YẾU TỐ LIÊN QUAN ĐẾN BÀN GIAO NGƯỜI BỆNH THEO MÔ HÌNH SBAR CỦA ĐIỀU DƯỠNG TẠI BỆNH VIỆN ĐA KHOA QUỐC TẾ VINMEC TIMES CITY

Abstract

Objective: to identify factors related to patient handovers according to the SBAR model by nurses at the Vinmec Times City International General Hospital (VMTC) in 2022. Methodology: A cross-sectional descriptive study was conducted by observing 304 cases of patient handover conducted by nurses using the SBAR model in the Internal Medicine, Surgery, Obstetrics and Gynecology, Pediatrics, and Intensive Care Unit of the hospital. Results: Statistically significant factors influencing compliance with the SBAR model for patient handovers included nursing-related factors: nurses in the departments of Internal Medicine, Obstetrics and Gynecology, and Pediatrics demonstrated higher non-compliance compared to those in the Surgery and Emergency departments, with an odds ratio (OR) of 1.6. Patient-related factors such as age, gender, length of hospital stay, number of nursing care sessions, and the location of handover were statistically significant in relation to nursing compliance. Notably, cases of handovers for patients hospitalized for more than 2 days exhibited higher non-compliance compared to those hospitalized for less than 2 days (OR=3.9). Handovers for subsequent occurrences showed higher non-compliance compared to the first handover (OR=2.2). Handovers conducted outside the patient's room had a higher non-compliance rate compared to those conducted at the patient's bedside (OR=3). Conclusions: Several statistically significant factors are associated with nurses’ patient handover by SBAR model, where the most noteworthy elements include the handover location, nurses’ workspace, and patient-related factors such as length of hospital stay and previous nursing handovers. To enhance compliance with patient handovers, in addition to the nurse's self-awareness during the handover process, specialized monitoring of patient handovers using the SBAR model is crucial, particularly in clinical departments such as Internal Medicine, Obstetrics, and Pediatrics.