| Summary: | 碩士 === 美和科技大學 === 護理系健康照護碩士班 === 107 === BACKGROUND: ISBAR is a standard process that has been applied in many countries, including the health care. Ineffective information communication in handover procedure is one of the causes of medical errors and delays the diagnosis and care of patients, causing mental and physical harm to the family and society. Improving the handover process of Vietnamese anesthetist nursing is essential because it will reduce the risk of unintentional errors and keep the patient safety.
OBJECTIVE: Evaluate the effectiveness of using the ISBAR tool in Post Operating recovery handover between an anesthetist nurse and registered nurses in a recovery room of the hospital in Vietnam.
METHODS: The study used quasi-experimental design to assess the effectiveness of handover information in a recovery room of the hospital in Vietnam. Data was collecting two time. The total number of samples was 434 samples on 31 anesthesia nurses. Each employee will be observed 7 turns before being training to get 217 samples. The questionnaire was based on the ISBAR toolkit and the handover form of World Health Organization and reviewed by clinical specialist and professor doctoral in Vietnam. Researchers observed and collected data through the handover follow ISBAR before and after the training program. The data was analyzed by SPSS software version 20.0.
RESULT: The study’s results showed that rate of female is 71%, 30-39 years old for 54.8%. The work experience less than 5 years accounted for 41.9%.
The results showed that in the patient identification of handover procedure, the number of recovery room and anesthetist nurses mentioning the hospitalization number was low as 1.8%; the percentage of doing handover was 6% in the allergies information, 32.3% in the comorbidity, prophylactic antibiotics (8.3%), blood lost in surgery (24%), reliever pain use in surgery (12.9%), vomiting use in surgery (5.5%), transfer patients to the room (12.9%), Subclinical after surgery (3.7%) , maintain postoperative analgesia (12.9%). But after training, these factors were significantly improved such as hospitalized number (1.8% - 81.10%, P< .001 ), the allergies ( 6%-88.5%, P< .001), the comorbidity (32.3%-92.6%, P< .001), prophylactic antibiotics (8.3% -98.2%, P< .001), blood lost in surgery (24%-71.4%, P< .001), reliever pain use in surgery (12.9% -98.6%, P< .001), vomiting use in surgery (5.5%-94.9%, P< .001), transfer patients to the room (12.9% - 97.7%, P< .001), subclinical after surgery (3.7%-98.6%, P< .001), maintain postoperative analgesia (12.9% -97.70%, P< .001).
In term of the staff’s satisfaction with the handover, 64.5% of the opinions of anesthetist nurse showed that handover of the ISBAR form was very useful, 45.2% very necessary. Besides, 77.4% of nursing anesthesia claimed that the ISBAR form delivery was not time consuming, 54.8% indicated that it helped improving safety for patient.
CONCLUSION: The study demonstrated the use of ISBAR can improve the handover process of anesthetist nurses accurately and safely for patients. There were 18 items in the survey of anesthetist nurses group ranging from 80% to 100% after using the ISBAR tool panel, including 5 items reaching 100% after the instruction. The remaining items had improvements. The total score of before and after training were 10.17-1.76 and 18.701.26, P< 001. Anthropological relationships between gender, qualifications, age and seniority do not affect the handover process.
From this study, it is expected that the management board of anesthesia surgery and anesthesia nurses in the research team are well aware of this problem and fully implement the 3 most basic information in handover.
It is also important to propose leaders of hospitals, surgical departments, and nursing offices to apply the ISBAR handover model to the daily handover of nursing anesthesia technicians in the recovery room of the surgical department.
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