Nursing Management
Application of SBAR shift mode in patients with severe respiratory diseases
Zhang Meimei, Li Yan, Zhou Qifang, Jin Ju, Wang Dongmei, Lu Yanhua
Published 2023-01-08
Cite as Int J Nurs, 2023, 42(1): 1-4. DOI: 10.3760/cma.j.cn221370-20200706-00001
Abstract
ObjectiveTo explore the application of SBAR shift mode in patients with severe respiratory diseases.
MethodsFrom February to August 2019, 106 patients with severe respiratory illness were treated in the respiratory department of Shengze Branch of Jiangsu Provincial People's Hospital.SBAR mode was adopted to improve the handover of nursing work in this department.The quality of the nursing work before and after the improvement (basic nursing, disease observation, specialized nursing, health education), the quality of the handover, the occurrence of unclear handover, the satisfaction of patients and their families, and the nurses' understanding of patients' conditions were compared from February 1 to 28, 2019 (before the improvement) and August 4 to 31, 2019 (after the improvement).
ResultsThere was no significant difference in the scores of basic nursing and health education before and after the improvement(P>0.05). However, the scores of disease observation, risk prevention and total score evaluation after improvement were significantly higher than those before improvement, with statistically significant difference (P<0.05). After the improvement, the scores of nurses in all fields of the Chinese version of the Nurse Assessment of Shift Report (NASR) were significantly higher than before, except for promoting patient participation, and the scores in other fields and total scores were significantly higher, with statistical significance (P<0.05). After the improvement, the nursing staff's diagnosis results, disease progression, abnormal laboratory results, treatment plan, nursing focus score of patients were significantly higher than before the improvement, and the differences were statistically significant(P<0.05). Before the improvement, the defect rate of bedside shift of nurses was 21.8%, and the awareness rate of shift content was 80.1%. After the improvement, the bedside shift defect rate of nursing staff was 8.03%, the awareness rate of shift content was 95.9%. The defect rate of shift was significantly decreased, and the awareness rate of shift content was significantly increased, and the differences were statistically significant(P<0.05).
ConclusionsSBAR shift mode can improve nurses' understanding of patients, improve work efficiency and nursing quality.
Key words:
SBAR; Shift; Respiratory severe patients; Quality of care
Contributor Information
Zhang Meimei
Nanma Health Center, Shengze Town, Wujiang District, Suzhou City, 215226, China
Li Yan
Department of Respiratory Medicine, Shengze Branch of Jiangsu Provincial People's Hospital, Suzhou 215228, China
Zhou Qifang
Department of Respiratory Medicine, Shengze Branch of Jiangsu Provincial People's Hospital, Suzhou 215228, China
Jin Ju
Department of Respiratory Medicine, Shengze Branch of Jiangsu Provincial People's Hospital, Suzhou 215228, China
Wang Dongmei
Department of Respiratory Medicine, Shengze Branch of Jiangsu Provincial People's Hospital, Suzhou 215228, China
Lu Yanhua
Department of Respiratory Medicine, Shengze Branch of Jiangsu Provincial People's Hospital, Suzhou 215228, China
