改善精神科住院护理人员的交接班工作。
Improving the practice of handover for psychiatric inpatient nursing staff.
作者信息
Abela-Dimech Frances, Vuksic Olga
机构信息
Centre for Addiction and Mental Health, Toronto, ON, Canada; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto.
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto; Advanced Practice Nurse, Centre for Addiction and Mental Health, Toronto, ON, Canada.
出版信息
Arch Psychiatr Nurs. 2018 Oct;32(5):729-736. doi: 10.1016/j.apnu.2018.04.004. Epub 2018 Apr 27.
AIM
The aim of this project was to embed SBAR as a communication framework into inpatient point of care nurses handover practices on 27 inpatient psychiatric units, and to ensure that the information given/received provided staff with the confidence to provide safe patient care.
METHODS
A plan-do-study-act quality improvement framework was used to improve the adoption of SBAR in practice. Resources were developed that were relevant to the psychiatric setting; staff were educated, audits and a survey were completed.
RESULTS
The use of SBAR in practice increased from 4% pre intervention to 79% post intervention. Satisfaction with the information received during handover increased from 34% to 41%.
CONCLUSION
Findings of this project demonstrate that the standardization of handover practices and the implementation of a consistent communication framework across the organization can improve the effectiveness of shift handover, increase staff satisfaction, and improve safety of both staff and patients.
目的
本项目的目的是将SBAR作为一种沟通框架嵌入27个住院精神科病房的住院护理床边交接班实践中，并确保所提供/接收的信息能让工作人员有信心提供安全的患者护理。
方法
采用计划-实施-研究-改进质量改进框架来提高SBAR在实践中的应用。开发了与精神科环境相关的资源；对工作人员进行了培训，完成了审计和一项调查。
结果
SBAR在实践中的使用从干预前的4%增加到干预后的79%。对交接班期间收到的信息的满意度从34%提高到41%。
结论
本项目的结果表明，交接班实践的标准化以及在整个组织中实施一致的沟通框架可以提高交接班的有效性，提高工作人员的满意度，并改善工作人员和患者的安全。
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