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  • 标题:医療現場におけるリスク共有コミュニケーション: 看護師を中心とした対話データの収集と分析
  • 本地全文:下载
  • 作者:南部 美砂子 ; 原田 悦子 ; 須藤 智
  • 期刊名称:認知科学
  • 印刷版ISSN:1341-7924
  • 电子版ISSN:1881-5995
  • 出版年度:2006
  • 卷号:13
  • 期号:1
  • 页码:62-79
  • DOI:10.11225/jcss.13.62
  • 出版社:Japanese Cognitive Science Society
  • 摘要:

    This study reports the characteristics of communication between a nurse and surrounding persons, especially patients and other nurses, in medical wards. The 21 nurses were equipped with IC recorders during time studies of nursing workloads, and all of their conversations were recorded and transcribed. Discourse analyses focused on dialogue for sharing risk information in medical treatments. Several cases showed that ambiguous or inadequate utterances frequently emerged in dialogue among nurses, which showed some potentiality of serious errors in medical care or communication. In other hands, some cases showed effective risk sharing, with open questions which facilitated mutual risk cognition and constructed a new context of dialogue for risk management. These results suggests that risk sharing communication, as problem solving based on collaborative cognition, could be one key concept for medical safety.

  • 关键词:リスク共有コミュニケーション; リスク認知; 認知的協働; コミュニケーションエラー; 看護タスクの縦の糸・横の糸モデル
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