BACKGROUND: This study investigates clinicians' views of clinician- @entity1 and clinician-clinician communication, including key factors that prevent clinicians from achieving successful communication in a large, high-pressured trilingual @entity341 ( @entity341 ) in Hong Kong. METHODS: Researchers interviewed 28 doctors and nurses in the @entity341 . The research employed a qualitative ethnographic approach. The interviews were audio-recorded, transcribed, translated into English and coded using the Nvivo software. The researchers examined issues in both clinician- @entity1 and clinician-clinician communication. Through thematic analyses, they identified the factors that impede communication most significantly, as well as the relationship between these factors. This research highlights the significant communication issues and patterns in Hong Kong @entity26144 . RESULTS: The clinician interviews revealed that communication in @entity26144 is complex, nuanced and fragile. The data revealed three types of communication issues: (1) the experiential parameter (i.e. processes and procedures), (2) the interpersonal parameter (i.e. clinicians' engagements with @entity1 and other clinicians) and (3) contextual factors (i.e. time pressures, etc.). Within each of these areas, the specific problems were the following: compromises in knowledge transfer at key points of transition (e.g. triage, handover), inconsistencies in medical record keeping, serious pressures on clinicians (e.g. poor clinician- @entity1 ratio and long working hours for clinicians) and a lack of focus on interpersonal skills. CONCLUSIONS: These communication problems (experiential, interpersonal and contextual) are intertwined, creating a complex yet weak communication structure that compromises @entity1 safety, as well as @entity1 and clinician satisfaction. The researchers argue that hospitals should develop and implement best-practice policies and educational programmes for clinicians that focus on the following: (1) understanding the primary causes of communication problems in @entity26144 , (2) accepting the tenets and practices of @entity1 -centred care, (3) establishing clear and consistent knowledge transfer procedures and (4) lowering the @entity1 -to-clinician ratio in order to create the conditions that foster successful communication. The research provides a model for future research on the relationship between communication and the quality and safety of the @entity1 safety.

Factors affecting communication in emergency departments: doctors and nurses' perceptions of communication in a trilingual XXXX in Hong Kong.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity341 :: ('MESH:D004630', 'Disease') :: ['ED', 'Emergency Department'] @entity26144 :: ('MESH:C564542', 'Disease') :: ['EDs']
@entity341 :: (MESH:D004630,Disease) :: ['ED']
