在息治疗中使用"情况-背景-评估-建议"方法来提高交付质量和护理实践:混合方法研究
Floriana Pinto1, Pasquale Roberto1, Lucrezia Ferrario2
1ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Journal of clinical nursing
|November 11, 2024
概括
情况 - 背景 - 评估 - 建议 (SBAR) 方法改善了息护理的转移,减少了错误,并加强了患者需求的识别. 这项研究强调了在宿舍环境中结构化沟通工具的价值.
科学领域:
- 抚慰性护理护理 抚慰性护理护理
- 医疗保健通讯 医疗保健通讯
- 患者安全 患者安全
背景情况:
- 有效的交接沟通对于医疗保健中的患者安全至关重要.
- 像SBAR这样的标准化工具可以减少错误并改善护理协调.
- 在本研究之前,SBAR在息护理环境中的影响仍未得到充分研究.
研究的目的:
- 评估情境背景评估建议 (SBAR) 方法在息护理环境中的有效性.
- 评估SBAR对护理成果的影响,包括药物错误,不良事件和确定患者需求.
- 探索护士在SBAR实施后对交付过程的看法.
主要方法:
- 采用了遵循GRAMMS指南的混合方法研究.
- 使用德尔菲方法开发了一份针对息护理的SBAR指南.
- 在实施之前和之后收集了150名护士交换的数据,并通过定性调查补充了这些数据.
主要成果:
- 该SBAR指南显著提高了交付质量,从而减少了药物错误和消除了不良事件.
- 实施后,患者的心理和精神需求的识别有所增加.
- 护士报告说,在传递期间,信息的清晰度,准确性和完整性有所改善.
结论:
- 这项研究提供了SBAR在息护理中的移交的首次评估.
- 这些发现表明,实施SBAR等结构化沟通工具具有显著的附加值.
- 实施SBAR对息治疗环境中的患者安全和护理质量产生了积极的影响.
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