Chen Yu, Chen Hung-Yi, Jong Gwo-Ping
Department of Ophthalmology, Zhongshan Hospital Xiamen University, Xiamen, China.
Department of Pharmacy, China Medical University and China Medical University Beigang Hospital, Yunlin County, Taiwan.
Saudi J Med Med Sci. 2022 May-Aug;10(2):146-150. doi: 10.4103/sjmms.sjmms_602_21. Epub 2022 Apr 28.
Implementation of the Situation-Background-Assessment-Recommendation (SBAR) communication technique has been shown to increase nurse-physician communication and collaboration. However, data regarding its implementation in ophthalmology settings are limited.
The purpose of this study was to evaluate the impact of implementing SBAR on nurse-physician communication and on the safety and satisfaction of patients undergoing cataract surgery.
This cross-sectional study was conducted in the Ophthalmology Department of Zhongshan Hospital, Xiamen University, Xiamen, China, from April 2016 to December 2018. SBAR was implemented through a 1-h course that was repeated every 2 months for 2 years. All nurses and physicians completed the Physician-Nurse Communication Satisfaction Questionnaire before SBAR implementation and 1- and 2-year post-implementation. In addition, all patients who underwent cataract surgery during the defined pre-implementation and 1- and 2-year post-implementation periods were invited to complete a patient satisfaction questionnaire.
In total, 10 nurses and 6 physicians completed all three pre- and post-implementation surveys. In addition, 1215 patients undergoing cataract surgery participated: 358 in the pre-implementation phase, 425 in the 1-year post-implementation, and 432 in the 2-year post-implementation. Physician-nurse communication significantly improved in both 1- and 2-year post-implementation periods compared with the pre-implementation phase ( < 0.01). In addition, there was a significant increase in patient satisfaction scores ( < 0.01) and a decrease in medical complaints and malpractices ( < 0.01) between the pre- and post-implementation phases.
SBAR is a useful tool for enhancing nurse-physician communication and for improving the safety and satisfaction of patients undergoing cataract surgery.
情景 - 背景 - 评估 - 建议（SBAR）沟通技术的实施已被证明可增进护士与医生之间的沟通与协作。然而，关于其在眼科环境中实施的数据有限。
本研究的目的是评估实施SBAR对护士与医生沟通以及白内障手术患者安全性和满意度的影响。
本横断面研究于2016年4月至2018年12月在中国厦门厦门大学附属中山医院眼科进行。通过为期1小时的课程实施SBAR，该课程每2个月重复一次，持续2年。所有护士和医生在实施SBAR前以及实施后1年和2年完成了医护沟通满意度问卷。此外，邀请了在规定的实施前、实施后1年和2年期间接受白内障手术的所有患者完成患者满意度问卷。
共有10名护士和6名医生完成了所有三次实施前和实施后的调查。此外，1215例接受白内障手术的患者参与其中：实施前阶段358例，实施后1年425例，实施后2年432例。与实施前阶段相比，实施后1年和2年期间医护沟通均有显著改善（<0.01）。此外，实施前和实施后阶段之间患者满意度得分显著提高（<0.01），医疗投诉和医疗纠纷减少（<0.01）。
SBAR是增强护士与医生沟通以及提高白内障手术患者安全性和满意度的有用工具。
