Evaluation of the Impact of Handoff Based on the SBAR Technique on Quality of Nursing Care

Abbaszade, Ali; Assarroudi, Abdolghader; Armat, Mohammad Reza; Stewart, Jacqueline J; Rakhshani, Mohammad Hassan; Sefidi, Narges; Sahebkar, Mohammad

doi:10.1097/ncq.0000000000000498

Cited by 15 publications

(15 citation statements)

References 24 publications

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“…We excluded 6 articles judged to have critical risk of bias [18][19][20][21][22][23] (see online supplemental appendix B table 1), leaving a total of 28 articles reporting 27 studies (figure 1). These included 3 RCTs, 24-26 6 controlled before-after studies, [27][28][29][30][31][32] and 19 uncontrolled before-and-after comparisons [33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51] (table 1). Online supplemental appendix B table 2 presents an overview of the 28 articles, including details of the study purpose and intervention, and outcomes included in the review.…”

Section: Resultsmentioning

confidence: 99%

Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review

Rotteau

Shojania

2021

BMJ Open

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ObjectiveTo characterise the extent to which health professionals perform SBAR (situation, background, assessment, recommendation) as intended (ie, with high fidelity) and the extent to which its use improves communication clarity or other quality measures.Data sourcesMedline, Healthstar, PsycINFO, Embase and CINAHL to October 2020 and handsearching selected journals.Study selection and outcome measuresEligible studies consisted of controlled trials and time series, including simple before-after design, assessing SBAR implementation fidelity or the effects of SBAR on communication clarity or other quality measures (eg, safety climate, patient outcomes).Data extraction and synthesisTwo reviewers independently abstracted data according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses on study features, intervention details and study outcomes. We characterised the magnitude of improvement in outcomes as small (<20% relative increase), moderate (20%–40%) or large (>40%).ResultsTwenty-eight studies (3 randomised controlled trials, 6 controlled before-after studies, and 19 uncontrolled before-after studies) met inclusion criteria. Of the nine studies assessing fidelity of SBAR use, four occurred in classroom settings and three of these studies reported large improvements. The five studies assessing fidelity in clinical settings reported small to moderate effects. Among eight studies measuring communication clarity, only three reported large improvements and two of these occurred in classroom settings. Among the 17 studies reporting impacts on quality measures beyond communication, over half reported moderate to large improvements. These improvements tended to involve measures of teamwork and culture. Improvements in patient outcomes occurred only with intensive multifaceted interventions (eg, early warning scores and rapid response systems).ConclusionsHigh fidelity uptake of SBAR and improvements in communication clarity occurred predominantly in classroom studies. Studies in clinical settings achieving impacts beyond communication typically involved broader, multifaceted interventions. Future efforts to improve communication using SBAR should first confirm high fidelity uptake in clinical settings rather than assuming this has occurred.PROSPERO registration numberCRD42018111377.

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Section: Resultsmentioning

confidence: 99%

Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review

Rotteau

Shojania

2021

BMJ Open

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“… 1 We noted that 32 (74.4%) of 43 nurses knew all the information to be included in the medical record when handling tracheostomized patients and fully appreciated the significant impact of bedside hand-off using the Situation, Background, Assessment, Recommendation (SBAR) technique that Abbaszade et al reported in their study. 25 Nurses should familiarize themselves with this framework to optimize communication between members of the health care team about a patient’s condition and enhance the quality of nursing care across all dimensions.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Nurses’ Knowledge and Confidence Regarding Tracheostomy Care in a Pediatric Long Term Care Hospital in Saudi Arabia

Mosalli¹,

Aboumoustafa²,

Khayyat³

et al. 2022

RMHP

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Background The incidence of tracheostomy insertion in pediatric patients has increased over the last few decades. Tracheostomized pediatric patients need daily, meticulous care by qualified nurses to minimize severe, avoidable complications. Adequately trained nurses facilitate patients’ stability, accelerate weaning from the ventilator, and reduce potential tracheostomy dislodgement. Methods A cross-sectional, retrospective cohort survey was conducted in September 2021, using an electronic version of a self-questionnaire, to assess nurses’ knowledge and comfort level regarding tracheostomy care of pediatric patients at the International Extended Care Center in Jeddah, Saudi Arabia. Statistical analysis of the accrued data was performed using the SPSS 21.0 software package and a P-value <0.05 calculated by t -Test, was considered significant. Results Among 43 nurses included in the study, 14 (32.6%) were very comfortable taking care of tracheostomized patients, 13 (30.2%) were comfortable, and 16 (37.2%) were uncomfortable. Regarding knowledge, three main aspects of tracheostomy care were correctly answered (%) by all the nurses: knowledge of routine tracheal care (55%), tracheal care skills (11.6%), and tracheal emergency care (2.3%). The study showed a significant positive correlation between nurses’ comfort level with tracheal care and academic degree, duration of pediatric experience, completion of more than one life support course, and attendance at the annual local tracheostomy care competency learning program (TCCLP; all P <0.05). Conclusion Deficits exist in nurses’ knowledge of tracheostomy care. Improved knowledge garnered through repetitive participation in tracheostomy competency programs and life support courses correlate with greater comfort and more than 5 years of pediatric experience. Nurses’ deficits in emergency care knowledge and skills should be addressed through a structured educational program and a simulation, hands-on based TCCLP course, irrespective of comfort level with tracheostomy care.

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“…Key challenges were highlighted during the handover, and the information was handed over systematically according to the checklist, thus overcoming the problems of arbitrary conventional handover methods and ensuring the continuation of orderly nursing activities and the safety of patients. The study by Abbaszade et al ( 16 ) showed that applying the SBAR communication technique to nursing handovers could ensure the integrity of the information communicated and improve the quality of nursing. The study by Achrekar et al ( 17 ) concluded that the application of the standard SBAR technique in POC nursing handovers could improve communication between nurses and ensure the safety of patients.…”

Section: Discussionmentioning

confidence: 99%

“…This technique has been widely applied in the healthcare community and has proven its advantages in the context of nursing handovers ( 2 , 3 , 11 – 13 ). However, the lack of a standard handover checklist for use in ICU nursing settings increases the risks that may arise during the handover process to some extent ( 14 – 16 ). SBAR mode is a good shift handover mode, which can provide comprehensive, accurate and systematic information and avoid the above shortcomings.…”

Section: Introductionmentioning

confidence: 99%

The design and application of an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation technique

Wang

Xiaoting

et al. 2022

Front. Public Health

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ObjectiveThis study aims to analyze the effect of using an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation (SBAR) communication technique.MethodsAn intensive care unit point-of-care nursing handover checklist was designed based on the SBAR technique, and standard point-of-care nursing handover procedures and effect assessment indicators were established to compare the occurrence of adverse handover events and nursing risks with those previously observed.ResultsBefore and after the application of the intensive care unit point-of-care SBAR checklist, the occurrence of missed items during the handover was 7.26 and 2.02%, inadequate preparation for handover was 28.33 and 5%, and nursing risks were 5 and 1.67%, respectively.ConclusionBased on the SBAR technique, the application of an intensive care unit point-of-care nursing checklist reduced the occurrence of adverse handover events and nursing risks.

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Evaluation of the Impact of Handoff Based on the SBAR Technique on Quality of Nursing Care

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 15 publications

References 24 publications

Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review

Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review

Assessment of Nurses’ Knowledge and Confidence Regarding Tracheostomy Care in a Pediatric Long Term Care Hospital in Saudi Arabia

The design and application of an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation technique

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