Emergency Department, Wuhan Third Hospital, Wuhan 430061, China.
J Healthc Eng. 2022 Mar 2;2022:8475322. doi: 10.1155/2022/8475322. eCollection 2022.
The objective is to explore the mind map communication mode used in the emergency department combined with the SBAR standard to reduce the occurrence of handover defects and adverse events. 180 cases of emergency treatment and patient observation from January to June 2021 were selected and studied. According to the time of admission, the selected patients were divided into observation group and control group (90 cases). The control group adopts the traditional handover mode, and the observation group thinks. The map is combined with the SBAR standard communication mode to handover; compared; and observed the two groups of nurse's handover quality scores, handover problems and adverse events, handover defects, mastery of the patient's condition and understanding of critical illness, and nursing satisfaction. The quality scores of nurses in the control group were significantly higher than those in the observation group; the incidence of adverse events in the observation group was 8.9%, and the incidence of handover problems was 2.2%, which was significantly lower than that of the control group. The mastery score of the observation group was significantly higher than that of the control group; the nursing satisfaction of the observation group was 90% significantly higher than that of the control group. The handover defect rate of 56.7% in the control group was significantly higher than that in the observation group. The nurses in the observation group had a 98.9% understanding of the critically ill patients' condition than in the control group. All the above items are statistically significant, < 0.05. The combined communication mode of SBAR standard and mind map used in the emergency department can improve the quality of handover, reduce adverse events and handover problems, clear patient conditions, higher patient satisfaction, and lower handover defect rate, and nurses' critically ill patients have a higher understanding of the condition, and this communication method is worthy of clinical promotion.
探讨急诊科思维导图沟通模式联合 SBAR 标准对降低交接班缺陷及不良事件发生的影响。选取 2021 年 1-6 月急诊科收治的 180 例治疗及留观患者为研究对象，按照入院时间分为观察组和对照组各 90 例。对照组采用传统交接班模式，观察组采用思维导图联合 SBAR 标准沟通模式进行交接班；对比观察两组护士交接班质量评分、交接班问题及不良事件发生情况、交接班缺陷、对患者病情掌握程度及对危急重症的理解、护理满意度。对照组护士交接班质量评分显著高于观察组；观察组不良事件发生率为 8.9%，交接班问题发生率为 2.2%，均显著低于对照组；观察组对患者病情掌握评分显著高于对照组；观察组护理满意度为 90%，显著高于对照组。对照组交接班缺陷率为 56.7%，显著高于观察组；观察组护士对危急重症患者病情的理解率为 98.9%，显著高于对照组。上述各项均差异有统计学意义， < 0.05。结论：急诊科中采用 SBAR 标准联合思维导图的沟通模式可提高交接班质量，降低不良事件及交接班问题发生率，使患者病情更加清晰，患者满意度更高，交接班缺陷率更低，且护士对危急重症患者病情的理解率更高，这种沟通方式值得临床推广。
