Nurse Handover with SBAR method: a quasi-experimental study
DOI:
https://doi.org/10.54103/dn/17691Keywords:
Continuity of patient care, patient handoff, communication, nurse handoverAbstract
BACKGROUND:
Handover is a crucial aspect for patient safety and continuity of care. Many factors can affect the quality of the information transmitted and handover may be ineffective or even harmful if the information is incomplete or omitted.
OBJECTIVES:
The primary objective of the study was to describe the changes in handover quality after introduction of the Situation, Background, Assestment and Raccomandation (SBAR) method.
Secondary objectives were to describe changes in the number of interruptions and changes in communication skills in nursing handover.
MATHERIALS AND METHODS:
A quasi-experimental, monocentric study with pre/post test design was implemented in a sample of convenience.
RESULTS:
198 nurses participated in the study and 208 nursing handovers were analyzed.
After the introduction of the SBAR method there has been a significant improvement in the quality of handovers, a reduction in the number of interruptions and an increase in communication skills.
CONCLUSION:
SBAR method demonstrably improves the quality of nursing handovers, reducing the number of interruptions and enhancing communication skills.
The introduction of the SBAR delivery method improves the quality and safety of information transmission.
References
Vitale E, Cannito G. [Observational study of the handover with the SBAR method at Bari Polyclinic complex]. Prof Inferm. 2020;73(1):27–32.
Johnson M, Sanchez P, Suominen H, Basilakis J, Dawson L, Kelly B, et al. Comparing nursing handover and documentation: forming one set of patient information. Int Nurs Rev. 2014 Mar;61(1):73–81.
Iavarone D. Il passaggio della consegna infermieristica, ne abbiamo davvero bisogno? Alla ricerca di opportunità di miglioramento. L’infermiere. 2014;4.
Stewart K. SBAR, communication, and patient safety: an integrated literature review. University of Tennessee at Chattanooga; 2016.
Streeter AR, Harrington NG. Nurse Handoff Communication. Semin Oncol Nurs. 2017;33(5):536–43.
Müller M, Jürgens J, Redaèlli M, Klingberg K, Hautz WE, Stock S. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018;8(8):e022202.
Starmer AJ, Spector ND, Srivastava R, West DC, Rosenbluth G, Allen AD, et al. Changes in Medical Errors after Implementation of a Handoff Program. N Engl J Med. 2014;371(19):1803–12.
Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328.
Pucher PH, Johnston MJ, Aggarwal R, Arora S, Darzi A. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015 Jul;158(1):85–95.
Randmaa M, Mårtensson G, Leo Swenne C, Engström M. SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. BMJ Open. 2014 Jan 21;4(1):e004268.
Braaf S, Rixon S, Williams A, Liew D, Manias E. Medication communication during handover interactions in specialty practice settings. J Clin Nurs. 2015 Oct;24(19–20):2859–70.
Hasan H, Ali F, Barker P, Treat R, Peschman J, Mohorek M, et al. Evaluating handoffs in the context of a communication framework. Surgery. 2017;161(3):861–8.
Ferrara P, Terzoni S, Davì S, Bisesti A, Destrebecq A. A tool for assessing the quality of nursing handovers: a validation study. Br J Nurs Mark Allen Publ. 2017 Aug 10;26(15):882–8.
Flemming D, Hübner U. How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review. Int J Med Inf. 2013 Jul;82(7):580–92.
De Meester K, Verspuy M, Monsieurs KG, Van Bogaert P. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Resuscitation. 2013 Sep;84(9):1192–6.
Blom L, Petersson P, Hagell P, Westergren A. The Situation, Background, Assessment and Recommendation (SBAR) Model for Communication between Health Care Professionals: A Clinical Intervention Pilot Study. Int J Caring Sci. 2015;8(3):530–5.
Kostoff M, Burkhardt C, Winter A, Shrader S. An Interprofessional Simulation Using the SBAR Communication Tool. Am J Pharm Educ. 2016 Nov 25;80(9):157.
Zou X-J, Zhang Y-P. Rates of Nursing Errors and Handoffs-Related Errors in a Medical Unit Following Implementation of a Standardized Nursing Handoff Form. J Nurs Care Qual. 2016;31(1):61–7.
Jewell JA, COMMITTEE ON HOSPITAL CARE. Standardization of Inpatient Handoff Communication. Pediatrics. 2016;138(5).
Mardis M, Davis J, Benningfield B, Elliott C, Youngstrom M, Nelson B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual Off J Am Coll Med Qual. 2017;32(1):34–42.
Ferrara P, Terzoni S, Davì S, Bisesti A, Destrebecq A. A tool for assessing the quality of nursing handovers: a validation study. Br J Nurs Mark Allen Publ. 2017 Aug 10;26(15):882–8.
Smeulers M, Vermeulen H. Best of both worlds: combining evidence with local context to develop a nursing shift handover blueprint. Int J Qual Health Care J Int Soc Qual Health Care. 2016 Dec 1;28(6):749–57.
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Copyright (c) 2022 Maria Cristina Monti , Stefano Maiandi, Lucia Rossi, Miriam Villani, Cinzia Garofalo
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