探讨护理换班审核对急诊科患者安全的影响。

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-02-01 DOI:10.1016/j.ienj.2024.101551

Sina Kazemi , Saeed Hashemi , Ali Rahmani , Hossein Mahmoudi

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引用次数: 0

摘要

导读：护理是复杂和关键的，强调标准化的沟通方法传达健康信息的重要性。不同班次的护士在换班时交换治疗细节和患者信息。利用SBAR方法进行轮班交接，护士可以确保接班护士对患者的病情有全面的了解。进行轮班变更审核可以将当前轮班实践与标准协议进行比较，从而能够识别和解决任何问题。在换班期间实施有针对性的报告战略有助于应对挑战并提高卫生信息传递的有效性。目的：研究德黑兰某医院急诊科审计护理班次变化对患者安全的影响。方法：本研究为半实验研究，在干预前后选取方便样本35名护士和70名患者。该研究于2023年至2024年在德黑兰一家医院的急诊科进行。首先，使用问卷对护士轮班工作、患者安全和护士满意度进行评估。然后将现状与SBAR检查表进行比较，并为护士制定了SBAR培训计划。干预措施包括关于在换班期间使用SBAR方法的理论培训课程和提供培训录象。在完成教育干预后，对材料进行审查，解决问题，并使用SBAR检查表评估护士的轮班变化，同时完成患者安全问卷。结果：研究发现，干预后患者的SBAR评分（49.49分）较干预前（21.31分）显著提高(P)。结论：实施基于SBAR方法的有针对性、综合性的轮班工作方法，有助于解决护理轮班交付中的挑战，改善护理流程，提高患者安全。

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Investigating the impact of nursing shift change audit on the safety of emergency department patients

Introduction

Nursing care is complex and critical, emphasizing the importance of standardized communication methods for conveying health information. Nurses working different shifts exchange treatment details and patient information during shift handover. By utilizing the SBAR method for shift handover, nurses can ensure that the receiving nurse has a comprehensive understanding of the patient’s condition. Conducting shift change audits allows for comparison of the current shift practices with standard protocols, enabling the identification and resolution of any issues. Implementing targeted reporting strategies during shift changes can help address challenges and improve the effectiveness of health information transfer.

Objective

The study was conducted to investigate the impact of auditing nursing shift changes on patient safety in the emergency department of a hospital in Tehran.

Methods

The present study is a semi-experimental study conducted on 35 nurses and 70 patients in a convenience sample before and after the intervention. The study took place in the emergency department of a hospital in Tehran during 2023–2024. Initially, nurses’ shift work, patient safety, and nurses’ satisfaction were assessed using a questionnaire. The current situation was then compared with the SBAR checklist, and an SBAR training program was developed for nurses. Interventions included theoretical training sessions on using the SBAR method during shift changes and the presentation of a training video. After completing the educational interventions, the materials were reviewed, problems were addressed, and nurses’ shift changes were evaluated using the SBAR checklist, along with completion of a patient safety questionnaire.

Results

The study found that the SBAR score significantly increased after the intervention (49.49) compared to before (21.31) (P < 0.05). Additionally, patient safety scores significantly improved after the intervention (P < 0.05).

Conclusion

Implementing a targeted and integrated approach to shift work based on the SBAR method can help address challenges in nursing shift delivery, improve the nursing care process, and enhance patient safety.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.