PhD, RN, Assistant Professor, Department of Nursing, Cheongju University, Cheongju, Republic of Korea.
PhD, RN, Research Professor, College of Nursing, Korea University, Seoul, Republic of Korea.
J Nurs Res. 2021 Apr 9;29(3):e151. doi: 10.1097/jnr.0000000000000428.
Improved methods of communication are needed among professionals in related fields to address the increasing complexity of clinical situations and various levels of functioning experienced by older adults who live in nursing homes.
The purpose of this study was to explore function-focused clinical communication among nurses and providers based on the Situation, Background, Assessment, Recommendation (SBAR) approach toward interdisciplinary collaboration to maintain function among nursing home residents and to identify the characteristics of SBAR flows in nursing homes.
Detailed interviews with 28 interdisciplinary professionals working in four nursing homes were conducted. Directed qualitative content analysis was used to identify the internal attributes of SBAR-based communication. Case analysis was conducted to identify SBAR flows.
Four themes emerged as key factors for function-focused interdisciplinary staff communication in nursing homes. Effective nursing care to maintain function among nursing home residents requires accurate awareness of abnormal circumstances. Knowledge of assessment and resident background are needed to address situations requiring intervention and identify the problems underlying a resident's current state. The optimal therapeutic environment is created by sharing roles and tasks among practitioners through referrals.Twelve generalized situations requiring function-focused communication (i.e., dislocation of body line because of joint contracture, change in walking, difficulty of moving because of pain, difficulty in eating, fever, change in sleep pattern, change in excretion pattern, change in weight, change in condition, change in problematic behavior, decrease in cognitive function, and change in relationships) and the related nurse-centered SBAR pathways were identified.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: These results represent a first prototype for developing practical communication guidelines for nursing-home-specific function-focused care and provide new insights into the interdisciplinary approach.
需要改进相关领域专业人员之间的沟通方式，以应对护理院中老年人日益复杂的临床情况和不同功能水平。
本研究旨在探讨基于情景-背景-评估-建议（SBAR）方法的护士和医务人员的以功能为中心的临床沟通，以实现护理院居民的功能维护，并确定护理院中 SBAR 流程的特征。
对 4 家养老院的 28 名跨学科专业人员进行了详细访谈。采用定向定性内容分析法识别基于 SBAR 的沟通的内在属性。进行案例分析以确定 SBAR 流程。
四个主题成为养老院以功能为中心的跨学科员工沟通的关键因素。为了维持护理院居民的护理功能，需要准确了解异常情况。需要了解评估和居民背景，以解决需要干预的情况，并确定居民当前状态的根本问题。通过转介，从业者之间共享角色和任务，创造最佳的治疗环境。需要以功能为中心进行沟通的 12 种一般情况（即，由于关节挛缩导致身体线条错位、行走改变、疼痛导致移动困难、进食困难、发热、睡眠模式改变、排泄模式改变、体重改变、病情改变、行为问题改变、认知功能下降和人际关系改变）以及相关的以护士为中心的 SBAR 路径被确定。
结论/对实践的影响：这些结果代表了为护理院特定功能护理制定实用沟通指南的初步原型，并为跨学科方法提供了新的见解。
