurate and efficient interdisciplinary communication being a critical prerequisite for high-qua...Effective communication among healthcare professionals in the intensive care unit (ICU) is a particular imperative,with accurate and efficient interdisciplinary communication being a critical prerequisite for high-quality care.Nurses and physicians are highly important parts of the healthcare system workforce.Thus,identifying strategies that would improve communication between these two groups can provide evidence for practical improvement in the ICU,which will ultimately improve patient outcomes.This integrative literature review aimed to identify interventions that improve communication between nurses and physicians in ICUs.Three databases (Medline,CINAHL,and Science Direct) were searched between September 2014 and June 2016 using 11 search terms,namely,nurse,doctor,physician,resident,clinician,ICU,intensive care unit,communication,teamwork,collaboration,and relationship.A manual search of the reference lists of found papers was also conducted.Eleven articles met the inclusion criteria.These studies reported on the use of communication tools/checklists,team training,multidisciplinary structured work shift evaluation,and electronic situation-background-assessment -recommendation documentation templates to improve communication.Although which intervention strategies are most effective remains unclear,this review suggests that these strategies improve communication to some extent.Future studies should be rigorously designed and outcome measures should be specific and validated to capture and reflect the effects of effective communication.展开更多
Background: Suicide among physicians is a serious public health issue, with an extremely complex and multifactorial behavior. Aim: The aim of this study was to use the theme “Suicide among Physicians” to exemplify t...Background: Suicide among physicians is a serious public health issue, with an extremely complex and multifactorial behavior. Aim: The aim of this study was to use the theme “Suicide among Physicians” to exemplify the analysis of methodological similarities between the scientific content available at MEDLINE and BVS databases, as scientific research tools. Methods: This is a systematic review with metanalysis. The following combinations of keywords were used for data search in the referred databases: “suicide” AND “physicians” AND “public heath”. Results: Three hundred and thirteen publications were identified, but only 16 studies were chosen. Great association was found between MEDLINE and BVS databases and the Odds Ratio regarding the theme: “Suicide among physicians”. Conclusions: Considering the similarities found in the utilization of the two analyzed databases, it was possible to identify that suicide among physicians is associated with the exercise of an important professional role in the society and in the workplace. With regard to scientific information, the p-value-obtained value (<0.05) seems to be statistically significant for the association between the suggested theme and the methodological similarities of the scientific information available in the analyzed databases. Thus, these open-access research tools are considered scientific reliable tools.展开更多
Objectives: To estimate the proportion of patients who received instructions regarding their medications’ functions, methods of administration, dosages, adverse effects, drug-drug interactions, as well as to identify...Objectives: To estimate the proportion of patients who received instructions regarding their medications’ functions, methods of administration, dosages, adverse effects, drug-drug interactions, as well as to identify the sources of knowledge concerning medications’ instructions. Methods: A cross-sectional study was carried out in King Khalid University Hospital (KKUH) in the out-patient pharmacy in 2013. The data collection method includes personal interview with patients who are randomly selected from adults above 18 years of age. The interview was conducted among patients and any person who attends the consultation. Results: The sample was 274 patients. Patients who received instructions for drugs’ functions 208 (75.9%), method of administration 229 (83.6%), doses of drugs 220 (80.3%), drugs’ adverse effects 47 (17.1%), and drug-drug interactions 41 (15%). Sources of medications’ instructions were physicians (73.6%), pharmacists (42.3%), patient information leaflets (PILs) (40.5%) and family or friends (12.8%). Conclusion: The provided instructions about prescribed medications to patients in KKUH were incomplete that may lead to therapeutic failure.展开更多
Objectives:Social media has changed methods of communication in the medical profession.As part of a"doctor as communicator"strategy,Chinese medical professionals are actively embracing social media,which may...Objectives:Social media has changed methods of communication in the medical profession.As part of a"doctor as communicator"strategy,Chinese medical professionals are actively embracing social media,which may have an impact on tense physician-patient relationships in China.This paper aims to examine a pattern of Internet access,Internet usage,and trust among Chinese medical professionals and further explores the reasons for these relationships on an individual level.Designs:A web-based questionnaire was designed,based on a media literacy model,and was divided into 3 dimensions:public information,general medical information,and specialty information.After a two-round pilot study,1001 physicians were included.Additionally,4 interviewees were chosen to participate in in-depth interviews and content analysis was performed.Data were analyzed using SPSS 25.0.Results:Findings showed that new media has become a major approach for medical professionals in China to retrieve and get access to various information.However,they still trust traditional media(n=1001,P<0.01)and professional journals more(n=1001,P<0.01).Internet access,usage,and trust were positively correlated(r-0.185-0.344,P<0.01).Regarding usage habits,47.66%of the participating physicians would practice science popularization through their new media accounts and 71.23%would forward approved health information within their professional realm.A validated instrument can be provided for further related studies.Conclusions:Science popularization is a specific usage of new media among Chinese medical professionals,through which they have achieved new authority and empowered communication because of self-media.To some extent,physician-patient relationships in China can be improved because this online interaction is conducive to building harmonious and lasting offline physician-patient relationships.展开更多
文摘Effective communication among healthcare professionals in the intensive care unit (ICU) is a particular imperative,with accurate and efficient interdisciplinary communication being a critical prerequisite for high-quality care.Nurses and physicians are highly important parts of the healthcare system workforce.Thus,identifying strategies that would improve communication between these two groups can provide evidence for practical improvement in the ICU,which will ultimately improve patient outcomes.This integrative literature review aimed to identify interventions that improve communication between nurses and physicians in ICUs.Three databases (Medline,CINAHL,and Science Direct) were searched between September 2014 and June 2016 using 11 search terms,namely,nurse,doctor,physician,resident,clinician,ICU,intensive care unit,communication,teamwork,collaboration,and relationship.A manual search of the reference lists of found papers was also conducted.Eleven articles met the inclusion criteria.These studies reported on the use of communication tools/checklists,team training,multidisciplinary structured work shift evaluation,and electronic situation-background-assessment -recommendation documentation templates to improve communication.Although which intervention strategies are most effective remains unclear,this review suggests that these strategies improve communication to some extent.Future studies should be rigorously designed and outcome measures should be specific and validated to capture and reflect the effects of effective communication.
