Groves Patricia S, Manges Kirstin A, Scott-Cawiezell Jill
The University of Iowa, Iowa City, USA
The University of Iowa, Iowa City, USA Iowa City VA Healthcare System, IA, USA.
Clin Nurs Res. 2016 Oct;25(5):473-93. doi: 10.1177/1054773816630535. Epub 2016 Feb 8.
The study purpose was to describe how bedside nurses can use nursing bedside shift report (NBSR) to keep patients safe. NBSR has been recommended as a means of increasing patient safety, but little is known about how or whether it does so. Grounded theory methods were used. Data were collected from 2014 to 2015 with bedside nurses in a pediatric unit with an established NBSR process. The primary process by which bedside nurses use NBSR to keep patients safe is reducing risk of harm through conveying the patient story from shift to shift. Having a perspective from the bedside is a key antecedent to reducing risk of harm, as it supports the nurses' ability to subsequently identify and address risks. Although often seen as a routine exchange of information, how nursing shift report is conducted can impact patient safety. The study reinforces the value of targeting nursing communication to improve patient safety.
本研究的目的是描述床边护士如何利用护理床边交接班报告（NBSR）来保障患者安全。NBSR已被推荐为提高患者安全的一种手段，但对于它如何做到这一点或是否能做到这一点，人们却知之甚少。本研究采用了扎根理论方法。2014年至2015年期间，研究人员在一个已建立NBSR流程的儿科病房收集了床边护士的数据。床边护士利用NBSR保障患者安全的主要过程是通过逐班传递患者情况来降低伤害风险。从床边视角出发是降低伤害风险的关键前提，因为它有助于护士后续识别和应对风险。尽管护理交接班报告通常被视为常规的信息交流，但报告的实施方式会影响患者安全。该研究强化了以护理沟通为目标以提高患者安全的价值。
