تاثير آموزش مدل ارتباطي SBAR بر ميزان رعايت فرهنگ ايمني بيماران توسط پرستاران بخش اورژانس

The Effect of SBAR Communication Model Training on Nurses' Safety Culture Observance by Emergency Department Nurses

مقدمه: ايمني بيمار يكي از مولفه هاي مهم كيفيت خدمات سامت و حاكميت باليني است. از اين رو مطالعه حاضر با هدف تعيين تاثير آموزش مدل ارتباطي SBAR بر ميزان رعايت فرهنگ ايمني بيماران، توسط پرستاران بخش اورژانس بيمارستان شهيد بهشتي قم در سال 1396 انجام شد. روش كار: مطالعه مداخله اي حاضر بر روي 64 نفر از پرستاران بخش اورژانس مركز آموزشي درماني شهيد بهشتي قم انجام شد. نمونه ها به روش سرشماري انتخاب و افراد تحت مطالعه به صورت تصادفي به دو گروه مداخله و كنترل تقسيم شدند. به منظور جمع آوري داده ها از پرسشنامه فرهنگ ايمني )مقري و همكاران( و پرسشنامه متغيرهاي جمعيت شناختي استفاده گرديد. مداخله شامل برنامه آموزشي مهارت ارتباطي SBAR براي گروه مداخله برگزار گرديد. برنامه مداخله شامل تدريس يك جزوه آموزش ارتباطات و فرهنگ ايمني و مدل ارتباطي SBAR به مدت دو جلسه دو ساعته با اسايدهاي آموزشي و پرسش و پاسخ به پرستاران بخش اورژانس بود. داده ها در نرم افزار آماري SPSS نسخه 21 از طريق آمار توصيفي و تحليلي با سطح معني داري 05 / 0 مورد تجزيه و تحليل قرار گرفت. يافت هها: 27 نفر ) 42 درصد( از پرستاران تحت مطالعه مرد بودند. ميانگين نمره فرهنگ ايمني در گروه مداخله قبل و پس از مداخله به ترتيب 75 / 10 ± 120 و 08 / 7 ± 031 / 161 بود كه تفات معني داري را نشان مي دهد. همچنين كليه خرده مقياس هاي فرهنگ ايمني در گروه مداخله، قبل و پس از مداخله تفاوت معني داري را نشان دادند ) 001 / p>0 (. در گروه كنترل تفاوت معني داري در ميانگين نمره فرهنگ ايمني و خرده مقياس هاي آن قبل و پس از مداخله ديده نشد ) .)p

Introduction: Patient safety in the present age is one of the main components of the quality of health services and clinical governance. One of the most important goals of the health sector is to provide patient safety. Training on safety and human factors is the most important step in ensuring the health and safety of the patient and attention to the phenomenon of professional communication is very important in reducing the incidence of medical errors. Considering the importance of patient safety and the importance of interphase communication and patient safety culture, the researcher decided to investigate "The Impact of SBAR Communication Model on Observance of Patient Safety Culture by Nurses at the Emergency Department of Shahid Beheshti Hospital in Qom 1396". Methods: Data was collected by a safety culture questionnaire. In this semi-experimental study, 64 nurses from the emergency department of Shahid Beheshti Medical Center in Qom in 1396 were selected and randomly assigned to two groups of 32 intervention and control group 32. After completing the safety culture questionnaire by nurses in two groups, intervention and Control as a pre-test, SBAR Communication Skills Training Program for the intervention group, including teaching a communication booklet and safety culture and SBAR communication model, began for two sessions of two hours. All participants were asked to complete the safety culture questionnaire two weeks after the training sessions. Results: Comparison of the subscales of safety culture and the total score of safety culture in intervention and control groups did not show any significant difference before intervention in intervention nurses (P=0/120) . But after the intervention, the mean of safety culture and safety culture in the intervention group was significantly more than the control group, which was statistically significant (p <0.001). Conclusion: The results showed that, two weeks after the intervention, the safety culture score in the intervention group was increased in comparison with the control group. This means that interventions over time have increased the patient's safety culture in emergency nurses, So using this type of training along with other patient safety enhancements will improve the safety culture and ultimately enhance the quality of care and reduce unwanted injuries.