目的:探讨基于SBAR (情境–背景–评估–建议)质量改进方案在产科床边交接班中的应用效果,提高交接班质量和患者满意度。方法:选取2023年4月至2024年9月在我院产科分娩的产妇共240例,分为对照组(120例)和试验组(120例)。对照组实施常规...目的:探讨基于SBAR (情境–背景–评估–建议)质量改进方案在产科床边交接班中的应用效果,提高交接班质量和患者满意度。方法:选取2023年4月至2024年9月在我院产科分娩的产妇共240例,分为对照组(120例)和试验组(120例)。对照组实施常规交接班方式,试验组采用基于SBAR的改进方案。观察指标包括护士交接班评分表得分、交接班不合格率、护士满意度量表得分及患者满意度量表得分,统计学分析采用独立样本t检验和卡方检验。结果:干预后试验组护士交接班评分显著高于对照组(94.87 ± 2.34 vs. 81.45 ± 3.67, t = 26.32, P χ² = 15.87, P Objective: To explore the application effect of SBAR (context-context-assessment-recommendation) quality improvement plan in bedside shift handover in obstetrics, and improve shift handover quality and patient satisfaction. Methods: A total of 240 pregnant women who delivered in our hospital from April 2023 to September 2024 were selected and divided into control group (120 cases) and experimental group (120 cases). The control group implemented a routine shift handover method, while the experimental group adopted an improvement plan based on SBAR. Observation indicators included the scores of the nurse handover scoring scale, the unqualified rate of handover, the scores of the nurse satisfaction scale and the scores of the patient satisfaction scale. Independent sample t-test and chi-square test were used for statistical analysis. Result: After intervention, the handover score of nurses in the experimental group was significantly higher than that in the control group (94.87 ± 2.34 vs. 81.45 ± 3.67, t = 26.32, P χ² = 15.87, P < 0.001). The scores of nurse satisfaction scale (79.56 ± 4.12 vs. 64.89 ± 5.14, t = 20.45, P < 0.001) and patient satisfaction scale (81.32 ± 3.76 vs. 66.43 ± 5.31, t = 21.56, P < 0.001) were significantly improved. Conclusion: The SBAR-based quality improvement plan can effectively improve the quality and satisfaction of bedside handover in obstetrics, and has clinical promotion value.展开更多
目的 探究标准化现状(situation,S)、背景(background,B)、评估(assessment,A)、建议(recommendation,R)交班模式对精神科患者交接班质量的影响。方法 选取2023年9月—2024年2月龙岩市第三医院精神科4个同质化病区的护士59名,根据病区...目的 探究标准化现状(situation,S)、背景(background,B)、评估(assessment,A)、建议(recommendation,R)交班模式对精神科患者交接班质量的影响。方法 选取2023年9月—2024年2月龙岩市第三医院精神科4个同质化病区的护士59名,根据病区分为试验组(精神一科、精神四科)和对照组(精神二科、精神六科),同期病区护士试验组30名,对照组29名。对照组采用常规交接班管理模式,试验组采用标准化SBAR交班模式管理。比较2组护士干预前、后的中文版护士交接班评估量表(nursing assessment of shift report,NASR)、中文版批判性思维能力倾向测试量表(critical thinking disposition inventory-Chinese version,CTDI-CV)、中文版患者床边交接班满意度问卷(patient views on nursing care with the implementation of bedside report,PVNC-BR)评分、护士临床能力考核表,记录2组交班时长及干预6个月后的总不良交接事件发生率。结果 干预后,试验组护士的交接班时长为(27.26±3.09)min,对照组为(34.53±4.72)min,试验组短于对照组,差异有统计学意义(P<0.05);试验组护士干预后的NASR、CTDICV、PVNC-BR量表、护士临床能力考核表的各项得分均高于对照组,差异有统计学意义(P<0.05);试验组干预后交接不良事件总发生率为10.00%,对照组为30.00%,试验组低于对照组,差异有统计学意义(P<0.05)。结论 采用标准化SBAR交班模式管理有助于精神科护士提高交接班质量,确保临床护理安全。展开更多
文摘目的:探讨基于SBAR (情境–背景–评估–建议)质量改进方案在产科床边交接班中的应用效果,提高交接班质量和患者满意度。方法:选取2023年4月至2024年9月在我院产科分娩的产妇共240例,分为对照组(120例)和试验组(120例)。对照组实施常规交接班方式,试验组采用基于SBAR的改进方案。观察指标包括护士交接班评分表得分、交接班不合格率、护士满意度量表得分及患者满意度量表得分,统计学分析采用独立样本t检验和卡方检验。结果:干预后试验组护士交接班评分显著高于对照组(94.87 ± 2.34 vs. 81.45 ± 3.67, t = 26.32, P χ² = 15.87, P Objective: To explore the application effect of SBAR (context-context-assessment-recommendation) quality improvement plan in bedside shift handover in obstetrics, and improve shift handover quality and patient satisfaction. Methods: A total of 240 pregnant women who delivered in our hospital from April 2023 to September 2024 were selected and divided into control group (120 cases) and experimental group (120 cases). The control group implemented a routine shift handover method, while the experimental group adopted an improvement plan based on SBAR. Observation indicators included the scores of the nurse handover scoring scale, the unqualified rate of handover, the scores of the nurse satisfaction scale and the scores of the patient satisfaction scale. Independent sample t-test and chi-square test were used for statistical analysis. Result: After intervention, the handover score of nurses in the experimental group was significantly higher than that in the control group (94.87 ± 2.34 vs. 81.45 ± 3.67, t = 26.32, P χ² = 15.87, P < 0.001). The scores of nurse satisfaction scale (79.56 ± 4.12 vs. 64.89 ± 5.14, t = 20.45, P < 0.001) and patient satisfaction scale (81.32 ± 3.76 vs. 66.43 ± 5.31, t = 21.56, P < 0.001) were significantly improved. Conclusion: The SBAR-based quality improvement plan can effectively improve the quality and satisfaction of bedside handover in obstetrics, and has clinical promotion value.
文摘目的 探究标准化现状(situation,S)、背景(background,B)、评估(assessment,A)、建议(recommendation,R)交班模式对精神科患者交接班质量的影响。方法 选取2023年9月—2024年2月龙岩市第三医院精神科4个同质化病区的护士59名,根据病区分为试验组(精神一科、精神四科)和对照组(精神二科、精神六科),同期病区护士试验组30名,对照组29名。对照组采用常规交接班管理模式,试验组采用标准化SBAR交班模式管理。比较2组护士干预前、后的中文版护士交接班评估量表(nursing assessment of shift report,NASR)、中文版批判性思维能力倾向测试量表(critical thinking disposition inventory-Chinese version,CTDI-CV)、中文版患者床边交接班满意度问卷(patient views on nursing care with the implementation of bedside report,PVNC-BR)评分、护士临床能力考核表,记录2组交班时长及干预6个月后的总不良交接事件发生率。结果 干预后,试验组护士的交接班时长为(27.26±3.09)min,对照组为(34.53±4.72)min,试验组短于对照组,差异有统计学意义(P<0.05);试验组护士干预后的NASR、CTDICV、PVNC-BR量表、护士临床能力考核表的各项得分均高于对照组,差异有统计学意义(P<0.05);试验组干预后交接不良事件总发生率为10.00%,对照组为30.00%,试验组低于对照组,差异有统计学意义(P<0.05)。结论 采用标准化SBAR交班模式管理有助于精神科护士提高交接班质量,确保临床护理安全。
