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Speak-up culture in an intensive care unit in Hong Kong: a cross-sectional survey exploring the communication openness perceptions of Chinese doctors and nurses.
Ng, George Wing Yiu; Pun, Jack Kwok Hung; So, Eric Hang Kwong; Chiu, Wendy Wai Hang; Leung, Avis Siu Ha; Stone, Yuk Han; Lam, Chung Ling; Lai, Sarah Pui Wa; Leung, Rowlina Pui Wah; Luk, Hing Wah; Leung, Anne Kit Hung; Au Yeung, Kin Wah; Lai, Kang Yiu; Slade, Diana; Chan, Engle Angela.
Afiliação
  • Ng GWY; Intensive Care Unit, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Pun JKH; Multi-disciplinary Simulation and Skills Centre, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • So EHK; School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
  • Chiu WWH; The Institute for Communication in Healthcare, ANU, Canberra, Australia.
  • Leung ASH; Department of Education, St Antony's College, University of Oxford, Oxfordshire, Oxford, UK.
  • Stone YH; Multi-disciplinary Simulation and Skills Centre, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Lam CL; Multi-disciplinary Simulation and Skills Centre, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Lai SPW; Multi-disciplinary Simulation and Skills Centre, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Leung RPW; Multi-disciplinary Simulation and Skills Centre, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Luk HW; Intensive Care Unit, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Leung AKH; Intensive Care Unit, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Au Yeung KW; Intensive Care Unit, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Lai KY; Intensive Care Unit, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Slade D; Intensive Care Unit, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
  • Chan EA; Intensive Care Unit, Queen Elizabeth Hospital, Hospital Authority, Hong Kong SAR, China.
BMJ Open ; 7(8): e015721, 2017 Aug 11.
Article em En | MEDLINE | ID: mdl-28801406
ABSTRACT

OBJECTIVES:

Despite growing recognition of the importance of speaking up to protect patient safety in critical care, little research has been performed in this area in an intensive care unit (ICU) context. This study explored the communication openness perceptions of Chinese doctors and nurses and identified their perceptions of issues in ICU communication, their reasons for speaking up and the possible factors and strategies involved in promoting the practice of speaking up.

DESIGN:

A mixed-methods design with quantitative and sequential qualitative components was used. SETTING AND

PARTICIPANTS:

Eighty ICU staff members from a large public hospital in Hong Kong completed a questionnaire regarding their perceptions of communication openness. Ten clinicians whose survey responses indicated support for open communication were then interviewed about their speak-up practices.

RESULTS:

The participating ICU staff members had similar perceptions of their openness to communication. However, the doctors responded more positively than the nurses to many aspects of communication openness. The two groups also had different perceptions of speaking up. The interviewed ICU staff members who indicated a high level of communication openness reported that their primary reasons for speaking up were to seek and clarify information, which was achieved by asking questions. Other factors perceived to influence the motivation to speak up included seniority, relationships and familiarity with patient cases.

CONCLUSIONS:

Creating an atmosphere of safety and equality in which team members feel confident in expressing their personal views without fear of reprisal or embarrassment is necessary to encourage ICU staff members, regardless of their position, to speak up. Because harmony and saving face is valued in Chinese culture, training nurses and doctors to speak up by focusing on human factors and values rather than simply addressing conflict management is desirable in this context.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cultura Organizacional / Atitude do Pessoal de Saúde / Comunicação / Comunicação Interdisciplinar / Segurança do Paciente Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: BMJ Open Ano de publicação: 2017 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cultura Organizacional / Atitude do Pessoal de Saúde / Comunicação / Comunicação Interdisciplinar / Segurança do Paciente Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: BMJ Open Ano de publicação: 2017 Tipo de documento: Article País de afiliação: China