Journal of Education and Health Promotion

The effect of situation, background, assessment, recommendation‑based safety program on patient safety culture in intensive care unit nurses

. Shahram Etemadifar; . Zeynab Sedighi; . Morteza Sedehi; . Reza Masoudi

Volume 11, Issue 10 , November 2021, , Pages 1-9

Abstract

BACKGROUND: Patient safety culture is an integral part of patient care standards and a prerequisitefor safe care. SBAR is an acronym for Situation, Background, Assessment, Recommendation; ... Read More BACKGROUND: Patient safety culture is an integral part of patient care standards and a prerequisitefor safe care. SBAR is an acronym for Situation, Background, Assessment, Recommendation; thiscommunication model has gained popularity in health‑care settings, especially among professionssuch as nursing. However, there is little evidence that nursing professional education can enhancepatient safety culture. The aim of this study was to investigate the effect of a SBAR‑based trainingprogram on patient safety culture in intensive care unit (ICU) nurses.MATERIALS AND METHODS: The quasi‑experimental study was carried out in 2018–2019 at areascovered by Shahrekord University of Medical Sciences, Iran. This study was performed on 60 nursesworking in ICU. The participants were randomly assigned to two experimental and control groups of30 each. For the experimental group, five workshop sessions of SBAR‑based program were held.For the control group, the patient delivery process was performed according to the ward routine. Datawere collected using patient safety culture questionnaires before and 1 month after the intervention,and were analyzed using descriptive and analytical tests such as paired t‑test, independent t‑test,and Chi‑square test by SPSS 22.RESULTS: The mean score of safety culture was 31 ± 23.5 and 55.2 ± 28.6 in frequency of reportingevents, 32.8 ± 17.8 and 54.3 ± 19 in overall perception of patient safety, 23 ± 20.1 and 52.9 ± 26 incommunication channel openness, and 35.2 ± 19.8 and 52.4 ± 18.8 in information exchange andconveyance before and after training intervention, respectively, so that they improved from poorlevel to neutral‑moderate level. There was no strength in any dimensions of safety culture; however,the implementation of the SBAR‑based program was significantly associated with patient safetyculture (P < 0.001).CONCLUSIONS: Improving patient safety culture requires attention to patient safety models suchas SBAR approach that provides an appropriate and reliable structure for quality improvement.SBAR‑based program training is effective in promoting patient safety culture; therefore, it isrecommended that managers use this technique to promote patient safety culture.

The effect of empowerment program based on the social cognitive theory on the activity of daily living in patients with chronic obstructive pulmonary disease

. Fatemeh Aliakbari; . Forouzan Mohammad Alipour; . Elahe Tavassoli; . Morteza Sedehi

Volume 10, Issue 6 , June 2020, , Pages 1-8

Abstract

OBJECTIVE AND AIM: Chronic obstructive pulmonary disease (COPD) is one of the most commonchronic diseases. The patient’s fear and anxiety of shortness of breath and coughing during ... Read More OBJECTIVE AND AIM: Chronic obstructive pulmonary disease (COPD) is one of the most commonchronic diseases. The patient’s fear and anxiety of shortness of breath and coughing during exercisemay lead to a decrease in patients’ daily activities. Therefore, the present study aimed to determinethe effect of empowerment program based on the social cognitive theory (SCT) on the daily activityof patients with COPD.METHODS: This quasi‑experimental study was performed on 70 patients with COPD referred toKashani and Hajar centers in 2019. Samples were randomly divided into two groups of experimentaland control. Data collection tools included demographic information questionnaire and activity of dailyliving questionnaire, specific for COPD, and a researcher‑made questionnaire for measuring SCTconstructs. For the experimental group, the training program consisted of four theoretical and practicalsessions of 40 min/week. The data were collected at three time points, before, immediately and 3months after the training are 3 time. The data were analyzed by SPSS software using descriptiveand inferential statistics.RESULTS: The difference between the mean scores of behavioral ability, self‑efficacy, andempowerment in the three stages was significant only in the experimental group (P < 0.001). Themean daily activity score of patients before, immediately, and 3 months after intervention showeda statistically significant difference between the two groups (52.46 ± 21.98, 63.36 ± 21.95, and71.34 ± 19.02), respectively, in the intervention group, and (51.79 ± 19.29, 53.70 ± 19.28, and53.82 ± 19.26), respectively, in the control group (P < 0.001).CONCLUSION: The results of this study showed that empowerment of patients through interventionsbased on SCT can increase the daily activity of patients with COPD. Because nurses play an importantrole in patient education and improvement, it is hoped that the findings of this study will be used asa strategy to increase the daily activity and ultimately improve the quality of life in these patients.

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Author = . Morteza Sedehi

The effect of situation, background, assessment, recommendation‑based safety program on patient safety culture in intensive care unit nurses

Abstract

The effect of empowerment program based on the social cognitive theory on the activity of daily living in patients with chronic obstructive pulmonary disease

Abstract