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요양병원 간호사를 위한 단계별 SBAR 적용 인수인계 프로토콜 개발 및 효과 검정: 비동등성 대조군 사전-사후 설계의 유사실험 연구

Development and effectiveness of the stepwise handoff protocol based on the SBAR for long-term care hospital nurses: A nonequivalent control-group pre-posttest design

이은주|윤정현
한국노인간호학회 (Korean Gerontological Nursing Society)|2023.11|노인간호학회지 (Journal of Korean Gerontological Nursing)|제25권 제4호|pp. 387-399|DOI https://doi.org/10.17079/jkgn.2023.00010

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NursesHospitalsPatient handoffLong-term care
주제분류간호학

초록

Purpose: This study aimed to develop and examine the effectiveness of the stepwise handoff protocol based on the situation, background, assessment, recommendation (SBAR) application for long-term care hospital nurses. Methods: A nonequivalent control group pre-posttest design was used for this study. There were 23 subjects in the experimental group and 23 subjects in the control group. Using SPSS Statistics 21.0, data were analyzed by descriptive statistics, independent t-test, and repeated measure ANOVA. Results: The effectiveness of the stepwise handoff protocol based on the SBAR for long-term care hospital nurses showed a difference in the communication self-efficacy by group (F=8.81, p=.005), by time (F=11.43, p<.001), the interaction effect of group point and time (F=9.67, p<.001), the communication clarity by group (F=10.05, p=.003), by time (F=5.74, p=.005), interaction effect between group point and time (F=3.37, p=.039), and the quality of handoff by group (F=12.48, p=.001), by time (F=7.03, p=.010), and interaction effect between group point and time (F=4.29, p=.042). Conclusion: The stepwise handoff protocol based on the SBAR is expected to improve the work by systematically implementing the transfer of long-term care hospital nursing to increase nurses’ job efficiency.

Abstract

Purpose: This study aimed to develop and examine the effectiveness of the stepwise handoff protocol based on the situation, background, assessment, recommendation (SBAR) application for long-term care hospital nurses. Methods: A nonequivalent control group pre-posttest design was used for this study. There were 23 subjects in the experimental group and 23 subjects in the control group. Using SPSS Statistics 21.0, data were analyzed by descriptive statistics, independent t-test, and repeated measure ANOVA. Results: The effectiveness of the stepwise handoff protocol based on the SBAR for long-term care hospital nurses showed a difference in the communication self-efficacy by group (F=8.81, p=.005), by time (F=11.43, p<.001), the interaction effect of group point and time (F=9.67, p<.001), the communication clarity by group (F=10.05, p=.003), by time (F=5.74, p=.005), interaction effect between group point and time (F=3.37, p=.039), and the quality of handoff by group (F=12.48, p=.001), by time (F=7.03, p=.010), and interaction effect between group point and time (F=4.29, p=.042). Conclusion: The stepwise handoff protocol based on the SBAR is expected to improve the work by systematically implementing the transfer of long-term care hospital nursing to increase nurses’ job efficiency.

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