SBAR交班模式对外科护士交班质量及临床决策能力的影响

The Effect of SBAR Shift Mode on the Shift Quality and Clinical Decision-Making Ability of Surgical Nurses

摘要: 目的：探索SBAR交班模式对外科护士的临床决策能力及自我效能的影响。方法：选取2022年1月~12月在本院50名外科病区的护士为研究对象，并分别选取25名外科护士采用SBAR交接模式，25名外科护士采用传统交接班模式，采用护士交班质量、护理临床决策能力及自我效能评估工具进行调查。结果：实施SBAR交接模式的护士交接班质量得分为(45.76  10.42) (P < 0.01)，实施传统的交班模式的护士交接班质量得分为(31.00  4.96) (P < 0.01)，护理临床决策能力实验组得分为(135.96  16.37) (P < 0.01)，对照组得分为(79.48  4.93) (P < 0.01)，自我效能实验组得分为(24.04  6.66) (P < 0.01)，对照组得分为(18.08  3.05) (P < 0.01)。结论：实施SBAR交班模式能提升外科护士交班质量及临床决策能力，外科护理管理者应重视SBAR交接模式的培训，进而提升外科护士的临床决策能力。

Abstract: Objective: To explore the effect of SBAR shift mode on clinical decision-making ability and self-efficacy of surgical nurses. Methods: From January to December 2022, 50 nurses in the surgical ward of the hospital were selected as the research subjects, and 25 surgical nurses were selected to adopt the SBAR handover mode, and 25 surgical nurses were selected to adopt the traditional handover mode, and the nurses’ shift quality, nursing clinical decision-making ability and self-efficacy assessment tools were used to investigate. Results: The quality score of nurse handover in SBAR handover mode was (45.76  10.42) (P < 0.01), the quality score of nurse handover in the traditional handover mode was (31.00  4.96) (P < 0.01), and the score of nurses in the experimental group of nursing clinical decision-making ability was (135.96  16.37) (P < 0.01). The control group scored (79.48  4.93) (P < 0.01), the self-efficacy experimental group scored (24.04  6.66) (P < 0.01), and the control group scored (18.08  3.05) (P < 0.01). Conclusion: The implementation of SBAR handover mode can improve the quality of surgical nurses’ shift delivery and clinical decision-making ability, and surgical nursing managers should pay attention to the training of SBAR handover mode, so as to improve the clinical decision-making ability of surgical nurses.