The Impact of nursing bedside handover using (Situation-Background-Assessment-Recommendation) SBAR on nurses and patient satisfaction during daily change shift at Governmental hospitals in West Bank رسالة ماجستير

Abstract

Introduction: Quality Improvement (QI) in healthcare settings is an essential part of continuously pursuing the optimal health outcomes and patient satisfaction. A major area of focus in QI is the communication process across healthcare teams, in which Situation-Background-Assessment-Recommendation (SBAR) tool has proven its efficiency and effectiveness in handoffs among nurses and between nurses and patients. The aim of this study was to assess the change in satisfaction levels among nurses and patients after implementing and educational session related to the application of SBAR tool on targeted governmental hospitals in West Bank – Palestine. Method: A pretest-posttest design was conducted between 15/4/2024 and 15/5/2024 on a convenient sample of 259 nurses and 287 patients, and were asked to answer a self administered questionnaire consisting of demographic factors and satisfaction scale regarding the communication process, including the quality of information, interaction and support, and efficiency domains. The data collection committed to ethical considerations of privacy and confidentiality, and were analyzed using SPSS. Results: Median age was 31 years old for nurses and 47 years old for patients, and were mostly married, holding university degrees and more living in villages and cities. Moderate-to-high scores of satisfaction were noticed in the pretest phase among nurses and patients, which they have significantly increased in all domains among nurses, and except for efficiency domain among patients. Several demographic factors were related to significant differences in mean satisfaction scores in both phases. Conclusion: Satisfaction among nurses and patients towards communication process when they were educated about SBAR tool significantly increased. It is recommended to conduct further studies with larger inclusion of departments and types VI of hospitals and satisfaction tools. Nurses need to focus more on decreasing interruptions, and policy-makers should fund educational and training sessions of such topics