在一般和精神病护理中实施口头和电子交付,使用介绍,情况,背景,评估和建议框架:系统性审查
1Departments of Psychiatry and Mental Health, International Centre for Healthcare and Medical Education, London, United Kingdom.
Iranian journal of nursing and midwifery research
|February 9, 2024
概括
使用介绍,情况,背景,评估和建议 (ISBAR) 框架的结构化患者交接改善了护士的沟通和患者安全. 电子患者记录进一步提高了交付效率和护理质量.
科学领域:
- 护理 护理 护理
- 医疗保健通讯 医疗保健通讯
- 患者安全 患者安全
背景情况:
- 患者交接对于护士之间传递信息和问责至关重要.
- 介绍,情况,背景,评估和建议 (ISBAR) 框架被广泛用于移交.
- 不完整的移交可能会导致患者不良事件.
研究的目的:
- 审查当代关于患者移交的文献,重点关注ISBAR框架.
- 使用ISBAR. 用于从电子患者记录 (EPR) 中提取当前实践.
- 评估ISBAR对沟通和患者护理的影响.
主要方法:
- 55篇科学论文的系统审查.
- 包括关于ISBAR转让的政策文件和专业组织指南.
- 专注于结构化研究,分析交付结果.
主要成果:
- 伊斯巴尔框架增强了专业间的沟通和信心.
- ISBAR提高了临床信息传输的质量.
- 通过ISBAR的实施,患者的安全性和护理质量得到了提高.
结论:
- 使用ISBAR的结构化患者移交与服务改进建议保持一致.
- 护士们发现ISBAR是一种结构化,快速和高效的信息传输方法.
- 与ISBAR一起使用电子患者记录进一步提高了交付效率.
相关概念视频
01:29SBAR I: Understanding the Concept
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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
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01:14SBAR II: Application of SBAR
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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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01:25Types of Reports I: Hands-off Report
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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
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Purpose and Process:
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01:26Types of Reports III: Telephone and Verbal Reports
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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
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01:26Guidelines for Nursing Documentation II
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Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
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01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
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A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
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