补偿式服务在危重患者护理交接班中的运用

Application of Supplementary Service in Nursing Shift of Critical Patients

目的:探讨补尝式服务(ISBAR)标准化沟通模式在危重患者护理交接班中运用的效果。方法:以ISBAR内涵为核心,利用循证医学理念,通过查询文献、筛查有效证据、设计ISBAR标准化沟通模板,收集使用前后医护人员对ISBAR标准化沟通模式的评价、危重患者对护士床旁交接班满意度调查、护士晨交接班涉及内容完整性。结果:医护人员对ISBAR标准化沟通模式的评价、危重患者满意度、交班内容完整性及不良事件发生率具有统计学意义(P<0.05)。结论:ISBAR标准化沟通模式不仅能明显提高医生及患者对护士交接班的满意度,还能有效改善交接班的完整性及降低护理服务不良事件的发生率。

Objective： To study the the effects of applying ISBAR standardized communication model of supplementary service in the nursing shift of critical patients. Methods： Quaried the literature,screened valid evidence and designed ISBAR standardized communication model by taking the connotation of ISBAR as the core and using the concept of evidence-based medicine. Collected the evaluation of the medical staff using ISBAR standard communication model before and after,the investigation on critical patients＇ satisfaction on nurses＇ bedside shift,and the content integrity of nurses ＇ morning shift. Result： There were statistically significant difference in the evaluation on the ISBAR standard communication model,critical patients ＇ satisfaction,the content integrity of nurses＇ shift,and incidences of adverse events（ P〈0.05）. Conclusions： ISBAR standard communication model can significantly improve the satisfaction of doctors and patients on the nurses＇ shift and the shift integrity as well. Meanwhile,it can reduce the adverse events in nursing.