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Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University

Background: Good communication is very important for the safety of patients in emergency situations. Few studies have been conducted regarding communication among health care staff. The aim of the present study was to investigate anesthetist nurses experience of communication among health care staff during a situation of emergency in a hospital ward.Methods: The study is explorative and based on interviews with six anesthetist nurses. A qualitative content analysis was used as an analyses model.Result: The six anesthetist nurses experienced structured communication as of great importance during an emergency situation. Three main categories appeared from the material: i) the importance of the organization ii) communication structure and communication patterns and iii) education and experience with nine subcategories. The most important factor in the organization is the need of a leader with the ability to manage a team, where the team member don´t know each other. Such a team leader delegates and distributes work tasks to the team members for taking care of the patient. According to studies of health care staff should use structure communication; speak directly to each other. One communication model mentioned in the study was “closed loop”. Training, experience and awareness of how to communicate are essential skills for health care staff when working in an emergency situation.In the interviews the study participants gave examples when communication where lacking in a team. Structured communication between health care staff are seen as having major importance in reducing misinterpretations and mistakes leading to less safe patient health care.Conclusions: The experiences of the nurse anesthetists of communication are that communication among health care staff has a significant importance to be able to perform in the best of safe patient care. The nurse anesthetist experienced that communication among health care staff could approve in some of the emergency situations by for example exercise good communication structures.

Thesis (M.S.)--University of Wisconsin--Madison, 1987. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 61-65).

Thesis (M.S.)--University of Wisconsin--Madison, 1983. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 121-127).

Class of 2007 Abstract / Objectives: To evaluate the impact of decentralized clinical staff pharmacists (CSPs) on nursing staff in a university- affiliated teaching hospital. Areas of interest include perceived quality of patient care, job satisfaction and nursing job retention. Methods: CSP impact was evaluated using a print-based survey utilizing outcomes items and a four-point Likert-type scale with response options ranging from “Agree” to “Disagree.” Nurses also answered demographic questions about experience, time at the institution, education leve and frequency of interaction with a CSP. Analysis of the data included use of descriptive statistics as well as use of Kendall’s tau-b to evaluate differences between groups based frequency of CSP interaction. Results: Respondents included 122 nurses at University Medical Center (UMC) in Tucson, Arizona in positions supported by a CSP during the summer of 2006. Nurses overwhelmingly selected “Agree” or “Somewhat Agree” for all 12 statements about the CSPs indicating that they found their interaction with CSPs valuable. Nurses who interacted more frequently with CSPs were more likely to “Agree” or “Somewhat agree that CSPs were valuable members of the hospital (p=.049), one reason they remained at UMC (p=.007), helpful with medication questions (p=.008) and improved job satisfaction (p=.013), made their job easier (p=<.001) as well as more enjoyable (p=.027)