Managing patient progress report through sbar tool in non-critical care areas

Author: 
Yogeswary Arumugam., Hamidah Hassan., Primuharsa Putra SHA and Syah Irwan

Introduction: Managing patient progress report, although it is a routine task for all nurses in the hospitals but by managing it well through proper structuring, systematic and concise will avoid errors especially during the passing over report session.  Effective and efficient of handing over the progress report is reported to promote high safety culture of care with good optimal outcomes of the patients. SBAR tool (Situation- Background- Assessment- Recommendation) was proven to be an effective instrument in managing the process of patient progress report.  The aim of study was to manage patient progress report during the hand over session using the SBAR tool. 
Method: A quasi-experimental study with pre and posttest conducted on 83 nurses working in non-critical areas.  For post intervention strategies, one-day classroom training incorporated role play on issues of passing over reports and intensive usage of SBAR tool.  Hospital quality audit set a formula, minimum. Forty percent of the respondent need to be assessed at regular internal after each training session. Forty respondents were observed and checked using checklists by recruited facilitators.
Results: Four components of SBAR were evaluated during handover report sessions. The reliability of a patient progress report improved from 54.5 % to 83.73 % with integration of the SBAR tool into a shift handover.
Conclusion and Implication: Acceptance and adherence of SBAR tool promote accountability among nurses towards promoting patient safety and quality of patient progress reports. SBAR is received positively by majority of nurses to manage patient progress report effectively and efficiently in the non- critical care areas.

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