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The impact of situation-background-assessment-recommendation (SBAR) on safety attitudes in the obstetrics department.
Taiwan J Obstet Gynecol. 2017 Apr; 56(2):171-174.TJ

Abstract

OBJECTIVE

Previous studies evaluating the situation-background-assessment-recommendation (SBAR) have been shown to increase effective nurse-physician communication and collaboration. The purpose of this study is to evaluate the impact of the SBAR technique on safety attitudes in the obstetrics department.

MATERIALS AND METHODS

This study implemented the SBAR Collaborative Communication Education course and was conducted in a medical center from February 2012 to March 2015, which included an educational session on fetal heart rate monitoring, a case-based discussion, and a video demonstration on traditional and SBAR communication. The nurses in the obstetrics department were requested to report their clinical findings and recommendations using a novel SBAR list when abnormal fetal heart beat tracings occurred. All obstetric nurses were requested to complete the Chinese-version of the Safety Attitudes Questionnaire before and after the SBAR educational course. The primary outcome was to evaluate the effect of the SBAR technique on the safety attitudes of the obstetrics department. The secondary outcome was to evaluate the effect of the SBAR technique on the 5-minute Apgar score for neonates.

RESULTS

Most values, including teamwork climate, safety climate, job satisfaction, and working conditions, significantly improved at both postintervention surveys compared with the preintervention survey. There were no significant differences in the number of the neonates with less than seven 5-minute Apgar scores between the pre- and postintervention periods.

CONCLUSION

The SBAR technique, which uses a novel structured handover list, is a feasible tool for nurse-obstetrician communication, and it may improve most dimensions of safety attitudes in the obstetrics department.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao District, New Taipei, Taiwan.Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao District, New Taipei, Taiwan.Department of Obstetrics and Gynecology, National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei, Taiwan.Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao District, New Taipei, Taiwan; Graduate School of Biotechnology and Bioengineering, Yuan Ze University, Taoyuan, Taiwan. Electronic address: smhsiao2@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28420502

Citation

Ting, Wan-Hua, et al. "The Impact of Situation-background-assessment-recommendation (SBAR) On Safety Attitudes in the Obstetrics Department." Taiwanese Journal of Obstetrics & Gynecology, vol. 56, no. 2, 2017, pp. 171-174.
Ting WH, Peng FS, Lin HH, et al. The impact of situation-background-assessment-recommendation (SBAR) on safety attitudes in the obstetrics department. Taiwan J Obstet Gynecol. 2017;56(2):171-174.
Ting, W. H., Peng, F. S., Lin, H. H., & Hsiao, S. M. (2017). The impact of situation-background-assessment-recommendation (SBAR) on safety attitudes in the obstetrics department. Taiwanese Journal of Obstetrics & Gynecology, 56(2), 171-174. https://doi.org/10.1016/j.tjog.2016.06.021
Ting WH, et al. The Impact of Situation-background-assessment-recommendation (SBAR) On Safety Attitudes in the Obstetrics Department. Taiwan J Obstet Gynecol. 2017;56(2):171-174. PubMed PMID: 28420502.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of situation-background-assessment-recommendation (SBAR) on safety attitudes in the obstetrics department. AU - Ting,Wan-Hua, AU - Peng,Fu-Shiang, AU - Lin,Ho-Hsiung, AU - Hsiao,Sheng-Mou, PY - 2016/06/13/accepted PY - 2017/4/20/entrez PY - 2017/4/20/pubmed PY - 2017/11/29/medline KW - SBAR KW - communication KW - fetal distress KW - obstetrics KW - safety attitudes SP - 171 EP - 174 JF - Taiwanese journal of obstetrics & gynecology JO - Taiwan J Obstet Gynecol VL - 56 IS - 2 N2 - OBJECTIVE: Previous studies evaluating the situation-background-assessment-recommendation (SBAR) have been shown to increase effective nurse-physician communication and collaboration. The purpose of this study is to evaluate the impact of the SBAR technique on safety attitudes in the obstetrics department. MATERIALS AND METHODS: This study implemented the SBAR Collaborative Communication Education course and was conducted in a medical center from February 2012 to March 2015, which included an educational session on fetal heart rate monitoring, a case-based discussion, and a video demonstration on traditional and SBAR communication. The nurses in the obstetrics department were requested to report their clinical findings and recommendations using a novel SBAR list when abnormal fetal heart beat tracings occurred. All obstetric nurses were requested to complete the Chinese-version of the Safety Attitudes Questionnaire before and after the SBAR educational course. The primary outcome was to evaluate the effect of the SBAR technique on the safety attitudes of the obstetrics department. The secondary outcome was to evaluate the effect of the SBAR technique on the 5-minute Apgar score for neonates. RESULTS: Most values, including teamwork climate, safety climate, job satisfaction, and working conditions, significantly improved at both postintervention surveys compared with the preintervention survey. There were no significant differences in the number of the neonates with less than seven 5-minute Apgar scores between the pre- and postintervention periods. CONCLUSION: The SBAR technique, which uses a novel structured handover list, is a feasible tool for nurse-obstetrician communication, and it may improve most dimensions of safety attitudes in the obstetrics department. SN - 1875-6263 UR - https://www.unboundmedicine.com/medline/citation/28420502/The_impact_of_situation_background_assessment_recommendation__SBAR__on_safety_attitudes_in_the_obstetrics_department_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1028-4559(17)30009-8 DB - PRIME DP - Unbound Medicine ER -