The Effectiveness of Shift Report Management through SBAR Model of Professional Nurses in a Private Hospital

Abstract

Change-of-shift report, as a part of nursing communication, plays a vital role in patient care planning. Sender and receiver should convey positive attitude to each other. The message sent must concern information regarding treatment and nursing care of the patients. Effective change-of-shift report would enhance continuity of care and patient safety. This quasi-experimental one group pretest-posttest design aimed to examine the effectiveness of shift report management through SBAR model of nurses in private hospital. SBAR was used as a conceptual framework. A sample of 30 nurses who worked in the Intensive Care Unit, surgical ward, and medical ward was recruited. Data were collected by shift report through SBAR questionnaires from August to September, 2019 and were analyzed by t-test.

The results show that the average sum score of accuracy and completeness of shift report after using SBAR model was significantly higher than that of the before. (t = -4.414, p = 0.000). When comparing mean score of each sub-scale—Situation, Background, Assessment, Recommendation, the results of all sub-scales also demonstrated significantly higher scores of shift report using SBAR model than those of the before (p=0.000). In conclusion, change-of-shift report through SBAR model results in sending more accurate and complete information of patients than usual change-of-shift report.