Evaluation of Nurse- Midwives Practices Using SBAR (Situation, Background, Assessment, Recommendation) Communication Tool on Maternal Health Documentation
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 3
Abstract
Background: Poor communication is responsible for up to two-thirds of sentinel events, and of those events, over half were related specifically to poor transition of patient care between providers(1) . Objective: To evaluate the effect of SBAR (Situation, Background, Assessment, Recommendation) educational program on nurse –midwives practices in maternal health report documentation accuracy. Methods: A quasi- experimental design was carried with the application of pre- post test for nurses-midwives’ knowledge regarding SBAR communication tool. The study was held in Al-Elwia maternity teaching hospital, Al –Karckh maternity hospital and Al-Yarmouk teaching Hospital. Non-probability sample consisted of (84) nurse- midwives. The questionnaire comprised of demographic data, nurses- midwives practices of SBAR using (5) level Likert scale for assessment, with Cut –off point (3). Content validity was determined through (21) expert. Pilot study was conducted on (10) nurses-midwives at Al- Elwia maternity teaching hospital during 15th to 22nd ,may, 2017. Reliability of the questionnaire (pre (0.89), post (0.89), evaluation (0.936)). Descriptive ,and Inferential statistical data analysis were used. Results: The result shows that there is significant statistical differences in all domain, so we reject the nil ( ) hypotheses and accepted the alternative one ( ). Because the calculate value greater than table value for each degree of freedom (3,4) that corresponding the table value (7.816 ,9.488) respectively. The means are not equal for all in chi- square distribution and in the corresponding degree of freedom. No significant differences between evaluation variable (practice) in SBAR program with the socio-demographic characteristics, except for work place shows significant differences at (P-value : 0.000). The results also presents that participants were extremely confident in applying scenario for Placenta praevia, Abortion, Teenage pregnancy, Postdate pregnancy, Preeclampsia, and last Premature rupture membranes. Conclusion: The study concluded that there is improvement in nurses – midwives practices concerning SBAR communication tool application after implementation of the program.
Authors and Affiliations
Sunduss. B. Dawod, Dr. Rabea M. Ali, Dr. Ezedeen. F. Bahaaldeen
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