Hui Zhu1, Liu Yang2*
1Department of Nursing, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200040, China - 2Department of Oncology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200040, China
Objective: To observe the improvement value of the special surgical SBAR standardized shift shift guidelines for shift-related adverse events and shift quality during the special surgical SBAR bedside shift process.
Methods: Our hospital in July 2018 based on image visual strengthening SBAR bedside shift mode, convenient sampling survey method collection before implementation (January 2018 to June 2018, control patients), after implementation (July 2018 to January 2019, patients), the control group using routine SBAR bedside shift mode, the experimental group using the special surgery SBAR standardized shift guidelines, compare nursing staff shift related adverse events, shift quality control score, clinical nursing staff adverse event perception scale.
Results: The incidence of patient shift-related adverse events in the post-implementation observation group was 4.29% (3 / 70) lower than in the pre-implementation control group (P <0.05).All dimensions of quality control score were higher than before implementation (P<0.05); the bedside shift time after implementation was lower than before implementati. Patient nursing risk, system process risk and total score were higher than before implementation (P <0.05).
Conclusion: The SBAR can help reduce the risk of adverse events related to special surgery shift, improve the quality of shift, and improve the perception of nursing adverse events.
Picture visual reinforcement, SBAR bedside shift mode, Special demand ward, nursing.