Design and application of index cards for the duty shift of ICU nurses based on SBAR communication model
10.3760/cma.j.issn.1674-2907.2016.34.034
- VernacularTitle:基于SBAR沟通模式的ICU护士交接班索引卡的设计及应用
- Author:
Guoqin REN
1
;
Ping YU
;
Lihua YI
Author Information
1. 214002 南京医科大学附属无锡第二医院护理部
- Keywords:
Intensive care unit(ICU);
Index cards for the duty shift of nurses;
SBAR communication model
- From:
Chinese Journal of Modern Nursing
2016;22(34):5015-5017
- CountryChina
- Language:Chinese
-
Abstract:
Objective To design an index card based on SBAR communication model for the shift changes of intensive care unit ( ICU) nurses and increase the effective communication between nurses and the quality of shift changes, and ensure the safety of patients. Methods According to the standard SBAR communication mode, we designed the index cards for ICU nursing shift handover and applied it to the process of nursing shift from May 2015. Nurses′mastery of the patient′s condition, the quality of shift, and the proportion of adverse events caused by poor communication were compared before( May 2014 to April 2015) and after( May 2015 to April 2016) the use of index cards. Results A total of 383 cases of patients used index cards, the nurses′mastery degree of the patient′s illness condition increased from (86.62±5.23) to (91.68±4.71), and the quality of shift improved from (90.89±3.35) to (94.44±2.66) (t=5.57,5.58;P<0.05). Nursing adverse events due to poor communication was significantly decreased, and the incidence rate of pressure scores decreased from 3.17% to 1.04% (χ2=4.17,P<0.05) . Conclusions The index cards for the duty shift of ICU nurses based on the SBAR communication model helps to promote the effective communication among ICU nurses. It improves the quality of shift and guarantees the patient safety.