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SBAR를 이용한 간호단위간 인수인계 표준항목 개발에 관한 연구

Development of Nurse's Handover Standards between Hospital Units using SBAR

김은만|유미|고지운
병원간호사회 (Hospital Nurses Association)|2015.04|임상간호연구 (Journal of Korean Clinical Nursing Research)|제21권 제1호|pp. 127-142

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참고문헌

키워드

표준간호사인수인계nurseHandoverstandard병원근무부서hospital unit
주제분류간호학

초록

인수인계는 환자의 안전을 확보하기 위해 환자 상태에 대한 정보와 기대하는 요구정도를 간호사간에 정확히 전달하는 과정이다. 본 연구의 목적은 SBAR를 이용하여 국내 500병상 이상 병원의 간호부서 간 인수인계 표준항목을 개발하고 타당도와 항목의 적절성을 평가하고자 하는 것이다. 인수인계 표준항목은 33명의 전문가에게 내용타당도를 검증하고 문항을 설정하였으며, 이를 기본으로 간호관리자 및 간호사 1175명을 대상으로 병원에서의 인수인계 특성과 표준항목의 타당도 및 적절성 여부를 조사하였다. 전문가타당도는 CVI를, 적절성여부는 평균과 표준편차를 이용해 분석하였다. 연구결과 표준항목의 내용타당도는 0.8이상으로 모든 항목이 타당성있게 나타났다. 병동 간(3.82±.40), 병동에서 중환자실(3.85±.38), 중환자실에서 병동(3.81±.39), 응급실에서 병동(3.85±.37)으로 인수인계시 가장 적절하다고 평가된 항목은 사정영역에서 ‘의식상태’ 항목이었으며 분만장에서 신생아실로 인계시 가장 적절하다고 평가된 항목은 ’선천성기형여부(3.91±.30)’ 이었다. 본 연구는 타부서간 인수인계시 간호사간 필수적으로 인수인계 해야되는 항목의 타당도와 적절성을 평가하였으며 추후 임상현장에서 표준화된 인수인계 항목으로 활용해볼 수 있을 것이며 이를 통해 환자안전 확보를 위한 정보의 질과 의사소통을 향상시키는데 기초자료가 될 수 있을 것이다.

Abstract

Purpose: The purpose of this study was to develop the adapted standard items of situation, background, assessment, recommendations (SBAR) processing for handover between nursing units in Korean hospitals and evaluate the validity and relevance of the standard items. Methods: A delphi method with 33 experts was used to evaluate content validity of the standard items. Then, 1,175 nurses working in general hospitals of more than 500 beds were recruited to evaluate the validity and relevance of the standard items for clinical implication. Results: Content validity was higher than 0.8. The highest scores for relevance among items in handover standards were state of consciousness in the assessment domain for a ward to a ward transfer (3.82±0.40), for a ward to an ICU (3.85±0.38), an ICU to a ward (3.81±0.39) and an ER to a ward (3.85±0.37). Congenital malformation was the highest relevance score for handover from a delivery room to a neonatal unit (3.91±0.30). Conclusion: This study evaluated validity and relevance of the essential contents for handover standards between units to improve communication quality among nurses. The findings of this study should also be applied in clinical nursing areas and the quality of information and effectiveness of usage of the standard should be evaluated

참고문헌 (28)

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