Application effect of SBAR communication mode in the intensive care unit in the department of neurosurgery

Abstract

Objective To evaluate the application effect of the situation-background-assessment-recommendation (SBAR) communication mode in the intensive care unit in the department of neurosurgery (NSICU) . Methods From January 2015, the SBAR communication mode was carried out in the shifting of duty for the nurses in the intensive care unit in the department of neurosurgery. The SBAR communication standard of patients' condition was initiated in the communication between nurses and doctors. The implementation effect of the mode was evaluated by the comparisons of the time of the nurses' shifting of duty, the incidence of adverse events, the average hospital stay of patients, the satisfaction of patients between before the implementation (the year of 2014) and after the implementation (the year of 2015) . Results After implementing the SBAR communication mode, the incidence of pressure sores decreased from 2.64% to 0.39% significantly (χ2=4.252, P<0.05) . The incidence of extubation decreased from 1.76% to 0% significantly (χ2=4.531, P<0.05) . The satisfaction of patients increased from 91.4% to 97.7% significantly (χ2=4.714, P<0.05) . The handover time of the nurses was shortened from (8.7±2.1) min every time to (6.1±1.9) min every time significantly (t=2.045, P<0.05) . The average hospital stay in the NSICU was shortened from (13.2±2.5) day to (10.5±2.1) day significantly (t=2.057, P<0.05) . Conclusions The implementation of the SBAR communication mode is helpful to standardize the shifting of duty and the communication process of doctors and nurses, ensure the safety of patients and improve the satisfaction, which is worth promotion and reference. Key words: Department of neurosurgery; Intensive care unit; Adverse events; Situation-background-assessment-recommendation communication mode