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Objective To investigate the effect of early warning score system combined with(situation,background,ssessment,recommendation,SBAR)communication model in early warning of high-risk neonates,therefore to provide an effective communication method for an effective communication method to assess the changes of condition in neonates.Methods A before-after study model was adopted in the study.A total of 270 high-risk neonates admitted to the ward of the Department of Neonatology in a tertiary hospital between August and September 2022 were selected as research subjects.The high-risk neonates admitted in hospital in August were assigned in a control group,and those admitted in September were assigned in an trial group,with 135 neonates per group.Routine care was carried out in the control group,while early warning scoring combined with SBAR communication model were applied in the trial group on top of the cares offered to the control group.The occurrence of early warning events,concordance rate of nurse warning event and doctor handling events,and the satisfaction rate of doctors with the nursing performance were compared between the two groups.Results A total of 63.6%of early warning events were triggered by nurses in the control group,while it was 92.6%in the trial group,with a statistically significant difference between the groups(χ2=16.622,P<0.001).The consistency of handling of early warning events between the nurses and doctors in the trial group(Kappa coefficient=0.926)was higher than that in the control group(Kappa coefficient=0.641).The satisfaction rates of the doctors with the nurses about specialist knowledge,ability in emergency events,mastery of disease,timely observation of disease progress,collaboration between doctors and nurses,working enthusiasm,communication capability and the psychological quality in the trial group were all significantly higher than those in the control group[80.0%-95.0%vs.30.0%-55.0%,all P<0.01].Conclusions The Early Warning Score system combined with SBAR communication model can help nurses to accurately evaluate the changes of disease in neonates,complete the communication with doctors timely and effectively.It improves the observation,communication and handling capability among the nurses as well as the satisfaction rate of doctors with nursing work.
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Objective:To analyze the role of wechat combined with SBAR communication in emergency nursing management.Methods:From December 2019 to December 2020, 100 cases of patients in the emergency department of No.904 Hospital, Joint Logistics Support Force of PLA were randomly selected and divided into two groups according to the computer random table method, 50 cases in the control group were treated with routine nursing management, 50 cases in the study group were treated with Wechat combined with SBAR communication mode for management. The goal achievement, nursing service quality and nursing satisfaction of the two groups were compared.Results:The score of Nurse′s Performancefor Goal Attainment (NPGA) in the study group was 196.32 ± 20.36, which was higher than (165.24 ± 18.14) of the control group ( t=8.06, P<0.05), and the score of Servqual evaluation questionnaire (94.32 ± 3.36) was higher than (89.24 ± 3.14) of the control group ( t= 7.81, P<0.05). The difference of nursing satisfaction between the two groups was significant, the study group (92.00%, 46/50) was higher than (64.00%, 32/50) of the control group ( χ2=11.42, P<0.05). Conclusions:In the emergency nursing work, using wechat combined with SBAR communication management can effectively improve the quality of nursing service, improve work efficiency, and increase patients′ recognition of nursing staff.
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Objective To explore nursing safety management path of patients treat with modified electroconvulsive therapy(MECT) to improve the quality of nursing and reduce the adverse events. Methods According to the theory of Hazard Analysis and Critical Control Point(HACCP)and the SBAR standard communicative model, design and apply nurses handover check list for patients who treat with MECT(the following are referred to as MECT form).The nurses used MECT form to evaluate and manage the risk of patients before and after MECT treatment. This was also help to control the standardization criterion of nursing before and after treatment,meanwhile reduce the risk of treatment.Analyze the data of adverse event before and after applied this MECT form. Results After applied this form for one year,the number of above levle-0 adverse events decreased from 3.51% (191/5 441) to 1.05% (61/5 817) (x2=77.856, P 0.05). Conclusion The application of MECT form improves the nursing quality of MECT treatment in psychiatric department and secure the nursing safety.
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Objective To explore the effect of SBAR communication mode in handover between delivery room and neonatal department. Methods A total of 100 cases of neonates transferred from neonatal intensive care unit from March to June 2016 were selected as the control group.The traditional oral transfer mode was used. From June to September 2016, 106 cases of newborn infants who were transferred to neonatal intensive care unit were observed in the observation group. The newborns were transferred with SBAR structural framework. The differences of the integrity, the correct rate, the proportion of adverse events,the transfer time and the satisfaction of the medical staff in the 2 groups were compared. Results The integrity, the correct rate, the proportion of adverse events, the satisfaction of the medical and nursing staff on the integrity of the handover, the accuracy of the description of the disease,the practicality,and the operability were 99.06%(105/106), 99.06%(105/106), 15.09%(16/106), 93.33%(28/30), 90.00%(27/30), 96.67%(29/30), 93.33%(28/30) in the observation group, 89.00%(89/100), 94.00%(94/100),2.00%(2/100),63.33%(19/30),60.00%(18/30),73.33%(22/30),26.67%(8/30)in the control group,the differences were significant(χ2=4.008-27.778,P<0.05 or 0.01).There was no significant difference in the transit time (P> 0.05). Conclusions The design and application of the handover record based on SBAR communication mode in the delivery room and neonatal department improve the integrity of the patient′s condition,the correct rate,can detect adverse events in time.The staff were more comprehensive,more accurate description of the disease description, this form is simple and practical, operable, by the clinical staff of the trust,it is worth in the delivery room and the promotion of the use of newborns.