Nursing staff’s instrument for change-of-shift reporting - SBAR (Situation-Background-Assessment-Recommendation): validation and application

ABSTRACT Objectives: to validate and apply a change-of-shift instrument using the SBAR (Situation-Background-Assessment-Recommendation) tool. Methods: methodological study for the validation of an instrument. It was validated by ten judges from the area of nursing teaching and care and applied in a surgical gastroenterology ward by 11 nursing technicians in February 2019. The analyses considered descriptive statistics. Results: the judges analyzed the instrument with a content validity index of 91.7% and made suggestions, which led to the second version of the instrument. The participants reported that the predominant modality of shift handover is oral, in the nursing room, lasting six to ten minutes. Most pay attention during shift change, mention that delays and early departures interfere in the activity and believe that the instrument provides the necessary information and is viable. Conclusions: the instrument built was validated, and its application proved relevant, as it was considered necessary and feasible.

摘要 研究目的：验证并应用基于SBAR（Situation-Background-Assessment-Recommendation）工具的交接班量表。方法：本研究为量表验证类方法学研究。由10名来自护理教学与临床护理领域的评审专家对该量表进行内容效度检验，并于2019年2月由11名护理技术员在外科胃肠病房开展临床应用，数据分析采用描述性统计方法。结果：评审专家对该量表的内容效度指数为91.7%，并提出修改建议，据此形成量表第二版。参与调研的护理人员反馈，科室交接班的主要形式为口头交接，交接地点设于护士办公室，单次时长6至10分钟；多数人员在交接班过程中能够保持专注，认为交接班延误与提前离岗会对护理工作造成干扰，同时认可该量表能够提供所需的必要信息且具备临床可行性。结论：本研究构建的交接班量表已通过效度验证，临床应用证明其具备相关价值，被认为是必要且可行的。