General phenomenon and communication experience of physician and nurse in night shift communication: A qualitative study

Abstract

CorrespondenceFengying Kang, Resident standardized training central, The First Abstract Aim: This paper explored the general phenomenon and psychological experience of the special background communication in night shift medical staff and provides better reference for night shift communication between doctors and nurses.Background: Physician-nurse communication has always been an important agenda for health care work and an important concept in nursing theory. During night shifts, effective doctor and nurse communication can enhance mutual trust, provide timely and appropriate medical services to patients, reduce adverse events and enhance patient safety.Design: A qualitative study was conducted. Methods:Husserl's descriptive phenomenology method and semi-structured indepth interviews were used to collect data from 8 nurses and 5 doctors. Colaizzi's method was used to analyse data using MAXQDA 12. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed (see Appendix S1). Results: Three themes were extracted after sorting out and refining: the need to achieve goals in night-time physician-nurse communication; obstacles in night-time physician-nurse communication; and relationship culture in night-time physiciannurse communication. Conclusion: Attention should be paid to the particularity of night shift and efficiency of achieving the goal of communication between doctors and nurses on night shift, and the hidden obstacles behind communication between doctors and nurses. Managers should pay attention to the cultural construction of night shift communication in the system, form a good night shift communication process and regularly train doctors' and nurses' related communication skills. And they should also study relationship culture rationally to improve the communication efficiency of night shift. Implications for nursing management: The experiences described in this study contribute to a better understanding of obstacles hidden behind night shift physician-nurse communication. This also provides valuable information to professional managers who develop good doctor-nurse relationship culture. K E Y W O R D S communication, night shift, phenomenology, physician-nurse, qualitative study Night shift physician-nurse communication has the characteristics of special time and complicated patient situation. It should emphasize the efficiency of the ultimate goal, target patients' safety and solve their problems timely and appropriately. Foreign literature reports (Young et al., 2012) that the introduction of new night nurses and physician paging systems to reduce the number of non-emergency scenarios could further improve the night communication performance of nurses and doctors as well as ensure patient safety. The study found that the communication process (pre-judgment-handling-communication-solution), communication timing (finding timing, reducing non-emergency calls and focusing on problem-focused reporting) and communication content (doctor-related, disease changes and special sit...

Examining the views of operating room nurses and physicians on the relationship between professional values and professional communication

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“…All used a qualitative methodology; specifically, 19 used qualitative descriptive,39-41,44,46,48-50,53,54,57,59-62,66,69-71 10 were phenomenology,38,42,43,45,47,52,55,56,58,63 two were ethnography,51,65 one was narrative,64 one was participatory action research,67 and one was mixed methods inclusive of a qualitative component, which allowed extraction of data relevant to this review 68. Studies used semi-structured in-person or telephone interviews,38-42,44,46,49-51,54-60,63-66,69-71 interviews with open-ended question,45,47,53 focus groups and interviews,43,62 focus groups,48,61,67 open-ended survey questions with electronic or pen and paper responses,68 and written statements 52. For one paper that used a semi-structured interview,64 data findings were extracted from the published paper while illustrations were extracted from supplementary data provided by the authors 72.…”

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