文摘Background: Suicide among physicians is a serious public health issue, with an extremely complex and multifactorial behavior. Aim: The aim of this study was to use the theme “Suicide among Physicians” to exemplify the analysis of methodological similarities between the scientific content available at MEDLINE and BVS databases, as scientific research tools. Methods: This is a systematic review with metanalysis. The following combinations of keywords were used for data search in the referred databases: “suicide” AND “physicians” AND “public heath”. Results: Three hundred and thirteen publications were identified, but only 16 studies were chosen. Great association was found between MEDLINE and BVS databases and the Odds Ratio regarding the theme: “Suicide among physicians”. Conclusions: Considering the similarities found in the utilization of the two analyzed databases, it was possible to identify that suicide among physicians is associated with the exercise of an important professional role in the society and in the workplace. With regard to scientific information, the p-value-obtained value (<0.05) seems to be statistically significant for the association between the suggested theme and the methodological similarities of the scientific information available in the analyzed databases. Thus, these open-access research tools are considered scientific reliable tools.
文摘Objectives: To estimate the proportion of patients who received instructions regarding their medications’ functions, methods of administration, dosages, adverse effects, drug-drug interactions, as well as to identify the sources of knowledge concerning medications’ instructions. Methods: A cross-sectional study was carried out in King Khalid University Hospital (KKUH) in the out-patient pharmacy in 2013. The data collection method includes personal interview with patients who are randomly selected from adults above 18 years of age. The interview was conducted among patients and any person who attends the consultation. Results: The sample was 274 patients. Patients who received instructions for drugs’ functions 208 (75.9%), method of administration 229 (83.6%), doses of drugs 220 (80.3%), drugs’ adverse effects 47 (17.1%), and drug-drug interactions 41 (15%). Sources of medications’ instructions were physicians (73.6%), pharmacists (42.3%), patient information leaflets (PILs) (40.5%) and family or friends (12.8%). Conclusion: The provided instructions about prescribed medications to patients in KKUH were incomplete that may lead to therapeutic failure.
基金Sanofi and data support from the Dingxiangyuan platform for this study.
文摘Objectives:Social media has changed methods of communication in the medical profession.As part of a"doctor as communicator"strategy,Chinese medical professionals are actively embracing social media,which may have an impact on tense physician-patient relationships in China.This paper aims to examine a pattern of Internet access,Internet usage,and trust among Chinese medical professionals and further explores the reasons for these relationships on an individual level.Designs:A web-based questionnaire was designed,based on a media literacy model,and was divided into 3 dimensions:public information,general medical information,and specialty information.After a two-round pilot study,1001 physicians were included.Additionally,4 interviewees were chosen to participate in in-depth interviews and content analysis was performed.Data were analyzed using SPSS 25.0.Results:Findings showed that new media has become a major approach for medical professionals in China to retrieve and get access to various information.However,they still trust traditional media(n=1001,P<0.01)and professional journals more(n=1001,P<0.01).Internet access,usage,and trust were positively correlated(r-0.185-0.344,P<0.01).Regarding usage habits,47.66%of the participating physicians would practice science popularization through their new media accounts and 71.23%would forward approved health information within their professional realm.A validated instrument can be provided for further related studies.Conclusions:Science popularization is a specific usage of new media among Chinese medical professionals,through which they have achieved new authority and empowered communication because of self-media.To some extent,physician-patient relationships in China can be improved because this online interaction is conducive to building harmonious and lasting offline physician-patient relationships.
