[基于长期护理医院护士SBAR的阶段性移交协议的开发和有效性:非等效的对照组前后测试设计]
概括
使用情况,背景,评估,建议 (SBAR) 的逐步移交协议显著改善了长期护理护士的沟通和移交质量. 这种结构化的方法提高了护士的工作效率和患者护理过渡.
科学领域:
- 护理 护理 护理
- 医疗保健通讯 医疗保健通讯
- 提高质量 提高质量
背景情况:
- 在长期护理机构中,有效的患者移交至关重要.
- 目前的移交方法可能缺乏标准化,可能会影响通信和患者安全.
- 护士需要结构化的协议来确保全面的信息传输.
研究的目的:
- 为长期护理护士制定和评估一个逐步的移交协议.
- 评估协议对沟通自我效能,清晰度和交付质量的影响.
- 通过系统的患者转移,提高护理工作的效率.
主要方法:
- 采用了不等价的对照组前后测试设计.
- 实验组中有23名护士,对照组中有23名护士.
- 用描述性统计数据,独立的t测试和重复测量ANOVA分析了数据.
主要成果:
- 基于SBAR的协议显著提高了通信的自我有效性 (p=.005) 和清晰度 (p=.003).
- 对于沟通清晰度 (p=.039),观察到群体和时间之间显著的积极相互作用效应.
- 在实验组中,交换质量显著改善 (p=.001),具有显著的相互作用效应 (p=.042).
结论:
- 阶段性移交协议有效地提高了长期护理中患者移交的沟通和质量.
- 预计实施这种基于SBAR的协议将提高护士的工作效率.
- 系统地实施该协议可以改善护理的整体转移过程.
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