Application of SBAR communication mode in hand-over of pediatric emergency children
10.3760/cma.j.issn.1674-2907.2018.14.028
- VernacularTitle:SBAR沟通模式在儿科急诊患儿转运交接中的应用
- Author:
Qunfeng LU
1
;
Hua DU
;
Jianping ZHANG
;
Youwei LI
Author Information
1. 200062,上海市儿童医院急诊科
- Keywords:
Hospital;
pediatric;
SBAR communication mode;
Emergency;
Hand-over
- From:
Chinese Journal of Modern Nursing
2018;24(14):1715-1718
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effects of SBAR (situation-background-assessmedicine-recommendation) communication in patient hand-over from pediatric emergency ward. Methods SBAR communication mode has been applied in hand-over in the Emergency Department of Children's Hospital of Shanghai from November 2016. The incidence of nursing adverse events, writing error or omission rate of nursing documents and medical staff's satisfaction were compared between before and after intervention, which were from September to October 2016 and from November to December 2016. Results After the implementation of SBAR, the incidence of nursing adverse events was 4.9%, the writing error or omission rate of nursing documents was 3.1%, which were all lower than those of the control group, and the differences were statistically significant (χ2=9.141,10.794;P<0.01). After the implementation, the satisfaction rates on the comprehesiveness, language rationality and the focus of the disease were 95.0%, 97.5% and 95.0%, which were all higher than those of the control group, and the differences were statistically significant (χ2=8.029, 12.131, 4.675; P< 0.05). Conclusions After the SBAR communication mode being applied in patient hand-off in Pediatric Emergency Department, adverse events due to poor communication decreased; nursing documents became more normative; and the satisfaction rate of medical staff involved in hand-over increased. It is therefore worthy of further improving and making wider use of this type of communication.