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Open Access The Efforts of Critical Care Nurses to Pass Along Knowledge About Patients Les efforts de transmission de l'information sur les patients chez les infirmières en soins intensifs

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Abstract:

The purpose of this descriptive, interpretive study was to explore and describe the work of critical care nurses in sharing and discussing their knowledge about patients with other members of the health-care team. Three questions were examined: Which aspects of their understanding of patients do nurses pass along? How is knowledge passed along? To what ends is knowledge passed along? Data collection took place in 2 intensive care units in a tertiary care hospital and involved observation of 10 nurses followed by interviews. Nurses "filled out the picture" for others by passing along knowledge about the patient's status, patient responses over time, interventions that had been beneficial, and the patient as a person. This aspect of nurses' work was facilitated by proximity to both patients and other team members and the inclusion of nurses in multidisciplinary rounds. The results have implications for staffing patterns, the layout of hospital units, the structure of rounds, and nursing education.

French
Cette étude descriptive et interprétative avait pour but d'explorer les moyens que prennent les infirmières en soins intensifs pour transmettre de l'information sur leurs patients aux autres membres de l'équipe soignante et en discuter. Trois questions ont été traitées : Quelle est la nature des éléments d'information transmis? De quelle façon communique-t-on ces données? À quelles fins les transmet-on? La collecte des données s'est effectuée dans un hôpital de soins tertiaires, au sein de deux services de soins intensifs, auprès de dix infirmières que l'on a observées, puis interviewées. Pour « tracer le portrait » d'un patient, les infirmières transmettent de l'information sur son état, ses réactions au fil du temps, les interventions qui lui ont été bénéfiques et sa personne. Cet aspect du travail des infirmières est facilité par leur proximité tant avec les clients qu'avec les autres membres de l'équipe, ainsi que par leur participation aux rencontres multidisciplinaires. Les résultats de l'étude comportent des implications pour l'organisation du personnel, l'aménagement des services, la structure des rencontres et l'enseignement infirmier.

Keywords: COMMUNICATION; CRITICAL CARE NURSING; KNOWING THE PATIENT; PROXIMITY

Document Type: Research Article

Publication date: March 1, 2007

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