摘要
目的探讨标准化沟通模式(SBAR沟通模式)在介入科病房的应用效果。方法在介入专科病房实施SBAR沟通模式,经过医师护士共同讨论,修订专科疾病常见症状SBAR沟通模板,对全体护士实施培训、考核、运用和评价。对比科室因医护沟通不良所致的医疗不良事件、患者对医护团队专业能力的认可度和医师对护士的满意度,与实施标准化沟通模式前的调查结果进行比较。结果实施SBAR沟通模式后,患者对医护团队专业能力的认可度、医师对护士的满意度均明显提高,差异有统计学意义(P<0.05);科室因医护沟通不良所致的医疗不良事件明显减少,差异有统计学意义(P<0.05)。结论在介入科病房实施SBAR沟通模式,能显著提高患者对医护团队专业能力的认可度和医师对护士的满意度,降低医护沟通不良所致医疗不良事件,保障了患者的安全,促进了医护和谐团队的建立。
Objective To evaluate the application effect of standardized communication mode,which was based on the situation,background,assessment and recommendation(SBAR communication mode),in interventional ward.Methods SBAR communication mode was implemented in interventional ward.Through the discussion of doctors and nurses,the SBAR communication template of common symptoms of specialized diseases was revised.The training,examination,utilization and evaluation of the SBAR communication template were conducted for all nurses.The medical adverse events caused by poor medical and nursing communication,the patients’recognition of the professional abilities of medical teams and the doctors’satisfaction with nurses were recorded before and after the implement of SBAR communication mode,and the results were compared.Results After the implementation of SBAR communication mode,both the patients’recognition of the professional abilities of medical teams and the doctors’satisfaction degree with nurses were significantly improved,the differences were statistically significant(P<0.05);and the incidence of medical adverse events caused by poor medical and nursing communication was remarkably decreased,the difference was statistically significant(P<0.05).Conclusion The implementation of SBAR communication mode in the intervention ward can significantly improve the patients’recognition of the professional abilities of medical teams and the doctors’satisfaction degree with nurses,and decrease the incidence of medical adverse events caused by poor medical and nursing communication,thus,the safety of patients can be guaranteed,meanwhile,the establishment of a harmonious medical and nursing team is promoted.
作者
阳秀春
莫伟
向华
谢鑫
龙林
YANG Xiuchun;MO Wei;XIANG Hua;XIE Xin;LONG Lin(Department of Interventional Vascular Surgery,Hunan Provincial People's Hospital,First Affiliated Hospital of Hunan Normal University,Changsha,Hunan Province 410005,China)
出处
《介入放射学杂志》
CSCD
北大核心
2019年第3期296-299,共4页
Journal of Interventional Radiology
关键词
标准化沟通
介入诊疗
医护沟通
满意度
standardized communication
interventional diagnosis and treatment
medical and nursing communication
satisfaction