改进式SBAR床旁交班模式在EICU的应用

摘要

Objective:To explore the application effect of improved standardized communication mode (SBAR) bedside shift mode in emergency intensive care unit (EICU).Methods:The current group was from May to July 2015 month to implement the traditional handover mode;the improved group was from August to October 2016 month to implement the improved SBAR bedside shift mode.The SBAR report form of bedside nursing shift was established,and the degree of bedside shift of nurses in EICU was standardized.To compare the handover errors between the two groups after the intervention and improve the score of the nurses' shift a essment scale before and after the intervention.Results:The number of errors and omissions after intervention in the improved group was significantly less than that in the current group(P ＜ 0.05).After improvement,the nurses' monitoring,cooperation and responsibility scores were improved in nurse handover assessment scale(P ＜ 0.05).Conclusion:The use of improved SBAR bedside shift mode not only regulated the bedside handover process,ensured the overall accuracy of handover information,enhanced the cooperation and monitoring behaviors of nurses team,and helped positioning responsibility,which was worthy of long-term promotion.At the same time,continuous monitoring and quality improvement were needed to promote the sustainable improvement of the quality of nurse's bedside handover.%目的:探讨改进式标准化沟通模式(SBAR)床旁交班模式在急诊重症监护病房(emergency intensive careunit,EICU)中的应用效果.方法:2015年5～7月为现况组,实施传统交接班模式;2016年8～10月为改进组,实施改进式SBAR床旁交班模式,制定护护床旁交班SBAR报告表,规范EICU护士床旁交接班程度.比较两组干预后交班错漏情况及改进前后护士交接班评估量表评分情况.结果:改进组干预后交班错漏情况明显少于现况组(P＜0.05),改进后护士交接班评估量表中增进护士监控、合作、责任的评分高于改进前(P＜0.05).结论:运用改进式SBAR床旁交班模式后不仅规范了床旁交接流程,保证交接班信息的全面准确性,并且增进了护士行为监控和团队合作,帮助定位责任,值得长期推广,同时,也需要进行持续的监控与质量改进以促进护士床旁交接班质量的可持续性提高.