摘要
目的探讨"现状-背景-评估-建议"(SBAR)沟通方式在外科重症监护室(简称SICU)护士床旁交接班中的应用。方法 2012年4～9月科室采用SBAR沟通方式,制订并实施"SICU床旁交接班检查表",规范外科重症监护室护士床旁交接班过程。结果 SBAR沟通方式实施前,共检查321例机械通气患者,交接班缺陷55项;实施后检查317例机械通气患者,交接班缺陷19项,两组比较,差异有统计学意义(=19.305,P<0.01)。交接班耗时缩短近4min,护士对护理工作的满意度明显提高,差异有统计学意义(P<0.01)。结论运用SBAR沟通方式后,规范了护士床旁交接流程,提高了护理工作效率、临床思维能力和沟通能力,同时也提高了护士的满意度。
Objective To apply the SBAR communication technique to bedside shift handoff in SICU. Methods In the period from April to September, 2012, the SBAR communication technique and the SICU handoff checklist were applied to standardize the handoff procedure in SICU. Results Before the application, ：55 faults were observed in the handoffs of 321 mechanic ventilation patients; while after the application, only 19 faults were observed in the handoffs of 317 patients. There was a sharp decrease in the number of faults observed （χ2 = 19. 305, P 〈 0. 01 ）. The average time of handoff was shortened by nearly 4 min. Nurses were more satisfied with their work （ P 〈 0.01 ）. Conclusion The application of SBAR communication technique standardized the patient handoff procedure in SICU, improved nurses＇ work efficiency, communication ability and satisfaction.
出处
《四川医学》
CAS
2013年第4期607-609,共3页
Sichuan Medical Journal
关键词
重症监护病房
床旁交接班
信息交流
intensive care units
bedside shift handoff
communication
