THỰC TRẠNG BÀN GIAO NGƯỜI BỆNH THEO MÔ HÌNH SBAR CỦA ĐIỀU DƯỠNG TẠI BỆNH VIỆN VINMEC TIMES CITY NĂM 2022

Abstract

Objectives: to describe current situation of patient handover based on SBAR model of nurses at the Vinmec Times City Hospital. Methodology: A cross-sectional descriptive study was conducted by observation of 304 patient handover cases implemented by nurses according to the SBAR model in the clinical departments including: Internal Medicine, Surgery, Obstetrics, Pediatrics and Emergency department. Results: The rate of compliance with patient handover verbally according SBAR model varies among components of the model, specifically: compliance with handover of situations, background, assessment and recommendations were 69.4%, 40.5%, 94.7%, and 89.5% respectively. The overall compliance rate was only 29.9%. The compliance rate of patient handover according to the SBAR model through documenting with each component as following: situation (97%), background (98%), assessment (97.4%) and recommendation (98.4%). The overall compliance rate of patient handover through documenting reached 95.1%. Conclusions: Nurses performed patient handover according to the SBAR model through documenting better than verbal handover (95.1% vs 29.9%). In practice, nurses have to strengthen communication and pay close attention to compliance when handing over patients according to the SBAR model verbally. It is necessary to strengthen training and supervision of nurses to hand over patients according to the SBAR model verbally to improve handover quality, thereby enhancing patient safety.