SBAR标准沟通模式在新生儿重症监护室床头交接班中的应用

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中文摘要：目的观察现状-背景-评估-建议(situation background assessment recommendation，SBAR)标准沟通模式在新生儿重症监护室床头交接班中的应用效果。方法福建省泉州市第一医院新生儿重症监护室于 2023 年 1 月起开始实施SBAR标准沟通模式床头交接班，将 2022 年 7-12 月实施传统床头交接班模式的 48 例患儿及同期 20 名护理人员作为对照组，将 2023 年 2-7 月实施SBAR标准沟通模式床头交接班的 48 例患儿及同期 20 名护理人员作为观察组。对比 2 组平均交接班时间、交接缺陷率，分析 2 组护理人员交接班质量[使用交接班评估量表(nursing assessment of shift report，NASR)评估]，统计 2 组不良事件发生率，对比 2 组护理人员自我效能情况[使用一般自我效能感量表(general self-efficacy scale，GSES)和中文版批判性思维能力测量表(Chinese version of critical thinking disposition Inventory，CTDI-CV)评估]。结果观察组平均交接班时间为(7。02±1。69)min，短于对照组的(12。35±1。74)min，观察组交接缺陷率为 2。50%，低于对照组的 16。25%(P＜0。05);观察组NASR各维度评分高于对照组(P＜0。05);观察组GSES、CTDI-CV评分高于对照组(P＜0。05)。结论 SBAR标准沟通模式可以提高新生儿重症监护室床头交接班效率及质量，增强护理人员交接班水平，减少不良事件发生，培养护理人员自我效能及批判性思维能力。

外文标题：Application of SBAR Standard Communication Mode in Bedside Handover in Neonatal Intensive Care Unit

外文摘要：Objective To observe the application effect of the standard communication mode of situation background assessment recommendation(SBAR)in bedside handover in neonatal intensive care unit.Methods The neonatal intensive care unit of Quanzhou First Hospital,Fujian began to implement the SBAR standard communication mode bedside handover from January 2023,and a total of 48 children and 20 nursing staff who implemented the traditional bedside handover mode from July to December 2022 were selected as the control group.A total of 48 children and 20 nurses who implemented SBAR standard communication mode bedside handover from February to July 2023 were selected as the observation group.The average shift time and handover defect rate of the two groups were compared,the shift quality of nursing staff in the two groups was analyzed[assessed by nursing assessment of shift report(NASR)],and the incidence of adverse events in the two groups were analyzed.The self-efficacy of the 2 groups of nurses were compared[using the general self-efficacy scale(GSES)and the Chinese version of critical thinking disposition inventory(CTDI-CV)].Results The average transition time of the observation group was(7.02±1.69)min,which was shorter than(12.35±1.74)min of the control group.The handover defect rate of the observation group was 2.50%,lower than 16.25%of the control group(P<0.05).The scores of NASR in the observation group were higher than those in the control group(P<0.05).The scores of GSES and CTDI-CV in the observation group was higher than in the control group(P<0.05).Conclusion The SBAR communication model can improve the efficiency and quality of bedside handover in neonatal intensive care units,enhance the level of nursing staff's shift handover,reduce the occurrence of adverse events,cultivate nursing staff's self-efficacy and critical thinking ability.

外文关键词：

SBAR standard communication modenewbornsintensive care unitbedside handoverhandover defectNASR

作者：

林雅玲、苏鹏珍

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作者单位：

福建省泉州市第一医院新生儿科,福建泉州 362000

关键词：

SBAR标准沟通模式新生儿重症监护室床头交接班交接缺陷 NASR

出版年：

2024

DOI：