Majallah-i Bālīnī-i Parastārī va Māmāyī (Sep 2020)
Evaluation of the effect of SBAR-based patient safety training program on nurses’ clinical decision-making in the intensive care unit
Abstract
Background and Aim: ICU is one of the vital departments in the hospital to reduce mortality and morbidity. The department where nurses face complex situations that require decision-making skills. In fact, problem solving is an important and complex issue clinical practice, and decision-making is an important indicator. The purpose of the study was to investigate the effect of SBAR-based patient safety education program on nurseschr('39') clinical decision making in intensive care unit nurses. Methods: The quasi-experimental study was performed on 60 nurses working in intensive care units of Ayatollah Kashani and Hajar hospitals in Shahrekord, Iran in 1398. The subjects were randomly assigned to two experimental and control groups (30 people each). For the experimental group, five SBAR-based training program was held (Situation, Background, Assessment, and Recommendation). Data were collected using Lori et al. (2001) clinical decision making questionnaire before and one month after the intervention respectively. The collected data were analyzed using analysis of covariance in SPSS software (version 22). Results: According to the findings, the clinical decision-making score of the test group nurses before the intervention was 69.1± 5.44 and after the intervention was 80.8 ± 7.22 (P<0.001). In the control group, it was 70.6 ±6.94 before intervention and 71.1 ± 6.72 after intervention (P = 0.214). The rate of changes in the experimental group was 11.7 ± 3.79 and in the control, group was 0.53 ± 2.3. The results of the study showed that the implementation for the patient safety-training program based on SBAR technique had a significant effect on the mean score of clinical decision making of nurses. Conclusion: The program training based on SBAR technique is effective on nurses chr('39')clinical decision-making. Therefore, it is suggested that HEC and planners benefit from this technique.
