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題名:運用ISBAR架構提升護理人員交班完整率
書刊名:醫務管理期刊
作者:呂麗戎李淑滿魏秀雲張秋燕劉洪香水
作者(外文):Lu, Li-jungLee, Shu-manWei, Hsiu-yunChang, Chiu-yenLiou Hong, Siang-shuei
出版日期:2017
卷期:18:1
頁次:頁56-72
主題關鍵詞:護理交班交班完整率ISBARNursing shift handoverHandover integrity rate
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:4
  • 點閱點閱:6
目的:護理人員交班乃提供病人連續性照護之重要工作,傳統紙本交班模式欠缺交班規範與結構性,導致交班過程容易發生疏失或遺漏情形。因此本研究藉由運用ISBAR(Introduction,Situation,Background,Assessment,Recommendation)交班概念,提升交班完整率,以利確保服務品質與病人安全。方法:現況交班完整率僅66.5%,問卷調查交班滿意度僅22%。本研究透過ISBAR交班概念發展結構性護理交班規範規劃改善,執行期間從2013年2月至6月,改善後以實際稽核、人員訪談與交班滿意度調查確認改善結果。結果:改善後,交班完整率提升至85%,交班滿意度提升至94.2%。結論:具有結構性的交班規範,不僅可落實交班資訊傳遞之完整性、正確性與即時性,並可提升護理人員工作滿意度,進而確保照護服務品質與病人安全。
Objectives: A good nursing shift handover is important in providing continuity of patient care. The traditional "paper mode of nursing handover" lacked standards and structure, and was unable to provide updated information which may subsequently have caused negligence or omissions in nursing care. In order to improve patient care and the quality of the nursing shift handover, we developed an application of the ISBAR (Introduction, Situation, Background, Assessment, Recommendations) concept. Methods: Through a nurse-handover integrity survey, we found that the handover integrity rate was 66.5% and the satisfaction rate was 22%; this may have had a great impact on the quality of care and patient safety. To improve the integrity, accuracy and timeliness of nursing shift handover, structured nursing shift practice regulations using the ISBAR concept were implemented from February through June 2013. The results were confirmed by audits, interviews and satisfaction surveys. Results: After using the ISBAR shift transfer concept combined with the use of information technology, the nurse-handover integrity rate improved from 66.5% to 85 % and the shift satisfaction rate increased from 22% to 94.2%. Conclusions: The development of a structured shift handover not only improved nursing care satisfaction thereby enhancing communication among health care personnel but also promoted patient safety and quality of care.
期刊論文
1.Philpin, S.(2006)。Handing Over: transmission of information between nurses in an intensive therapy unit。Nursing in Critical Care,11(2),86-93。  new window
2.Strople, B.、Ottani, P.(2006)。Can technology improve intershift report? What the research reveals。Journal of Professional Nursing,22(3),197-204。  new window
3.Sandlin, D.(2007)。Improving patient safety by implementing a standardized and consistent approach to hand-off Communication。Journal of Pert Anesthesia Nursing,22(4),289-292。  new window
4.王淑蓉、尹玓、李淑燕、林瑞青、曾雯琦(20070400)。護理床邊交班之時間及內容分析。中華職業醫學雜誌,14(2),121-128。  延伸查詢new window
5.吳宛庭、朱學亭、王拔群、黃立德、劉榮茂、王言航、郭書麟、蘇慧芳、謝碧晴、張瑋佳(20131200)。住院醫師交接班改善方案--結構化的電子交班系統。醫療資訊雜誌,22(5),23-30。new window  延伸查詢new window
6.林慧琦、賴惠英、羅嘉雯(20140400)。提昇養護中心工作人員交班完整性。長期照護雜誌,18(1),125-138。  延伸查詢new window
7.柯素綾、賴美雲、葉亭驛(20110400)。提昇病房護理交班完整性。澄清醫護管理雜誌,7(2),73-80。  延伸查詢new window
8.陳欣伶、陳國智、侯勝茂、邱浩彰、吳鋼治、王宗倫、柯威旭、張嘉宇、鄭瑞楠、宋佳樺、廖若雯(20130100)。運用團隊資源管理建置病房交班制度。臺灣醫學,17(1),70-75。  延伸查詢new window
9.楊式辰、蔡佳樺、黃痢晴、巫明雅、鍾艷香、吳孟嬪(20111200)。提升加護病房護理人員交班作業完整率。北市醫學雜誌,8(4),341-356。  延伸查詢new window
10.鍾麗萍、吳昱昕(2011)。病人安全--交接班作業。義大醫訊,44(7),20-21。  延伸查詢new window
11.Lee, T. T.(2005)。Nursing diagnoses Factors affecting their use in charting standardized care plans。Journal of Clinical Nursing,14(5),640-647。  new window
12.Poletick, E. B.、Holly, C.(2010)。A systematic review of nurses,inter-shift handoff reports in acute care hospitals。The JBI Database of Systematic Reviews and Implementation Reports,8(4),121-172。  new window
13.Riesenberg, L. A.、Leitzsch, J.、Cunningham, J. M.(2010)。Nursing handoffs: A systematic review of the literature。The American Journal of Nursing,110(4),24-34。  new window
14.Scovell, S.(2010)。Role of the nurse-to-nurse handover in patient care。Nursing Standard,24(20),35-40。  new window
15.Johnson, M.、Sanchez, P.、Zheng, C.(2016)。The impact of an integrated nursing handover system on nurses satisfaction and work practices。Journal of clinical nursing,25(1/2),257-268。  new window
16.吳莒瑛、黃瀞儀、劉文琪(20100400)。以ISBAR執行單位內交班之改善專案。領導護理,11(1),116-126。  延伸查詢new window
17.相青琪、楊美玲、蘇淑女、邱怡貞、林幸雅、周詩卿、吳美雯(20130100)。護理人員三班交班完整率改善專案--以資訊化交班為例。醫療品質雜誌,7(1),50-61。new window  延伸查詢new window
其他
1.(2013)。2013年報表,http://www.patientsafety.mohw.gov.tw/Content/Downloads/download.ashx?SiteID=l&MmmID=621273303702500244&Msid=2014122418031181987。  new window
2.財團法人醫院評鑑暨醫療品質策進會(2010)。99-100年度醫院醫療品質及病人安全年度工作目標,http://www.patientsafety.mohw.gov.tw/WebTools/FilesDownloadRD.ashx?Siteid=1&MmmID=621273300317401756&fd=ZMessagess_NFiles&RD=2&AID=l&MSID=621305521506617551&RDID=621305561532340531。  延伸查詢new window
3.Joint Commission on Accreditation of Healthcare Organization(2014)。2017 National Patient Safety Goals,http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals。  new window
 
 
 
 
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