surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis外科重症监护病房临床医生沟通的充分性对病人预后的估计.pdfVIP
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surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis外科重症监护病房临床医生沟通的充分性对病人预后的估计
Aslakson et al. Critical Care 2010, 14:R218 /content/14/6/R218 RESEARCH Open Access Surgical intensive care unit clinician estimates of the adequacy of communication regarding patient prognosis 1* 2 2 2 3 4 Rebecca A Aslakson , Rhonda Wyskiel , Dauryne Shaeffer , Marylou Zyra , Nita Ahuja , Judith E Nelson , Peter J Pronovost1 Abstract Introduction: Intensive care unit (ICU) patients and family members repeatedly note accurate and timely communication from health care providers to be crucial to high-quality ICU care. Practice guidelines recommend improving communication. However, few data, particularly in surgical ICUs, exist on health care provider opinions regarding whether communication is effective. Methods: To evaluate ICU clinician perceptions regarding adequacy of communication regarding prognosis, we developed a survey and administered it to a cross section of surgical ICU nurses, surgical ICU physicians, nurse practitioners (NPs), and surgeons. Results: Surgeons had a high satisfaction with communication regarding prognosis for themselves (90%), ICU nurses (85%), and ICU physicians and NPs (85%). ICU nurses noted high satisfaction with personal (82%) and ICU physician and NP (71%) communication, but low (2%) satisfaction with that provided by surgeons. ICU physicians and NPs noted high satisfaction with personal (74%) and ICU nurse (88%) communication, but lower (23%) satisfaction with that provided by surgeons. ICU nurses were the most likely (75%) to report speaking to patients and patient families regarding prognosis, followed by surgeons (40%), and then ICU physicians and NPs (33%). Surgeons noted many opportunities to speak to ICU nurses and ICU physicians and NPs about pa
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