The effect of using the SBAR model on nurses’ perceptions of change-of-shift patient handoffs

Öz

Aim: The purpose of study is to evaluate the effect of using the SBAR communication model on nurses’ perception of change-of-shift handoffs in an intensive care unit. Methods: Our study was conducted as quasi-experimental research with nurses working at the Pediatric Intensive Care Unit over the period October 2022-January 2023. The research data were collected as pre-test and post-test with a data collection form including “Participant Introductory Information”, “Handover Evaluation Scale”, and the effect of the information conveyed about the patient on the quality of care in patient handovers by nurses. After the data collection form was applied to the participants as a pre-test before the training, was given to the nurses to provide information about the SBAR handover form. This SBAR handover form was used in shift handovers for three months and the post-test was applied at the end of the process. Results: The mean scores of the nurses working in pediatric intensive care unit from the Patient Handover Evaluation Scale and the quality of information sub-dimension of this scale showed statistically significant increase after using the SBAR handover model. It was also found that the effect of the information given during handover on the quality of patient care increased statistically significant with the use of the SBAR handover model. Conclusion: It can be said that nurses working in pediatric intensive care have changed their perceptions of handover positively and the quality of the knowledge provided has increased with the use of the SBAR delivery model in shift handover.

Anahtar Kelimeler

• Patient handoff
• patient safety
• SBAR

The effect of using the SBAR model on nurses’ perceptions of change-of-shift patient handoffs

Abstract

Aim: The purpose of study is to evaluate the effect of using the SBAR communication model on nurses’ perception of change-of-shift handoffs in an intensive care unit. Methods: Our study was conducted as quasi-experimental research with nurses working at the Pediatric Intensive Care Unit over the period October 2022-January 2023. The research data were collected as pre-test and post-test with a data collection form including “Participant Introductory Information”, “Handover Evaluation Scale”, and the effect of the information conveyed about the patient on the quality of care in patient handovers by nurses. After the data collection form was applied to the participants as a pre-test before the training, was given to the nurses to provide information about the SBAR handover form. This SBAR handover form was used in shift handovers for three months and the post-test was applied at the end of the process. Results: The mean scores of the nurses working in pediatric intensive care unit from the Patient Handover Evaluation Scale and the quality of information sub-dimension of this scale showed statistically significant increase after using the SBAR handover model. It was also found that the effect of the information given during handover on the quality of patient care increased statistically significant with the use of the SBAR handover model. Conclusion: It can be said that nurses working in pediatric intensive care have changed their perceptions of handover positively and the quality of the knowledge provided has increased with the use of the SBAR delivery model in shift handover. Keywords: Patient handoff, patient safety, SBAR Nöbet Tesliminde SBAR Modeli Kullanmanın Hemşirelerin Hasta Teslimine İlişkin Algılarına Etkisi ÖZ Amaç: Bu çalışmanın amacı, çocuk yoğun bakım ünitesinde SBAR yöntemiyle yapılan nöbet tesliminin hemşirelerin hasta teslimine ilişkin algılarına etkisini değerlendirmektir. Yöntem: Çalışmamız, Ekim 2022 - Ocak 2023 tarihleri arasında Pediatrik Yoğun Bakım Ünitesi’nde görev yapan hemşirelerle yarı deneysel bir araştırma olarak yürütülmüştür. Araştırma verileri, “Katılımcı Tanıtıcı Bilgi Formu”, “Devir Teslim Değerlendirme Ölçeği” ve hemşirelerin devir teslim sırasında hasta hakkında aktardıkları bilgilerin bakım kalitesine etkisini içeren veri toplama formu ile ön test ve son test şeklinde toplanmıştır. Veri toplama formu, eğitim öncesinde hemşirelere ön test olarak uygulanmış, ardından hemşirelere SBAR devir teslim formu hakkında bilgilendirme yapılmıştır. SBAR devir teslim formu, üç ay boyunca vardiya değişimlerinde kullanılmış ve sürecin sonunda son test uygulanmıştır. Bulgular: Pediatrik yoğun bakım ünitesinde çalışan hemşirelerin, SBAR devir teslim modelini kullandıktan sonra Devir Teslim Değerlendirme Ölçeği ve bu ölçeğin Bilgi Kalitesi alt boyutundan aldıkları puanlarda istatistiksel olarak anlamlı bir artış gözlemlenmiştir. Ayrıca, devir teslim sırasında verilen bilgilerin hasta bakım kalitesine etkisinin de SBAR modeli kullanımıyla birlikte istatistiksel olarak anlamlı düzeyde arttığı bulunmuştur. Sonuç: Pediatrik yoğun bakımda görev yapan hemşirelerin devir teslim süreçlerine yönelik algılarının SBAR iletişim modeli ile olumlu yönde değiştiği ve aktarılan bilgi kalitesinin arttığı söylenebilir. Anahtar Kelimeler: Hasta güvenliği, hasta teslimi, SBAR

Keywords

• Patient handoff
• patient safety
• SBAR

Kaynakça

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