对比SBAR方法和修改过的交付模型对交付质量和护士在急诊室的感知:一个准实验性研究
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Atefeh Alizadeh-Risani1, Fatemeh Mohammadkhah2, Ali Pourhabib2
1Student Research Committee, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
BMC nursing
|August 24, 2024
概括
与急诊部的SBAR方法相比,修改后的护理交接模型显著改善了信息传输,共享理解和整体质量. 这种增强的模型提高了护士的认知,并为更安全的患者护理做出了贡献.
科学领域:
- 护理科学 护理科学
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
背景情况:
- 有效的护理轮班交换对于急诊室 (ED) 的患者安全至关重要.
- 现有的移交模型,如SBAR (情况,背景,评估,建议),通常与错误有关,包括责任转移的不确定性和患者保密问题.
- 建议使用书面表格和床边交付来提高可靠性.
研究的目的:
- 为了比较情况,背景,评估,建议 (SBAR) 方法与修改过的交付模型的有效性.
- 评估对交付质量和护士在ED环境中的看法的影响.
主要方法:
- 一项采用人口普查调查方法的半实验性研究.
- 使用护士对汉诺威问卷 (NPHQ) 的感知和汉诺威质量评估工具 (HQRT) 收集的数据.
- 31名ED护士接受了修改模型的培训,并在一个月内实施了该模型;使用对联t测试和ANCOVA分析的数据.
主要成果:
- 与SBAR相比,修改后的交付模型在信息传输,共享理解,工作氛围,交付质量和护士认知方面显示了统计学上显著的改进 (P < 0.001).
- 在这两种方法中,人口变量与交付质量或感知都没有显著的相关性 (P > 0.05).
结论:
- 修改后的移交模型可以作为护理管理人员的宝贵指南,以提高EDs的护理质量.
- 通过明确的沟通和支持,克服初始的护士抵抗是实施的关键.
- 建议在其他医院部门进行进一步的研究,以验证这些发现.
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