Construction of a standardized ISBAR handover sheet based on multidisciplinary cooperation for post-CABG patientsand its initial application
Objective To compile the"ISBAR standardized handover form based on multidisciplinary cooperation for patients after coronary artery bypass grafting(CABG)surgery"and explore its clinical application effect.Methods The Delphi method was used to conduct 2 rounds of expert consultation with 20 multidisciplinary experts,and the"ISBAR standardized handover form based on multidisciplinary cooperation for patients after CABGsurgery"was fi-nallyformed,and was initially applied to clinical practice.Patients transferred to ICU after CABG surgery in Hefei BOE Hospital from January to December 2022 were selected as the study objects,and divided into the control group(from January to June 2022)and the observation group(from July to December 2022)according to the time se-quence,so as to evaluate the impact of the handover form on the handover quality and the satisfaction of the recipi-ents.Results The recovery rate of 2 rounds of expert inquiry questionnaires was 100%,and the expert authority co-efficient was(0.881±0.041);After the second round of inquiry,5 first-level indicators,57 second-level indica-tors,133 third-level indicators,and 9 fourth-level indicators were ultimately formed.The consuming time filling in the standardized handover sheetin the control group was(11.18±1.49)min,and that in the observation group was(11.91±1.90)min,and the difference was statistically significant(P<0.05).The handover situation and han-dover satisfaction of the observation group were higher than those of the control group,with statistically significant differences(P<0.001).Conclusion This study has preliminarily constructed the"ISBAR standardized handover form for postoperative CABG patients based on multidisciplinary cooperation",which can improve the satisfaction and quality of handover personnel and is worthy of clinical promotion and application.
multidisciplinaryISBAR communication modecoronary artery bypass graftingpatient handoverdelphi methodnursing