Narkossjuksköterskors upplevelse och erfarenhet av kommunikation mellan vårdpersonal i en akut situation : en intervjustudie

Sammanfattning: 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.