目的 分析SBAR标准化沟通模式在重症监护病房(intensive care unit，ICU)护理交接班中的应用效果。方法 福建中医药大学附属人民医院ICU护理单元从2023年8月开始应用SBAR标准化沟通模式，以2023年3—7月收治的103例患者作为实施前，2023年8—12月收治的114例患者作为实施后，护理交接班工作均由22名护理人员完成。比较SBAR标准化沟通模式实施前后床旁交接班时间、中文版护士交接班评估量表(nursing assessment of shift report，NASR)、不良事件发生率、中文版评判性思维态度倾向性调查表(critical thinking disposition inventory-Chinese version，CTDI-CV)评分。结果 实施后床旁交接班时间为(8。2±2。3)min，短于实施前的(11。3±2。8)min，差异有统计学意义(P<0。05)。护理人员CTDI-CV评分为(294。5±68。7)分，高于实施前的(231。2±50。8)分，且具备正性评判性思维倾向护理人员的占比高于实施前，差异有统计学意义(P<0。05)。实施后NASR交接班效率、患者安全护理、交接班协作与责任、提供患者需要信息评分分别为(8。0±1。3)分、(8。5±1。1)分、(20。4±2。9)分、(23。9±3。6)分，高于实施前的(5。8±1。7)分、(6。7±1。3)分、(15。3±3。7)分、(19。2±4。4)分，差异有统计学意义(P<0。05)。SBAR标准化沟通模式实施后不良事件总发生率为9。6％，低于实施前的22。3％，差异有统计学意义(P<0。05)。结论 SBAR标准化沟通模式可提升ICU护理交接班工作效率与质量，减少不良事件，增强护理人员评判性思维。
The Application of SBAR Standardized Communication Mode in Nursing Shift Handover in Intensive Care Unit
Objective To analyze the application effect of SBAR standardized communication mode in nursing shift handover in intensive care unit (ICU). Methods The ICU nursing unit of the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine began to apply the SBAR standardized communication mode from August 2023,a total of 103 patients admitted from March to July 2023 as before implementation,and a total of 114 patients admitted from August to December 2023 as after implementation,and the nursing shift handover work was completed by 22 nurses. The bedside shift time,nursing assessment of shift report (NASR),incidence of adverse events and critical thinking disposition inventory-Chinese version (CTDI-CV) score were compared before and after implementation of SBAR standardized communication mode. Results The bedside shift time after implementation was (8.2±2.3) min,which was shorter than (11.3±2.8) min before implementation,with statistically significant difference (P<0.05). The CTDI-CV score of nursing staff was (294.5±68.7) points,higher than (231.2±50.8) points before implementation,and the proportion of nursing staff with positive evaluation thinking tendency was higher than that before implementation,the differences were statistically significant (P<0.05). After implementation,the scores of NASR handover efficiency,patient safety care,shift coordination and responsibility,and providing patient needs information were (8.0±1.3) points,(8.5±1.1) points,(20.4±2.9) points,and (23.9±3.6) points,respectively,which was higher than (5.8±1.7) points,(6.7±1.3) points,(15.3±3.7) points and (19.2±4.4) points before implementation,with statistically significant difference (P<0.05). The overall incidence of adverse events after implementation of SBAR standardized communication mode was 9.6％,which was lower than 22.3％ before implementation,the difference was statistically significant (P<0.05). Conclusion SBAR standardized communication mode can improve the efficiency and quality of ICU nursing shift handover,reduce adverse events,and enhance the critical thinking of nursing staff.
standardized communication modeintensive care unitnursingshift handoveradverse eventscritical thinking
万方数据
维普
