VARDİYALAR ARASINDA HEMŞİRELERİN SBARR TEKNİĞİ İLE HASTA TESLİMLERİNİN İNCELENMESİ: BİR NİTEL DURUM ANALİZİ

Öz

Bu çalışmanın amacı; yönetici hemşirelerin vardiyalar arası hasta teslimi için ve iletişimi yapılandırmak için kullanılan SBARR (Situation -Durum, Background- Arka Plan, Assessment- Değerlendirme, Recommendation -Tavsiye, Read Back or Response Geri verilen Cevap) tekniği ile ilgili uygulamalarının ve düşüncelerinin belirlenmesidir. Tanımlayıcı tipte ve kesitsel olarak uygulanan çalışmanın evrenini 15 Mart – 15 Haziran 2025 tarihleri Türkiye’nin Güneydoğu Anadolu Bölgesi’nde bulunan bir özel hastanenin yataklı servislerinde çalışan 20 sorumlu hemşire oluşturmuştur. Teslimlerde SBARR tekniği kullanılmaktadır. Örnekleme, çalışmaya gönüllü olarak katılmayı kabul eden tüm sorumlu hemşireler dahil edilmiştir. Veriler, literatür doğrultusunda hazırlanan “SBARRTekniği ile Hasta Teslimlerinin İncelenmesi “ne yönelik odak grup görüşmesi yapılmıştır. Görüşmelerden elde edilen nitel verilerin analizinde, içerik analizi yöntemi kullanılarak temalar oluşturulmuştur. Çalışmaya katılan hemşirelerin yaş ortalamaları 25-45 arası olup %80’ı kadın, %25 nin lisans mezunu olduğu belirlenmiştir. Hastanede 07:30-19:30 ve 19:30-07:30 şeklinde iki vardiya bulunmaktadır. Hasta tesliminin en fazla oranda “Yatak başında – Sözlü” %100 olarak yapıldığı, %100 kaydedildiği, %100 oranında kayıt için SBARR tekniğinin kullanıldığı bildirilmiştir. Hemşirelerin neredeyse tamamının hasta tesliminin önemli olduğunu düşündüğü ve pozitif hasta güvenliği kültürüne sahip oldukları söylenebilir. Bunun yanında teslim için standart bir form olarak SBARR kullanılması gerekliliği nedeniyle sorumlu hemşirelerin görüşmelerinden; ‘’ Hasta güvenliği açısından bilgilerin kayıtlı ve ulaşılabilir olması, Eğitici rolü, Ekip arkadaşları ile iletişimi güçlendirmesi, Hızlı ve sıralı teslim vermeye katkı sağlaması’’ temaları elde edilmiştir.

Anahtar Kelimeler

• SBARR
• Hemşirelik
• Teslim

EXAMINING NURSES’ PATIENT HANDOVERS BETWEEN SHIFTS USING THE SBAR TECHNIQUE: A QUALITATIVE CASE ANALYSIS

Öz

The purpose of this study is to determine the practices and opinions of nurse managers regarding the SBARR (Situation, Background, Assessment, Recommendation, Read Back or Response) technique, which is used for intershift patient handovers and to structure communication. The population of this descriptive, cross-sectional study consisted of 20 charge nurses working in the inpatient wards of a private hospital in the Southeastern Anatolia Region of Turkey between March 15 and June 15, 2025. The SBARR technique is used in handovers. The sample included all charge nurses who volunteered to participate in the study. Data were collected through focus group interviews based on the literature review, "Examination of Patient Handovers Using the SBARR Technique." Content analysis was used to create themes in the analysis of the qualitative data obtained from the interviews. The average age of the participating nurses was between 25 and 45, and 80% were female and 25% had a bachelor's degree. The hospital has two shifts: 7:30-7:30 PM and 7:30-7:30 PM. It has been reported that patient handovers are mostly performed verbally at the bedside, 100% recorded, and the SBARR technique is used for 100% of the time. It can be said that almost all nurses believe patient handover is important and have a positive patient safety culture. Furthermore, due to the necessity of using SBARR as a standard handover form, the following themes emerged from the interviews with the responsible nurses: "Recording and accessing information for patient safety, Educating role, Strengthening communication with teammates, Contributing to rapid and orderly handover."

Anahtar Kelimeler

• SBARR
• Nursing
• Handover

Kaynakça

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