SBAR标准沟通模式在提升妇产科护理实习生晨交班能力中的应用

Application of SBAR standard communication mode in improving morning shift handover ability of nursing interns in gynecology and obstetrics

目的探讨SBAR[现状(situation)、背景(background)、评估(assessment)、建议(recommendation)]标准沟通模式在妇产科护理实习生晨交班能力培养中的应用效果,为提高实习护士晨交班能力提供参考依据。方法选取2018年在首都医科大学宣武医院临床实习的护理高职学生30人为观察组,2017年临床实习的护理高职学生31人为对照组。对照组按照传统的带教方式进行交班能力培养,观察组则在传统带教基础上应用SBAR标准沟通模式进行晨交班能力培养。1个月的教学结束后,采用首都医科大学宣武医院制定的《护理晨交班考核评价标准》作为评价指标,观察SBAR模式在提高妇产科实习护生晨交班能力中的有效性。采用独立样本t检验比较两组护生晨交班得分情况。结果观察组护生集体交班总均分较高且差异有统计学意义(P<0.05),其中交接班环境、内容完整、流程合理、时间控制合理方面得分较高且差异有统计学意义(P<0.05),重点突出、体现专科特色、语言流畅方面得分差异无统计学意义(P >0.05);观察组床旁交接能力总均分高于对照组且差异有统计学意义(P<0.05),其中交接班环境、内容完整、重点突出、体现专科特色、流程合理、物品准备、人文关怀方面得分均高于对照组且差异有统计学意义(P<0.05)。结论 SBAR模式可提高妇产科护理实习生的床旁及集体交接班能力,护理管理者可使用SBAR模式进行护生的晨交班能力培养。

Objective To explore the application effect of SBAR(situation,background,assessment and recommendation)standard communication mode in the training of morning shift handover ability of nursing interns in gynecology and obstetrics,so as to provide reference for improving the ability of morning shift handover of nursing interns.Methods This study included in 30 nursing interns in Xuanwu Hospital in 2018 who were selected as the observation group,and 31 nursing interns in 2017 who were selected as the control group.The control group was trained in the traditional way of teaching,while the observation group was trained with SBAR standard communication mode on the basis of traditional teaching.After one month's teaching,the evaluation standard of nursing morning shift handover formulated by our hospital was used as the evaluation index to observe the effectiveness of SBAR mode in improving the morning shift handover ability of nursing interns in obstetrics and gynecology.The scores of morning shift handover of the nursing interns in two groups were compared by independent sample t test.Results The total average score of nursing interns in the observation group was higher than that of the control group,with statistical significance(P<0.05).Among them,the scores of shift handover environment,complete content,reasonable process and reasonable time control were higher and the difference was statistically significant(P<0.05),but there was no significant difference in the scores of emphasis,specialty characteristics and language fluency(P>0.05).The total average score of bedside handover ability in the observation group was significantly higher than that in the control group,with significant difference(P<0.05).The scores of shift handover environment,complete content,outlining key points,reflecting specialty characteristics,reasonable process,material preparation and humanistic care were higher than those of the control group,with statistical significance(P<0.05).Conclusion SBAR mode can improve the bedside and collective shift handover ability of obstetrics and gynecology nursing interns,and nursing managers can use SBAR mode to cultivate nursing interns'ability of morning shift handover.