. 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; ...
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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.
